PMID- 11952842 OWN - NLM STAT- MEDLINE DCOM- 20030723 LR - 20191105 IS - 1351-8216 (Print) IS - 1351-8216 (Linking) VI - 8 IP - 2 DP - 2002 Mar TI - Safety of factor VIII inhibitor bypass activity (FEIBA): 10-year compilation of thrombotic adverse events. PG - 83-90 AB - Published and unpublished spontaneously reported thrombotic adverse events (AEs) in factor VIII inhibitor bypass activity (FEIBA(R)) recipients were compiled for the most recent 10-year period during which FEIBA(R) units equivalent to 3.95 x 105 typical infusions were distributed worldwide. A total of 16 thrombotic AEs were documented over the 10-year period, corresponding to an incidence of 4.05 per 105 infusions (95% CI, 2.32-6.58 per 105 infusions). Disseminated intravascular coagulation (n=7) and myocardial infarction (n=5) were the most frequent thrombotic AEs. One fatality occurred in an 87-year-old metastatic cancer patient. In 13/16 (81%) patients known risk factors were present, most commonly FEIBA(R) overdose in 8/16 (50%), obesity in 3/16 (19%) and serum lipid abnormalities in 2/16 (12%). These findings indicate that thrombotic AEs in FEIBA(R) recipients are very rare. Recognition of risk factors and avoidance of FEIBA(R) overdosage may avert thrombotic AEs. FAU - Ehrlich, H J AU - Ehrlich HJ AD - Baxter BioScience, Vienna, Austria, Baxter BioScience, Glendale, California, USA. hartmut.ehrlich@baxter.com FAU - Henzl, M J AU - Henzl MJ FAU - Gomperts, E D AU - Gomperts ED LA - eng PT - Journal Article PL - England TA - Haemophilia JT - Haemophilia : the official journal of the World Federation of Hemophilia JID - 9442916 RN - 0 (Blood Coagulation Factors) RN - 9001-27-8 (Factor VIII) RN - CS849DUN3M (anti-inhibitor coagulant complex) SB - IM MH - Adult MH - Adverse Drug Reaction Reporting Systems MH - Aged MH - Aged, 80 and over MH - Blood Coagulation Factors/*adverse effects MH - Child MH - Child, Preschool MH - Disseminated Intravascular Coagulation/chemically induced MH - Drug Overdose MH - Factor VIII/antagonists & inhibitors MH - Female MH - Hemophilia A/drug therapy MH - Hemophilia B/drug therapy MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Myocardial Infarction/chemically induced MH - Risk Factors MH - Thrombosis/*chemically induced/epidemiology EDAT- 2002/04/16 10:00 MHDA- 2003/07/24 05:00 CRDT- 2002/04/16 10:00 PHST- 2002/04/16 10:00 [pubmed] PHST- 2003/07/24 05:00 [medline] PHST- 2002/04/16 10:00 [entrez] AID - 532 [pii] AID - 10.1046/j.1365-2516.2002.00532.x [doi] PST - ppublish SO - Haemophilia. 2002 Mar;8(2):83-90. doi: 10.1046/j.1365-2516.2002.00532.x.