25th May 2025

A 69-year-old gentleman with HTN and CKD 5 on haemodialysis, sustains a left neck of femur fracture after a mechanical fall.

A 69-year-old gentleman with HTN and CKD 5 on haemodialysis, sustains a left neck of femur fracture after a mechanical fall. Five days post orthopaedic surgery, his full blood count reveals thrombocytopenia and a diagnosis of heparin-induced thrombocytopaenia is made. Which of the following anticoagulation is preferred in a patient with HIT and renal insufficiency/renal replacement therapy? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.