Trombólisis con dosis bajas de factor activador de plasminógeno en niños

  1. Santiago Lozano, Mª J.
  2. López Herce Cid, Jesús
  3. Zarzoso, S.
  4. Sánchez, A.
  5. Mencía Bartolomé, S.
  6. Carrillo Herranz, A.
Revista:
Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

ISSN: 1695-4033 1696-4608

Año de publicación: 2012

Volumen: 76

Número: 2

Páginas: 77-82

Tipo: Artículo

DOI: 10.1016/J.ANPEDI.2011.07.031 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

Resumen

Objective To analyse the efficacy and side effects of low doses of tissue plasminogen activator for the treatment of acute arterial and/or venous thrombosis in children. Patients and methods Prospective observational clinical study. 18 children between 1 months and 11 years treated with low doses (0.01-0.06mg/kg/h) of continuous intravenous thrombolytic therapy with t-PA were studied. Results A total of 94% of patients improved with low doses t-PA (72% complete resolution of the thrombosis and 22% partial resolution). One patient suffered a severe haemorrhage secondary to t-Pa and had to stop the treatment. The incidence of severe side effects was low (5%) Conclusions Thrombolytic therapy with low doses of t-PA (0.01-0.05mg/kg/h) is effective in a high percentage of children with acute arterial and/or venous thrombosis and produces a relatively low frequency of side effects.