The continuous infusion of recombinant activated factor VIIa (rFVIIa) in patients with factor VIII inhibitors activates the coagulation and fibrinolytic systems without clinical complications.

Abstract:

:The standard modality of administration of rFVIIa to patients with FVIII and FIX inhibitors is the intermittent infusion every 2 to 6 hours. No untoward local or systemic effects have been reported; laboratory data of activation of coagulation were reported in the presence of coexistent problems (sepsis, septic shock) or with high doses. We treated four patients with FVIII inhibitor with rFVIIa administered by continuous infusion by a central vein catheter, monitoring the signs of systemic activation of the hemostatic system. The F(1+2) prothrombin fragments and the D-dimer increased after the bolus, and remained above the baseline values throughout the treatment period. These variations observed during the infusion period were not accompanied by clinical events.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Baudo F,Redaelli R,Caimi TM,Mostarda G,Somaini G,de Cataldo F

doi

10.1016/s0049-3848(00)00220-6

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

21-4

issue

1

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(00)00220-6

journal_volume

99

pub_type

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