Journal of the Saudi Heart Association (Jul 2017)

Contrast-induced thrombocytopenia following percutaneous coronary intervention

  • Roberto Muniz Ferreira,
  • João Mansur Filho,
  • Paolo Blanco Villela,
  • Juliano Carvalho Gomes de Almeida,
  • Pedro Paulo Nogueres Sampaio,
  • Felipe Neves de Albuquerque,
  • Wolmar Pulcheri,
  • Cláudio Buarque Benchimol

DOI
https://doi.org/10.1016/j.jsha.2017.01.002
Journal volume & issue
Vol. 29, no. 3
pp. 227 – 229

Abstract

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Contrast-induced thrombocytopenia is a rare complication distinguished by acute and severe platelet consumption, with spontaneous recovery within days. We describe a case of acute thrombocytopenia 6 hours after coronary angioplasty in a patient with a negative antiplatelet factor 4 test. The count reached 1 × 103/µL, but improved spontaneously to 210 × 103/µL after 8 days. In conclusion, physicians should be aware of this complication, particularly when dual antiplatelet therapy is being considered.

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