Abstract.
Recombinant activated factor VII (rFVIIa, NovoSeven®) was used in three patients with massive obstetric hemorrhage due to placenta previa accreta, rupture of the uterus and pre-eclampsia with HELLP. Administration of the drug markedly decreased the bleeding and enabled control of the hemorrhage. rFVIIa seems to be an adjunctive hemostatic measure for the treatment of severe obstetric hemorrhage.
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References
Hedner U, Ingerslev J (1998) Clinical use of recombinant FVIIa. Trans Sci 19:163–176
Martinowitz U, Holcomb JB, Pusateri AE, Macaitis JM, Hedner U, Hess JR (2001) Intravenous rFVIIa administered for hemorrhage control in hypothermic coagulopathic swine with grade V liver injuries. J Trauma 50:721–729
Martinowitz U, Kenet G, Segal E, Luboshitz J, Lubetsky A, Ingersiev J, Lynn M (2001) Recombinant activated factor VII for adjunctive hemorrhage control in trauma. J Trauma 51:431–439
Martinowitz U, Luboshitz J, Lubetsky A, Kenet G (2001) New approach for the management of coagulation at the site of injury by recombinant activated factor VII (rVIIa). Blood 98:827–828
Moscardo F, Perez F, De la Rubia J, Balerdi B, Loernzo JI, Senent ML, Aznar I, Carceller S, Sanz MA (2001) Successful treatment of severe intra-abdominal bleeding associated with disseminated intravascular coagulation using recombinant activated factor VII. Br J Haematol 114:174–176
Shapiro AD, Gilchrist GS, Hoots WK, Cooper HA, Gastineau DA (1998) Prospective, randomized trial of two doses of rFVIIa (Novoseven) in hemophilia patients with inhibitors undergoing surgery. Thromb Haemost 80:773–778
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Segal, S., Shemesh, I.Y., Blumenthal, R. et al. Treatment of obstetric hemorrhage with recombinant activated factor VII (rFVIIa). Arch Gynecol Obstet 268, 266–267 (2003). https://doi.org/10.1007/s00404-002-0409-1
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DOI: https://doi.org/10.1007/s00404-002-0409-1