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Therapeutic Plasma Exchange for Uncontrollable Bleeding After Platelet Inhibition with Ticagrelor: A Report of 2 Cases - PubMed

3 hours ago
  • #Therapeutic Plasma Exchange
  • #Ticagrelor
  • #Uncontrollable Bleeding
  • Therapeutic Plasma Exchange (TPE) was used to manage uncontrollable bleeding caused by ticagrelor in two cases.
  • Case 1: A 52-year-old man with ST-elevation myocardial infarction experienced uncontrolled bleeding post-surgery, which was controlled after TPE.
  • Case 2: A 66-year-old man had uncontrolled bleeding after PCI and bypass surgery; TPE stabilized bleeding and improved platelet reactivity.
  • TPE effectively removed circulating ticagrelor, achieving hemostasis and reducing the need for further blood products.
  • TPE is suggested as a novel emergency treatment for refractory bleeding due to ticagrelor.