Anticoagulation Monitoring During ECMO Support: Monitor or Flip a Coin?

IF 2.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Cardiology Pub Date : 2024-12-18 DOI:10.1002/clc.70061
Sasa Rajsic, Benedikt Treml
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Abstract

Should we rely on anticoagulation monitoring in ECMO patients or simply flip a coin? The increasing use of anti-factor Xa activity to monitor the effect of UFH appears appropriate, given its moderate correlation with the UFH infusion rates, and it may play a role in preventing thromboembolic events. However, to avoid bleeding complications, more sophisticated tools, and careful clinical decision-making remain essential.

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ECMO支持期间的抗凝监测:监测还是抛硬币?
我们应该依靠ECMO患者的抗凝监测还是简单地抛硬币?越来越多地使用抗Xa因子活性来监测UFH的效果似乎是合适的,因为它与UFH输注率有适度的相关性,并且它可能在预防血栓栓塞事件中发挥作用。然而,为了避免出血并发症,更复杂的工具和谨慎的临床决策仍然是必不可少的。
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来源期刊
Clinical Cardiology
Clinical Cardiology 医学-心血管系统
CiteScore
5.10
自引率
3.70%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.
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