Literature DB >> 7529819

Hyperfibrinolysis during intracranial surgery: effect of high dose aprotinin.

J D Palmer1, D A Francis, O S Roath, J L Francis, F Iannotti.   

Abstract

A patient undergoing intracranial surgery developed disseminated intravascular coagulation with life threatening peroperative bleeding. Thromboelastography established the diagnosis of hyperfibrinolysis, usually a fatal complication of a neurosurgical operation. With the administration of a high dose regimen of aprotinin (Trasylol) the haemorrhage was controlled and the hyperfibrinolytic state reversed. Evaluation of blood samples from the jugular bulb suggested that there was a pronounced local release of tissue plasminogen activator into the circulation.

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Year:  1995        PMID: 7529819      PMCID: PMC1073281          DOI: 10.1136/jnnp.58.1.104

Source DB:  PubMed          Journal:  J Neurol Neurosurg Psychiatry        ISSN: 0022-3050            Impact factor:   10.154


  4 in total

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Journal:  Transplant Proc       Date:  1991-06       Impact factor: 1.066

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Review 3.  Cellular regulation of tissue factor.

Authors:  J P Brozna
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4.  Delayed and recurrent intracranial hematomas related to disseminated intravascular clotting and fibrinolysis in head injury.

Authors:  H H Kaufman; J L Moake; J D Olson; M E Miner; R P duCret; J L Pruessner; P L Gildenberg
Journal:  Neurosurgery       Date:  1980-11       Impact factor: 4.654

  4 in total
  7 in total

1.  Haemostatic changes during surgery for primary brain tumours.

Authors:  K Y Goh; W C Tsoi; C S Feng; N Wickham; W S Poon
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2.  Evaluation of the profile of thrombin generation during the process of whole blood clotting as assessed by thrombelastography.

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Review 4.  Pharmacology and clinical use of recombinant activated factor seven in neurosciences.

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5.  Postoperative hemorrhage in an elderly patient with a glioblastoma multiform and a calcified chronic subdural hematoma.

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6.  Interventional Algorithms for the Control of Coagulopathic Bleeding in Surgical, Trauma, and Postpartum Settings: Recommendations From the Share Network Group.

Authors:  Manuela Carvalho; Anabela Rodrigues; Manuela Gomes; Alexandre Carrilho; António Robalo Nunes; Rosário Orfão; Ângela Alves; José Aguiar; Manuel Campos
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7.  Severity of anemia and hemostatic parameters are strong predictors of outcome in postoperative neurosurgical patients.

Authors:  Mrinalini Kotru; Satya Shiv Munjal; Deepti Mutreja; Guresh Kumar; Manmohan Singh; Tullika Seth; Hara Prasad Pati
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  7 in total

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