Effect of Anticoagulant/Antifibrinolytic Combination Therapy on Enhanced Fibrinolytic-Type Disseminated Intravascular Coagulation in End-of-Life Stage Solid Tumor Patients.
Shinya YamadaYukio SugaEriko MorishitaHidesaku AsakuraPublished in: Journal of palliative medicine (2022)
Thrombotic disorders such as venous thromboembolism and disseminated intravascular coagulation (DIC) are known complications of solid tumors. To date, no reports have described the treatment of enhanced fibrinolytic-type DIC caused by end-of-life stage solid tumors. We encountered three cases of end-of-life stage solid tumors complicated by enhanced fibrinolytic-type DIC with severe bleeding symptoms. In all three cases, bleeding symptoms improved dramatically after intervention for enhanced fibrinolytic-type DIC with heparin(s) and tranexamic acid. Improvements in abnormal coagulation test results were also seen and the need for platelet concentrate transfusion and fresh frozen plasma infusion was able to be eliminated. However, one patient developed multiple cerebral infarctions. In the future, further studies to investigate the need for intervention in enhanced fibrinolytic-type DIC caused by end-of-life stage solid tumors and suitable treatment strategies are warranted.
Keyphrases
- venous thromboembolism
- combination therapy
- randomized controlled trial
- atrial fibrillation
- coronary artery
- end stage renal disease
- emergency department
- newly diagnosed
- cardiac surgery
- early onset
- brain injury
- case report
- prognostic factors
- risk factors
- peritoneal dialysis
- acute kidney injury
- current status
- depressive symptoms
- sickle cell disease
- replacement therapy
- electronic health record