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Major surgery management in patients with haemophilia A and inhibitors on emicizumab prophylaxis without global coagulation monitoring
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Major surgery management in patients with haemophilia A and inhibitors on emicizumab prophylaxis without global coagulation monitoring

Christine Biron-Andreani, Isabelle Diaz-Cau, Alexandre Ranc, Robert Navarro, Christian Leonardi, Marion Dischino, Romuald Guy, Alexandre Theron, Corinne Garcia-Gournay, Elena Santagostino, …
British journal of haematology, Vol.189(3), pp.e100-e103
05/2020
PMID: 32087028

Résumé

Antibodies, Bispecific Antibodies, Monoclonal, Humanized Hematology Hemophilia A Human health and pathology Humans Life Sciences Male Middle Aged
Patients with haemophilia and high-titre inhibitors were often denied surgery due to the high risk of perioperative bleeding. However, data on bypassing agents for the management of major orthopaedic surgery showed efficacy values between 81% and 85% for activated recombinant human factor VII (rFVIIa) (Novoseven®, Novo Nordisk, Bagsværd, Denmark) and between 81% and 91% for plasma-derived activated prothrombin complex concentrates (aPCC) (Giangrande et al., 2018).

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