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Activated recombinant human coagulation factor VII (rFVIIa) therapy for abdominal bleeding in patients with inhibitory antibodies to factor VIII.
Liebman, H A; Chediak, J; Fink, K I; Galvez, A G; Shah, P C; Sham, R L.
Afiliación
  • Liebman HA; University of Southern California School of Medicine, Division of Hematology, Los Angeles, California 90033, USA. liebman@hsc.usc.edu
Am J Hematol ; 63(3): 109-13, 2000 Mar.
Article en En | MEDLINE | ID: mdl-10679799
Eight patients with inhibitors to factor VIII (4 hemophilia A and 4 nonhemophilic) were treated with recombinant activated factor VII (rFVIIa) to control severe abdominal bleeding. The recombinant factor was supplied under an open-label, emergency-use program to patients previously unresponsive to one or more alternative therapies. Therapy with rFVIIa was administered for nine separate bleeding events; one patient was treated for two separate bleeding episodes. Patients were treated for an average of 9 days and received a mean total dose of 5.2 mg of rFVIIa for control of bleeding. Treatment was considered successful and hemostasis adequate in 7 of the 9 episodes (78%). Treatment with rFVIIa was partially successful in one other episode. Four patients in this series experienced serious adverse events; all the adverse events were considered unrelated to rFVIIa therapy. The results of this limited series indicate that rFVIIa is an effective means of managing life-threatening abdominal bleeding in individuals with hemophilia or acquired antibodies to factor VIII.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factor VII / Trastornos de las Proteínas de Coagulación / Abdomen / Hemorragia Límite: Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Hematol Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factor VII / Trastornos de las Proteínas de Coagulación / Abdomen / Hemorragia Límite: Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Hematol Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos