Possible Heparin Reactivity Issue Causing Discrepant ACT results in Cath Lab

Hi Ashlee, would love to look at it as well : annalyn.gemmell@pennmedicine.upenn.edu

Thank you!

Sorry I forgot that!  Here you go:  linda.kuhn@osfhealthcare.org

Thanks!

We have had the same issue and use the Medtronic ACT Plus.  The compliant was they feel like they are pushing a lot more heparin before the see the anticipated response.

We have found that our pharmacy was using different lots of heparin from different countries-India v. China.  Also there seemed to be a timing issue of when the patient was given a bolus of heparin and when the ACT was drawn/tested.

Have not heard much else after.

Has anyone had this problem with the Hemochron Sig Elite analyzer? Can someone please send me the study? We are having issues using the ACT-LR cuvette only during vascular procedures. Surgeons not confident in the analyzer.

Thank you in advance for your help.

Claudia Leblanc

Portsmouth Regional Hospital

Portsmouth, NH 

Ashee,

I would love to see your study.

Thanks! 

cynthia.hollis@eastgeorgiaregional.com

Just curious, what is the driver for the change in ACT methodology?

I would also love a copy of study

Thanks in advance

Health Care Authority of Anniston

Anniston, Alabama

galabynum@aol.com

or

gbynum@rmccares.org

Thanks to this listserve, we made contact with our pharmacy.  They are aware of the heparin shortage potential and was already keeping 4-6 month supply and checked with their supplier to see if they will be having a shortage.  They will also let lab know if they change suppliers so we can proactively work with our IR, Dialysis Cathlab and ECMO teams.

Thanks for the heads up!

Reine Makiya

Thank you for the info - I too would like a copy of your study. e.precissi@dameronhospital.org . We use Hemochron sig elite ACT+ and there have been a two cases now where I have received a complaint that the ACT did not respond as the physician expected to the heparin dosage given . These were 'Impella' patients - a new procedure to our facility.

Hi Ashlee,

Could I please have a copy of your study as well? jlhay@lhs.org

Thank you!

copy for me too please!

deatone@bronsonhg.org

Thanks soooo much!

Erika Deaton-Mohney

Ashlee,

Please send me a copy of the study you did.

My email: PManiquis@primehealthcare.com

Thanks,