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Successful treatment of severe bleeding with recombinant factor VIIa after kidney transplantation

S E M J Gielen-Wijffels1, W N K A van Mook, S van der Geest

  • 1Department of Intensive Care, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands. simone.gielen@nutsonline.nl

Intensive Care Medicine
|February 27, 2004
PubMed

Recombinant factor VIIa (rFVIIa, NovoSeven) has been registered for the treatment of bleeding episodes in patients with inherited or acquired hemophilia A or B with inhibitors. Furthermore, rFVIIa has been used successfully for the treatment of bleeding in patients with thrombocytopenia, and acquired and congenital platelet dysfunction. The definite spectrum of indications for rFVIIa has not yet been established. We describe a case of severe intra-abdominal bleeding 3 days after non-heart beating kidney transplantation in a patient with severe coronary artery disease in which rFVIIa (a single intravenous bolus injection 70 microg/kg bodyweight) was successfully used. No thrombotic complications occurred. This report demonstrates that rFVIIa might be safe and effective after recent renal transplantation.

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