Use of FEIBA for invasive or surgical procedures in patients with severe hemophilia A or B with inhibitors

被引:16
作者
Stine, Kimo C. [1 ]
Shrum, Dixie [1 ]
Becton, David L. [1 ]
机构
[1] Univ Arkansas Med Sci, Arkansas Childrens Hosp, Dept Pediat Hematol Oncol, Little Rock, AR 72202 USA
关键词
hemophilia; inhibitors; surgery; FEIBA; RECOMBINANT FACTOR-VIIA; PROTHROMBIN COMPLEX CONCENTRATE; FACTOR-IX INHIBITORS; ORTHOPEDIC-SURGERY; BYPASS ACTIVITY; EFFICACY; THERAPY; SAFETY; THROMBOSIS; MANAGEMENT;
D O I
10.1097/MPH.0b013e318041f101
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Achieving hemostasis in patients with hemophilia A or B is complicated by the presence of inhibitors and is made even more difficult when these individuals require surgery. Over a 4-year period, 6 patients with inhibitors to factor VIII and I patient with inhibitors to factor IX underwent surgery or invasive procedures at our institution. A total of 26 procedures were performed, primarily using the bypassing agent FEIBA for bleeding control. Excellent hemostasis was obtained in all cases, adding to accumulating data indicating that FEIBA is safe and effective in hemophilia patients with inhibitors who require surgery.
引用
收藏
页码:216 / 221
页数:6
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