PMID- 29424412 OWN - NLM STAT- MEDLINE DCOM- 20180330 LR - 20180330 IS - 0717-6163 (Electronic) IS - 0034-9887 (Linking) VI - 145 IP - 9 DP - 2017 Sep TI - [Treatment of heparin-induced thrombocytopenia with rivaroxaban. Case report]. PG - 1213-1217 LID - S0034-98872017000901213 [pii] LID - 10.4067/s0034-98872017000901213 [doi] AB - Heparin-induced thrombocytopenia (HIT) is immune-mediated. It occurs more frequently with unfractionated heparin (UFH) than with low molecular weight heparins (LMWH). It is associated with thromboembolic rather than hemorrhagic events, as opposed to thrombocytopenia of other etiologies. The key in therapy is the cessation of heparin and the start of another anticoagulant. We report a 58 years old female with HIT secondary to the use of Enoxaparin who was successfully managed with Rivaroxaban. Our goal is to report a novel therapy and provide the evidence that supports its use. FAU - Rivera O, Gustavo AU - Rivera O G AD - Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Corsi S, Oscar AU - Corsi S O AD - Departamento de Medicina Interna, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Pavlovic J, Andres AU - Pavlovic J A AD - Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Aizman S, Andres AU - Aizman S A AD - Departamento de Medicina Interna, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Varas A, Pablo AU - Varas A P AD - Departamento de Medicina Interna, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. LA - spa PT - Case Reports PT - Journal Article TT - Rivaroxaban para el tratamiento de la trombocitopenia inducida por heparina. Caso clinico. PL - Chile TA - Rev Med Chil JT - Revista medica de Chile JID - 0404312 RN - 0 (Anticoagulants) RN - 0 (Factor Xa Inhibitors) RN - 9005-49-6 (Heparin) RN - 9NDF7JZ4M3 (Rivaroxaban) SB - IM MH - Anticoagulants/*adverse effects MH - Factor Xa Inhibitors/*therapeutic use MH - Female MH - Heparin/*adverse effects MH - Humans MH - Middle Aged MH - Risk Factors MH - Rivaroxaban/*therapeutic use MH - Thrombocytopenia/*chemically induced/*drug therapy MH - Treatment Outcome MH - Venous Thrombosis/etiology/prevention & control EDAT- 2018/02/10 06:00 MHDA- 2018/03/31 06:00 CRDT- 2018/02/10 06:00 PHST- 2017/06/13 00:00 [received] PHST- 2017/08/29 00:00 [accepted] PHST- 2018/02/10 06:00 [entrez] PHST- 2018/02/10 06:00 [pubmed] PHST- 2018/03/31 06:00 [medline] AID - S0034-98872017000901213 [pii] AID - 10.4067/s0034-98872017000901213 [doi] PST - ppublish SO - Rev Med Chil. 2017 Sep;145(9):1213-1217. doi: 10.4067/s0034-98872017000901213.