Recombinant factor VIIa therapy in a patient on long term anticoagulant treatment with a bleeding and acute subdural hematoma

被引：0
|
作者：
Kovac, Natasa [1 ]
Gopcevic, Aleksandar [1 ]
Kovac, Josip [1 ]
Gacina, Petar [2 ]
Novkoski, Mladen [1 ]
机构：
[1] Univ Hosp Sestre Milosrdnice, Dept Anesthesiol, Zagreb, Croatia
[2] Univ Hosp Sestre Milosrdnice, Dept Hemathol, Zagreb, Croatia
来源：
SIGNA VITAE | 2007年 / 2卷 / 02期
关键词：
activated recombinant factor seven; subdural hematoma; anticoagulant therapy; neurosurgery;
D O I：
10.22514/SV22.102007.7
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
In this paper we report on the successful correction of a coagulopathy with activated recombinant factor seven (rFVIIa) therapy which enabled surgical removal of a life threatening subdural hematoma. The severe coagulopathy developed due to long term warfarin therapy, which followed heart valvular reconstruction and replacement. The coagulopathy failed to improve following fresh frozen plasma and vitamin K therapy. Activated recombinant factor VII therapy became the treatment of choice, which enabled the life saving surgical removal of the subdural hematoma.
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收藏
页码：25 / 26
页数：2
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