{"id":"https://openalex.org/W7203797387","doi":"https://doi.org/10.1155/cric/6999917","title":"Explosive Multiterritorial Arterial Thrombosis Following Brief Heparin Exposure: A Diagnostic Pitfall in the Cath Lab","display_name":"Explosive Multiterritorial Arterial Thrombosis Following Brief Heparin Exposure: A Diagnostic Pitfall in the Cath Lab","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7203797387","doi":"https://doi.org/10.1155/cric/6999917","pmid":"https://pubmed.ncbi.nlm.nih.gov/42621475","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13488371"},"language":"en","primary_location":{"id":"doi:10.1155/cric/6999917","doi":"https://doi.org/10.1155/cric/6999917","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cric/6999917","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cric/6999917","source":{"id":"https://openalex.org/S2764744020","display_name":"Case Reports in Cardiology","issn_l":"2090-6404","issn":["2090-6404","2090-6412"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Cardiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cric/6999917","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5118863799","display_name":"Justine Massart","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210107246","display_name":"H\u00f4pital de Jolimont","ror":"https://ror.org/01jn2rz36","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210107246"]},{"id":"https://openalex.org/I95674353","display_name":"UCLouvain","ror":"https://ror.org/02495e989","country_code":"BE","type":"education","lineage":["https://openalex.org/I95674353"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Justine Massart","raw_affiliation_strings":["Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","Faculty of Medicine and Dentistry, Universit\u00e9 Catholique de Louvain (UCLouvain), Brussels, Belgium, uclouvain.be"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","institution_ids":["https://openalex.org/I4210107246"]},{"raw_affiliation_string":"Faculty of Medicine and Dentistry, Universit\u00e9 Catholique de Louvain (UCLouvain), Brussels, Belgium, uclouvain.be","institution_ids":["https://openalex.org/I95674353"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025572937","display_name":"Claudiu Ungureanu","orcid":"https://orcid.org/0000-0002-1583-5882","observed_orcids":["https://orcid.org/0000-0002-1583-5882"]},"institutions":[{"id":"https://openalex.org/I4210107246","display_name":"H\u00f4pital de Jolimont","ror":"https://ror.org/01jn2rz36","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210107246"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Claudiu Ungureanu","raw_affiliation_strings":["Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be"],"raw_orcid":"https://orcid.org/0000-0002-1583-5882","affiliations":[{"raw_affiliation_string":"Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","institution_ids":["https://openalex.org/I4210107246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147584428","display_name":"Yves Dascotte","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210107246","display_name":"H\u00f4pital de Jolimont","ror":"https://ror.org/01jn2rz36","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210107246"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Yves Dascotte","raw_affiliation_strings":["Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","institution_ids":["https://openalex.org/I4210107246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000039502","display_name":"Jacques Auslender","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210107246","display_name":"H\u00f4pital de Jolimont","ror":"https://ror.org/01jn2rz36","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210107246"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Jacques Auslender","raw_affiliation_strings":["Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","institution_ids":["https://openalex.org/I4210107246"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025816679","display_name":"Adrien Jossart","orcid":"https://orcid.org/0009-0003-0880-0491","observed_orcids":["https://orcid.org/0009-0003-0880-0491"]},"institutions":[{"id":"https://openalex.org/I4210107246","display_name":"H\u00f4pital de Jolimont","ror":"https://ror.org/01jn2rz36","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210107246"]}],"countries":["BE"],"is_corresponding":true,"raw_author_name":"Adrien Jossart","raw_affiliation_strings":["Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be"],"raw_orcid":"https://orcid.org/0009-0003-0880-0491","affiliations":[{"raw_affiliation_string":"Department of Cardiology, H\u00f4pital de Jolimont, La Louvi\u00e8re, Belgium, jolimont.be","institution_ids":["https://openalex.org/I4210107246"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5025816679"],"corresponding_institution_ids":["https://openalex.org/I4210107246"],"apc_list":{"value":790,"currency":"USD","value_usd":790},"apc_paid":{"value":790,"currency":"USD","value_usd":790},"fwci":3.8809,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.86583757,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"2026","issue":"1","first_page":"6999917","last_page":"6999917"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12352","display_name":"Heparin-Induced Thrombocytopenia and Thrombosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12352","display_name":"Heparin-Induced Thrombocytopenia and Thrombosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10746","display_name":"Platelet Disorders and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10993","display_name":"Complement system in diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heparin-induced-thrombocytopenia-type-ii","display_name":"heparin-induced thrombocytopenia type II","score":0.9129999876022339},{"id":"https://openalex.org/keywords/arterial-thrombosis","display_name":"arterial thrombosis","score":0.8399999737739563},{"id":"https://openalex.org/keywords/coronary-angiography","display_name":"coronary angiography","score":0.7099999785423279},{"id":"https://openalex.org/keywords/acute-limb-ischemia","display_name":"acute limb ischemia","score":0.6480000019073486},{"id":"https://openalex.org/keywords/st-elevation-myocardial-infarction","display_name":"ST-elevation myocardial infarction","score":0.9210000038146973},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.8870000243186951},{"id":"https://openalex.org/keywords/4ts-score","display_name":"4Ts score","score":0.7599999904632568},{"id":"https://openalex.org/keywords/danaparoid-sodium","display_name":"danaparoid sodium","score":0.8740000128746033},{"id":"https://openalex.org/keywords/thrombectomy","display_name":"thrombectomy","score":0.9139999747276306},{"id":"https://openalex.org/keywords/anaphylactoid-reactions","display_name":"anaphylactoid reactions","score":0.8429999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9205999970436096},{"id":"https://openalex.org/C2777557582","wikidata":"https://www.wikidata.org/wiki/Q190016","display_name":"Heparin","level":2,"score":0.7735999822616577},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.7325000166893005},{"id":"https://openalex.org/C2776472838","wikidata":"https://www.wikidata.org/wiki/Q1598365","display_name":"Heparin-induced thrombocytopenia","level":3,"score":0.6930999755859375},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5839999914169312},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5238999724388123},{"id":"https://openalex.org/C89560881","wikidata":"https://www.wikidata.org/wiki/Q101026","display_name":"Platelet","level":2,"score":0.5101000070571899},{"id":"https://openalex.org/C43376680","wikidata":"https://www.wikidata.org/wiki/Q6580786","display_name":"Bolus (digestion)","level":2,"score":0.4458000063896179},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4133000075817108},{"id":"https://openalex.org/C3018697912","wikidata":"https://www.wikidata.org/wiki/Q179217","display_name":"Platelet activation","level":3,"score":0.4025000035762787},{"id":"https://openalex.org/C3017811039","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Major bleeding","level":3,"score":0.3930000066757202},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.37940001487731934},{"id":"https://openalex.org/C2776239313","wikidata":"https://www.wikidata.org/wiki/Q5052015","display_name":"Cath lab","level":4,"score":0.37299999594688416},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.34279999136924744},{"id":"https://openalex.org/C159973064","wikidata":"https://www.wikidata.org/wiki/Q3740205","display_name":"Platelet factor 4","level":3,"score":0.3255999982357025},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.30809998512268066},{"id":"https://openalex.org/C2778976402","wikidata":"https://www.wikidata.org/wiki/Q707774","display_name":"Coronary thrombosis","level":3,"score":0.2854999899864197},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.2524999976158142},{"id":"https://openalex.org/C2993802102","wikidata":"https://www.wikidata.org/wiki/Q101026","display_name":"Platelet aggregation","level":3,"score":0.25200000405311584}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1155/cric/6999917","doi":"https://doi.org/10.1155/cric/6999917","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cric/6999917","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cric/6999917","source":{"id":"https://openalex.org/S2764744020","display_name":"Case Reports in Cardiology","issn_l":"2090-6404","issn":["2090-6404","2090-6412"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Cardiology","raw_type":"journal-article"},{"id":"pmid:42621475","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42621475","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case reports in cardiology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13488371","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13488371/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Rep Cardiol","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1155/cric/6999917","doi":"https://doi.org/10.1155/cric/6999917","is_oa":true,"landing_page_url":"https://doi.org/10.1155/cric/6999917","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/cric/6999917","source":{"id":"https://openalex.org/S2764744020","display_name":"Case Reports in Cardiology","issn_l":"2090-6404","issn":["2090-6404","2090-6412"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Cardiology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203797387.pdf","grobid_xml":"https://content.openalex.org/works/W7203797387.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W1931277076","https://openalex.org/W2029651367","https://openalex.org/W2043774853","https://openalex.org/W2405518602","https://openalex.org/W2523757756","https://openalex.org/W3011977491","https://openalex.org/W3023804638","https://openalex.org/W3098333833","https://openalex.org/W4212938842","https://openalex.org/W4386295282","https://openalex.org/W4386917833","https://openalex.org/W4401020075","https://openalex.org/W4401484377","https://openalex.org/W7126259892"],"related_works":["https://openalex.org/W93787327","https://openalex.org/W2947448222","https://openalex.org/W7214330504","https://openalex.org/W2424923343","https://openalex.org/W4387253043","https://openalex.org/W1999835497","https://openalex.org/W2083246707","https://openalex.org/W44176072","https://openalex.org/W4393216425","https://openalex.org/W2071458137"],"abstract_inverted_index":{"Background:":[0],"Type":[1],"II":[2],"heparin-induced":[3],"thrombocytopenia":[4],"(HIT)":[5],"is":[6,111],"a":[7,40,52,69,73,93,108],"catastrophic":[8],"immunothrombotic":[9],"disorder":[10],"that":[11],"can":[12],"be":[13],"triggered":[14],"by":[15],"minimal":[16],"heparin":[17,109,133],"exposure":[18,55],"during":[19],"routine":[20],"coronary":[21],"angiography.":[22],"Case":[23],"Summary:":[24],"A":[25],"67-year-old":[26],"woman":[27],"developed":[28],"\"explosive\"":[29],"multiterritorial":[30],"arterial":[31,98],"thrombosis-including":[32],"acute":[33,126],"limb":[34],"ischemia,":[35],"an":[36],"inferior":[37],"STEMI,":[38],"and":[39,87],"stroke-within":[41],"minutes":[42],"of":[43,47,136],"receiving":[44],"5000":[45],"units":[46],"intra-arterial":[48],"heparin.":[49],"This":[50,90],"followed":[51],"brief":[53],"nadroparin":[54],"8":[56],"days":[57],"prior.":[58],"Crucially,":[59],"events":[60],"occurred":[61],"while":[62],"platelet":[63,138],"counts":[64],"were":[65],"still":[66],"normal.":[67],"Despite":[68],"negative":[70],"functional":[71],"assay,":[72],"high":[74],"4T":[75],"score":[76],"(6":[77],"points)":[78],"confirmed":[79],"HIT.":[80],"Management":[81],"involved":[82],"non-heparin":[83],"anticoagulation":[84],"(danaparoid":[85],"sodium)":[86],"thrombectomies.":[88],"Discussion:":[89],"case":[91],"highlights":[92],"major":[94],"diagnostic":[95],"pitfall:":[96],"severe":[97],"thrombosis":[99,131],"preceding":[100],"overt":[101],"thrombocytopenia.":[102],"The":[103],"immediate":[104],"\"anaphylactoid-like\"":[105],"reaction":[106],"following":[107],"bolus":[110],"often":[112],"misidentified":[113],"as":[114],"contrast":[115],"allergy,":[116],"delaying":[117],"life-saving":[118],"intervention.":[119],"Take":[120],"Home":[121],"Messages:":[122],"Suspect":[123],"HIT":[124],"in":[125],"systemic":[127],"reactions":[128],"or":[129],"multifocal":[130],"after":[132],"exposure,":[134],"regardless":[135],"initial":[137],"counts.":[139]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-08-20T00:00:00"}
