Tirofiban'a Bağlı Diffüz Alveolar Hemoraji ECMO ile Tedavi Edilebilir mi?

Year 2019, Volume: 14 Issue: 1, 39 - 41, 15.03.2019

Murat Kerkütlüoğlu Hakan Güneş Erdinç Eroğlu

https://doi.org/10.17517/ksutfd.442705

Abstract

Akut koroner sendromların
gelişmesinde trombositler aktif rol oynar. Trombosit inaktivitesi için
kullanılan Glikoprotein (GP) IIb / IIIa inhibitörlerinin Perkütan Koroner
Girişim (PCI) sırasında kullanımı iskemik komplikasyonlardan korunmada kritik
öneme sahipken major kanamalarada yol açabilir. Diffüz alveoler kanama da,
glikoprotein IIb / IIIa inhibitörlerinin sebep olabileceği nadir ancak yaşamı
tehdit eden, tanı konması ve tedavisi güç bir komplikasyondur.Biz de olgumuzda
46 yaşında akut inferior miyokard infarktüsü nedeni ile primer PCI işlemi
yapılan ve tirofiban tedavisi sonrası diffüz alveolar hemoraji gelişen, ECMO
cihaz uygulaması ile tedavi etmeye çalıştığımız hastamızı sunuyoruz

Keywords

tirofiban, diffüz alveolar hemoraji, ECMO

Is Diffuse Alveolar Haemorrhage due to Tirofiban Treated with ECMO?

Abstract

Thrombocytes play an active role in
the development of acute coronary syndromes. The use of Glycoprotein (II) IIb /
IIIa inhibitors for platelet inactivity during Percutaneous Coronary
Intervention (PCI) may lead to major cancers with critical preservation of
ischemic complications. Diffuse alveolar hemorrhage is a rare but
life-threatening complication that can be caused by glycoprotein IIb / IIIa
inhibitors. We have a 46-year-old woman with acute inferior myocardial
infarction who underwent primary PCI and developed diffuse alveolar haemorrhage
after tirofiban therapy. We present the patient 
are trying to treat with ECMO device application.

Keywords

tirofiban, diffuse alveolar hemorrhage, ecmo

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