What is your approach to bridging anticoagulation in patients with history of recent HIT?
1 Answers
Mednet Member
Hematology · Weill Cornell Medical College and Houston Methodist Hospital
One should not re-expose patients with past HIT to heparins. Even with remote HIT, there is a high rate of serologic recurrence (eg, Warkentin and Anderson, PMID 27114458) and while the rate of overt HIT relapse may be low with proper precautions, I have seen and published a couple of fatal HIT recu...