Inadequacy of Current Prevention Strategies for

Summary: Heparin-induced thrombocytopenia is one of the most difficult problems facing clinicians today. Despite recent understanding of the pathophysiology of this disorder, there are many unresolved issues about diagnosis, prevention, and treat-ment. In this article, difficulties physicians encounter when faced with a suspected heparin-induced thrombocytopenia pa-tient will be reviewed as well as our experience in 113 patients with heparin-induced thrombocytopenia which highlights the failure of current preventive strategies for heparin-induced thrombocytopenia. The experience of using warfarin in 51 pa-tients with heparin-induced thrombocytopenia will also be re-viewed. Key Words: Heparin-induced thrombosis—Heparin-induced thrombocytopenia— Prevention of heparin-induced thrombocytopenia. Heparin-induced thrombocytopenia (HIT) is one o