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Successful Renal Replacement Therapy for a Patient with Severe Hemophilia after Surgical Treatment of Intracranial Hemorrhage and Hydrocephalus
Author(s) -
Noriko Kato,
Masami ChinKanasaki,
Yuki Tanaka,
Mako Yasuda,
Yukiyo Yokomaku,
Masayoshi Sakaguchi,
Keiji Isshiki,
Shinichi Araki,
Shigeru Ohta,
Takashi Uzu
Publication year - 2011
Publication title -
case reports in nephrology
Language(s) - English
Resource type - Journals
eISSN - 2090-6641
pISSN - 2090-665X
DOI - 10.1155/2011/824709
Subject(s) - medicine , hydrocephalus , peritoneal dialysis , surgery , renal replacement therapy , hemodialysis , shunt (medical) , dialysis
A 21-year-old Japanese male with severe hemophilia A was developed end-stage renal failure. He was placed on combination therapy with peritoneal dialysis (PD) and hemodialysis (HD). Eight months later, he developed a hypertensive cerebral hemorrhage. After emergency surgery, he was managed with PD without HD to avoid cerebral edema. One month later, his renal replacement therapy was switched to HD (three times a week) from PD, since a ventriculoperitoneal shunt catheter was placed to treat his hydrocephalus. HD could be performed safety without anticoagulant agents on condition that factor VIII is given after every HD.

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