Case Report

Hip Replacement Surgery in 14-Year-Old Girl with Factor V Deficiency: Haemostatic Treatment and Thromboprophylaxis

Table 2

FV deficiency surgeries identified in literature.

SubjectAgeBasal
Fv levels
(IU mL−1)
SurgeryTreatmentFV
postsurgery pick
(IU mL−1)
Clinical outcome

1 [3]6 daysUndetectableCentral line(i) 15 mL kg−1 FFP TD 5 days, then OD 3 days, EOD till resolution. 0.32
Good
Hickman(ii) 19 mL kg−1 platelets, TD 2 days.
(iii) rFVIIa 90 mcg Kg−1 every 2 hours, 8 doses.

1 [3]5 monthsUndetectableCentral line(i) 15 mL kg−1 FFP TD 5 days, then OD 3 days, EOD till resolution. No reference
Good
Hickman(ii) 19 mL kg−1 platelets, TD 2 days.
(iii) rFVIIa 90 mcg kg−1 every 2 hours, 8 doses.

1 [3]3 yearsUndetectableTetralogy Fallot repairment(i) 15 mL kg−1 FFP TD 2 days, then OD 11 days,  
(ii) 19 mL kg−1 platelets, TD 1 day, 
(iii) rFVIIa 90 mcg Kg−1, 1 dose, 
(iv) tranexamic .
0.39Good

1 [3]3 yearsUndetectableCentral line(i) .
(ii) .
No reference
Good
Port-a-cath(iii) rFVIIa 90 mcg mL−1, 2 doses.
(iv) Tranexamic .

1 [3]4 yearsUndetectableCentral line(i) .
(ii) .
No referenceGood
Port-a-cath(iii) Tranexamic .
(iv) rFVIIa 90 mcg mL−1, 2 doses.

1 [3]5 yearsUndetectableCentral line
(i) .
(ii) .
No referenceGood
Port-a-cath(iii) rFVIIa 90 mcg mL−1, 2 doses.
(iv) Tranexamic .

2 [3]6 weeksUndetectableCentral line(i) 15 mL Kg−1 FFP, TD 12 days, OD until resolution.0.4Good
Hickman(ii) 10 mL Kg−1 platelets, OD, 4 days.
(iii) rFVIIa 90 mcg Kg−1, 3 doses.

2 [3]8 monthsUndetectableCentral line(i) 15 mL Kg−1 FFP, TD 12 days, OD until resolution. No referenceGood
Port-a-cath(ii) 10 mL Kg−1 platelets, OD, 4 days.
(iii) rFVIIa 90 mcg Kg−1, 3 doses.

2 [3]4 yearsUndetectableCentral line(i) 15 mL Kg−1 FFP, TD 12 days, OD until resolution. No referenceGood
Port-a-cath(ii) 10 mL Kg−1 platelets, OD, 4 days.
(iii) rFVIIa 90 mcg Kg−1, 3 doses.

2 [3]6 yearsUndetectableCentral line(i) 15 mL Kg−1 FFP, TD 12 days, OD until resolution. No reference
Good
Port-a-cath(ii) 10 mL Kg−1 platelets, OD, 4 days.
(iii) rFVIIa 90 mcg Kg−1, 3 doses.

3 [3]11 weeksSevereCraniotomy(i) 15 mL Kg−1 FFP, TTD initial, progressive reducing. Total 10 days.
(ii) rFVIIa 90 mcg Kg−1, 2 doses.
0.28Good

3 [3]12 weeksSevereCentral line(i) 15 mL Kg−1 FFP, TTD initial, progressive reducing. No referenceGood
Hickman(ii) rFVIIa 90 mcg Kg−1, 2 doses.

3 [3]1 yearSevereCentral lineNot specified.No reference
Port-a-cath

4 [4]60 years0.15Arthroscopic(i) rFVIIa 120 mcg kg−1, 2 doses. No reference Good
Synovectomy(ii) 80 mcg kg−1 every 2 hours, 8 doses.
(iii) Progressive reducing frequency 5 days.
(iv) Tranexamic acid.

4 [4]60 years0.15Arteriography embolization(i) rFVIIa 120 mcg kg−1, 2 doses.
(ii) 80 mcg kg−1 every 2 hours, 6 doses.
(iii) Progressive reducing frequency 3 days.
No referenceGood

5 [5]27 years0.05Intrauterine insemination.No referenceGood

other information. EOD: every other day; FFP: fresh frozen plasma; OD: once a day; rFVIIa: recombinant factor VII activated; TD: twice a day; TTD: three times a day.