Mechanical prophylaxis is a heparin-independent risk for anti–platelet factor 4/heparin antibody formation after orthopedic surgery

Author:

Bito Seiji12,Miyata Shigeki3,Migita Kiyoshi1,Nakamura Mashio4,Shinohara Kazuhito1,Sato Tomotaro1,Tonai Takeharu1,Shimizu Motoyuki1,Shibata Yasuhiro1,Kishi Kazuhiko1,Kubota Chikara1,Nakahara Shinnosuke1,Mori Toshihito1,Ikeda Kazuo1,Ota Shusuke1,Minamizaki Takeshi1,Yamada Shigeru1,Shiota Naofumi1,Kamei Masataka5,Motokawa Satoru16

Affiliation:

1. Japanese National Hospital Organization (NHO)–Evidence-Based Medicine Study Group for the Clinical Study of Prevention and Actual Situation of Venous Thromboembolism After Total Arthroplasty, Tokyo, Japan;

2. Division of Clinical Epidemiology, NHO Tokyo Medical Center, Tokyo, Japan;

3. Division of Transfusion Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan;

4. Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Mie, Japan;

5. Department of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan; and

6. Department of Orthopedic Surgery, NHO Nagasaki Medical Center, Nagasaki, Japan

Abstract

Key Points Patients undergoing total knee arthroplasty can develop anti-PF4/heparin antibodies without heparin exposure. Dynamic mechanical prophylaxis is a heparin-independent risk factor for anti-PF4/heparin antibody formation in this patient population.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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