Abstract
The risk of hemorrhage in infants with severe coagulopathies unresponsive to fresh frozen plasma (FFP) infusions may preclude therapeutic invasive interventional procedures. We describe the successful use of recombinant factor VIIa (rFVIIa) in two such infants, the first with cirrhosis requiring paracentesis and the second with necrotizing enterocolitis requiring laparotomy. This report reviews the current concepts on the mechanism of action of the drug rFVIIa and considers its expanded use in infants unresponsive to FFP replacement.
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Acknowledgements
We thank Jennie Ariail, Associate Director of the Center for Academic Excellence at the Medical University of South Carolina, for her thorough review of the manuscript.
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Fontaine, M., Lazarchick, J., Taylor, S. et al. Use of Recombinant Factor VIIa in Infants with Severe Coagulopathy. J Perinatol 24, 310–311 (2004). https://doi.org/10.1038/sj.jp.7211086
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DOI: https://doi.org/10.1038/sj.jp.7211086