The first case of surgical myocardial revascularization and endarterectomy of the right carotid artery in the same procedure in a patient with haemophilia A

N, Janković; Simić, Dragan; Mikić, Aleksandar; Matković, Miloš; Vukićević, Petar; Elezović, Ivo

doi:10.2298/vsp181010006j

Cited by 1 publication

(1 citation statement)

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“…The surgery was performed under the same CABG protocol used in the general population, along with prophylactic administration of FVIII 10 days before and 11 days after the procedure [69]. Successful elective CABG in hemophiliacs was also reported [70,71], and it was highlighted that intense bleeding prevention measures should be taken. Factor levels were normalized for 7-10 days before CABG, with trough levels of 70-80%.…”

Section: Selection Of the Reperfusion Therapymentioning

confidence: 99%

Current Therapeutic Approach to Acute Myocardial Infarction in Patients with Congenital Hemophilia

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et al. 2021

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Advances in the treatment of hemophilia have made the life expectancy of hemophiliacs similar to that of the general population. Physicians have begun to face age-related diseases not previously encountered in individuals with hemophilia. Treatment of acute myocardial infarction (AMI) is particularly challenging because the therapeutic strategies influence both the patient’s thrombotic and hemorrhagic risk. As progress has been made in the treatment of AMI over the last decade, we performed an in-depth analysis of the available literature, highlighting the latest advances in the therapy of AMI in hemophiliacs. It is generally accepted that after the optimal substitution therapy has been provided, patients with hemophilia should be treated in the same way as those in the general population. New-generation stents that allow short dual antiplatelet therapy and potent P2Y12 receptor inhibitors have begun to be successfully used. At a time when specific recommendations and relevant data are scarce, our study provides up-to-date information to physicians involved in the treatment of AMI in hemophiliacs.

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Section: Selection Of the Reperfusion Therapymentioning

confidence: 99%