Increased fibrinopeptide A after prothrombin complex concentrates.

Abstract:

:Prothrombin complex concentrates (PCC) are known to carry a risk of thromboembolism. We have chosen to reassess the problem of detecting in vivo signs of activation of the clotting mechanism by assaying fibrinopeptide A (FpA) after PCC administration in hemophilic patients during bleeding episodes. FpA was significantly increased above baseline levels 15 to 60 min after the infusion of 19 doses of 5 different types of commercial PCC in 14 hemophilia B patients treated for bleeding episodes or dental extractions. A more marked increase followed 16 infusions of the activated PCC FEIBA and Auto IX in 4 hemophilia A patients with F. VIII inhibitors. There was no significant FpA change after F. VIII concentrates administered to a control group of 7 patients with hemophilia A. These findings suggest that circulation of thrombin occurs frequently after PCC administration, even though clinical manifestations of thromboembolism appear to be relatively rare.

journal_name

Thromb Haemost

authors

Viganó S,Cattaneo M,Gervasoni W,Mannucci PM

subject

Has Abstract

pub_date

1980-10-31 00:00:00

pages

72-5

issue

2

eissn

0340-6245

issn

2567-689X

journal_volume

44

pub_type

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