Increased local procoagulant action: a mechanism contributing to the favorable hemostatic effect of recombinant FVIIa in PLT disorders.
This paper reports the procoagulant effect of rFVIIa in experimental thrombocytopenia, and in thromboasthenic platelets due to natural or experimentally induced glycoprotein deficiency. It shows that rFVIIa improved fibrin deposition, […]
The interaction between platelets and factor VII/VIIa.
This is a clearly written article detailing the mechanism of action of rFVIIa and its interaction with tissue factor and platelets leading to its hemostatic effect in hemophilia patients with […]
Successful use of recombinant factor VIIa for massive bleeding after Caesarean section due to HELLP syndrome.
This is a case report on a 31-yr-old woman who suffered with severe post-partum hemorrhage (PPH) following a cesarean section because of severe HELLP syndrome. She did not respond to […]
Treatment of bleeding in severe necrotizing pancreatitis with recombinant factor Vlla.
This is a letter to the editor describing a 50 yr old woman who presented with pancreatitis but subsequently required laparatomy for pancreatectomy, splenectomy and subtotal gastrectomy. There was profuse […]
Synthetic factor Vlla to treat dilutional coagulopathy during posterior spinal fusion in two children.
This is a case report on treating 2 children who had uncontrolled bleeding related to spinal fusion surgery in spite of treatment with aprotinin and FFP. Bleeding was controlled with […]
Activated recombinant factor VII for control of diffuse bleeding after implantation of ventricular assist device.
This is another case report on the use of rFVIIa in controlling excessive bleeding during open heart surgery. A 57 year old woman underwent implantation of bilateral ventricular assist device […]
Synthetic factor VIIa concentrate to treat coagulopathy and gastrointestinal bleeding in an infant with end-stage liver disease.
This is a case report on a successful use of recombinant factor VIIa in treating hematemesis in an 11-month-old infant who suffered with esophageal varices, hepatic dysfunction and previous necrotizing […]
Approaches to successful total knee arthroplasty in haemophilia A patients with inhibitors.
Three cases of hemophilia A with inhibitors to factor VIII underwent total knee arthroplasty (TKA) using rFVIIa in the first patient, rFVIIa and high dose rFVIII in the second and […]
Bleeding from endometrial and vaginal malignant tumors treated with activated recombinant factor VII.
This is a case report of two female patients with severe vaginal bleeding following previous treatment of gynecological malignancies and no pre-existing coagulation factor deficiency. Bleeding was controlled with two […]
Treatment of critical bleeding in the future intensive care unit. [Editorial]
Uncontrolled bleeding remains a major problem in intensive care and emergency medicine which still requires effective and innovative treatment options. This editorial highlights that there is growing evidence on the […]
Ongoing NovoSeven((R)) trials.
This paper reviews the current trials for the extended use of rFVIIa outside hemophilia patients with inhibitors. These areas include thrombocytopenia, liver disease, trauma, intracerebral hemorrhage, surgery, and anticoagulation. – […]
Acquired inhibitor of the intrinsic pathway in a non-haemophilic patient. Control of bleeding by recombinant factor VIIa.
This is a case report of bleeding and prolonged APTT in a 39-yr old woman one month post-partum, due to acquired inhibitor of factor IX. The patient was successfully treated […]
NovoSeven: mode of action and use in acquired haemophilia.
This is a very good review on the use and mechanism of action of rFVIIa in acquired hemophilia. It reviews the physiological coagulation pathway and the central role of factor […]
Haemorrhagic complications of thrombocytopenia and oral anticoagulation: is there a role for recombinant activated factor VII?
This paper reviews the existing evidence supporting the efficacy and safety of rFVIIa in treating bleeding manifestations in patients with thrombocytopenia or those with excessive anticoagulation with warfarin. Currently this […]
Intracerebral hemorrhage: natural history and rationale of ultra-early hemostatic therapy.
This is an interesting and challenging area for the use of rFVIIa at early stages of hemorrhagic stroke in order to prevent growth of hematoma which occurs in this type […]