Peri- and Postpartum Management of Patients With Factor XI Deficiency

Autor: Gloria F. Gerber MD, Kelsey A. Klute MD, John Chapin MD, James Bussel MD, Maria T. DeSancho MD, MSc
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Clinical and Applied Thrombosis/Hemostasis, Vol 25 (2019)
Druh dokumentu: article
ISSN: 1938-2723
10760296
DOI: 10.1177/1076029619880262
Popis: Factor XI (FXI) deficiency is an uncommon autosomal disorder with variable bleeding phenotype, making peripartum management challenging. We describe our experience in pregnant women with FXI deficiency and identify strategies to minimize the use of hemostatic agents and increase utilization of neuraxial anesthesia. Electronic records of 28 pregnant women with FXI deficiency seen by a hematology service in an academic medical center from January 2006 to August 2018 were reviewed. Data on bleeding, obstetric history, peripartum management, and FXI activity were collected. Partial FXI deficiency was defined as > 20 IU/dL and severe
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