The use of recombinant FVIIa in a patient with glanzmann thrombasthenia with uncontrolled bleeding after tonsillectomy

Erduran E., Aksoy A., Zaman D.

Blood Coagulation and Fibrinolysis, cilt.20, sa.3, ss.215-217, 2009 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 3
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1097/mbc.0b013e32831d0f69
  • Dergi Adı: Blood Coagulation and Fibrinolysis
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.215-217
  • Anahtar Kelimeler: Glanzmann thrombasthenia, recombinant FVIIa, tonsillectomy
  • Ondokuz Mayıs Üniversitesi Adresli: Hayır

Özet

Glanzmann's thrombasthenia is an inherited platelet function disorder caused by quantitative or qualitative defects of the platelet membrane glycoprotein IIb/IIIa complex. Activated recombinant factor VII (rFVIIa) has recently been used in the treatment of patients with Glanzmann's thrombasthenia. We report herein a 16-year-old boy with Glanzmann's thrombasthenia who did not respond to conservative treatment for excessive bleeding and hyperfibrinolysis after tonsillectomy and who was successfully treated with rFVIIa. We suggest that rFVIIa at repeated doses of 80-100 μg/kg may be used effectively in patients with Glanzmann's thrombasthenia having excessive bleeding associated with hyperfibrinolysis after tonsillectomy in addition to tranexamic acid treatment. © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.