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Reports successful percutaneous coronary intervention with stenting for acute myocardial infarction following desmopressin in mild haemophilia A, highlighting treatment feasibility.
Patients with haemophilia A whose factor VIII (FVIII) concentration exceeds 5% have a mild disease and only bleed infrequently after trauma or surgical procedures. In these patients, desmopressin acetate (DDAVP) is a widely used haemostatic agent for bleeding prophylaxis before surgery because it is clinically effective and carries no risk of transmission of infectious diseases. We describe a patient with mild haemophilia A who had a massive anterior myocardial infarction (MI) after administration of DDAVP and who was successfully treated with a primary percutaneous coronary intervention (PCI) with stenting.
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Kauppila et al. (2004) studied this question.
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