Hemodialysis (if needed) session no heparin Plasma exchange with FFP (minimum 1.5 volumes) < 6 hours of surgery 10- 20 ml/kg FFP intraoperatively Additional FFP if clinically indicated Post-operative LMW heparin prophylaxis Low dose aspirin prophylaxis Liver-Kidney Transplant Protocol Modified by Plasma Exchange Plasma exchange removes mutant FH, replaces normal LMW heparin used empirically Hold anticoagulation for bleeding or coagulopathy Saland, J et al.
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