Hemorrhagic and thrombotic complications in bone marrow transplant recipients.

Abstract:

:Hemostatic challenges occur throughout the period of stem cell transplantation (SCT). Endothelial cells injury due to chemotherapy, growth factors, intravenous catheter, and graft-versus-host disease and profound thrombocytopenia are the major components involved in the hemostatic complications. Diffuse alveolar hemorrhage and hemorrhagic cystitis are severe complications in SCT recipients with high morbidity and mortality rate and no effective treatment. Common thrombotic manifestations include Veno-occlusive disease (VOD) and central venous lines thrombosis. More intensive conditioning regimens and mismatch donors increase the risk of hemostatic complications. Management of hemostatic and thrombotic complications is discussed including current data on the role of recombinant factor VIIa for severe hemorrhage and defibrotide for VOD.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Nadir Y,Brenner B

doi

10.1016/S0049-3848(07)70136-6

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

S92-8

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(07)70136-6

journal_volume

120 Suppl 2

pub_type

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