{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T17:18:13Z","timestamp":1694625493686},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Surgery"],"published-print":{"date-parts":[[2001,6,1]]},"abstract":"<jats:p> Wir berichten \u00fcber einen Patienten mit Budd-Chiari Syndrom welcher unter intraven\u00f6ser Antikoagulation eine Heparin induzierte Thrombozytopenie entwickelte. Die chirurgische Behandlung bestand aus einer dorsocranialen Leberresektion mit anschliessender hepato-atrialer Anastomose unter Verwendung der extrakorporellen Zirkulation. Die perioperative Antikoagulation wurde mittels Hirudin durchgef\u00fchrt. Erstaunlicherweise wurde w\u00e4hrend der Operation eine Thrombusbildung im Kardiotomie-Reservoir der Herz-Lungenmaschine beobachtet, obwohl die intraoperativ gemessene Antikoagulationsparameter (ACT und aPTT) im therapeutischen Bereich waren. Mit einem zus\u00e4tzlichen Bolus Hirudin in das extrakorporelles Circuit und dank Sp\u00fclung des Reservoirs konnte die Operation ohne weitere thrombotische Ereignisse zu Ende gef\u00fchrt werden. <\/jats:p>","DOI":"10.1024\/1023-9332.7.3.141","type":"journal-article","created":{"date-parts":[[2006,1,31]],"date-time":"2006-01-31T12:18:51Z","timestamp":1138709931000},"page":"141-144","source":"Crossref","is-referenced-by-count":0,"title":["Challenging Anticoagulation Management in a Patient with Budd-Chiari Syndrome and Heparin-Induced Thombocytopenia"],"prefix":"10.1024","volume":"7","author":[{"family":"Gygax","sequence":"first","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Herz- und Gef\u00e4sschirurgie, Inselspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Berdat","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Herz- und Gef\u00e4sschirurgie, Inselspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Carrel","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Herz- und Gef\u00e4sschirurgie, Inselspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Swiss Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1023-9332.7.3.141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T12:08:13Z","timestamp":1652011693000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1023-9332.7.3.141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,6,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2001,6,1]]}},"alternative-id":["10.1024\/1023-9332.7.3.141"],"URL":"https:\/\/doi.org\/10.1024\/1023-9332.7.3.141","relation":{},"ISSN":["1023-9332"],"issn-type":[{"value":"1023-9332","type":"print"}],"subject":[],"published":{"date-parts":[[2001,6,1]]}}}