The Use of Alternative Anti-Coagulation Strategies for a Nocturnal Home Hemodialysis Patient with Heparin-Induced Thrombocytopenia (Clinical Report‪)‬

********** The use of heparin as the anticoagulant of choice for the prevention of extracorporeal blood clotting has been a mainstay since the inception of hemodialysis treatments. For individuals who hemodialyze themselves at home overnight on nocturnal home dialysis (NHD), anticoagulation is a fundamental and essential component of the treatment. If the patient is unable to use heparin, outcomes could potentially be catastrophic, and may lead to treatment failure, thus, alternatives must be considered.