Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case

Background. Neonatal thrombosis remains a complex and urgent challenge due to the presence of certain features of the hemostasis system in newborns and the variety of clinical signs. Management approaches are still under consideration, therapeutic experience of thrombolytic therapy (TLT) remains lim...

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Main Authors: Ekaterina S. Matros, Anton O. Aksenov, Sofia A. Demina, Liubov E. Larina
Format: Article
Language:Russian
Published: Union of pediatricians of Russia 2024-05-01
Series:Педиатрическая фармакология
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Online Access:https://www.pedpharma.ru/jour/article/view/2440
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author Ekaterina S. Matros
Anton O. Aksenov
Sofia A. Demina
Liubov E. Larina
author_facet Ekaterina S. Matros
Anton O. Aksenov
Sofia A. Demina
Liubov E. Larina
author_sort Ekaterina S. Matros
collection DOAJ
description Background. Neonatal thrombosis remains a complex and urgent challenge due to the presence of certain features of the hemostasis system in newborns and the variety of clinical signs. Management approaches are still under consideration, therapeutic experience of thrombolytic therapy (TLT) remains limited and requires benefit-risk assessment. Clinical case description. Clinical case of premature infant with multiple arterial thrombosis diagnosed on the 1st day of life is presented. Modern diagnostic features have allowed to establish the right diagnosis quickly and to start the treatment in time despite the similarities of clinical signs with congenital heart disease. Conclusion. TLT and heparin therapy have saved the child’s life, reversed ischemia, and preserved lower limbs from death. Doctors must perform dynamic monitoring during TLT to diagnose and correct hemorrhagic complications in timely manner.
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series Педиатрическая фармакология
spelling doaj-art-7aa94bba5ab04da2b2cae4f8ff83db162025-08-20T03:40:10ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892024-05-0121214214610.15690/pf.v21i2.27472075Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical CaseEkaterina S. Matros0Anton O. Aksenov1Sofia A. Demina2Liubov E. Larina3Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityBackground. Neonatal thrombosis remains a complex and urgent challenge due to the presence of certain features of the hemostasis system in newborns and the variety of clinical signs. Management approaches are still under consideration, therapeutic experience of thrombolytic therapy (TLT) remains limited and requires benefit-risk assessment. Clinical case description. Clinical case of premature infant with multiple arterial thrombosis diagnosed on the 1st day of life is presented. Modern diagnostic features have allowed to establish the right diagnosis quickly and to start the treatment in time despite the similarities of clinical signs with congenital heart disease. Conclusion. TLT and heparin therapy have saved the child’s life, reversed ischemia, and preserved lower limbs from death. Doctors must perform dynamic monitoring during TLT to diagnose and correct hemorrhagic complications in timely manner.https://www.pedpharma.ru/jour/article/view/2440neonatal thrombosispremature infantthrombolytic therapyanticoagulant therapyclinical case
spellingShingle Ekaterina S. Matros
Anton O. Aksenov
Sofia A. Demina
Liubov E. Larina
Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
Педиатрическая фармакология
neonatal thrombosis
premature infant
thrombolytic therapy
anticoagulant therapy
clinical case
title Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
title_full Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
title_fullStr Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
title_full_unstemmed Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
title_short Successful Treatment of Multiple Arterial Thrombosis in Premature Infant: Clinical Case
title_sort successful treatment of multiple arterial thrombosis in premature infant clinical case
topic neonatal thrombosis
premature infant
thrombolytic therapy
anticoagulant therapy
clinical case
url https://www.pedpharma.ru/jour/article/view/2440
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AT antonoaksenov successfultreatmentofmultiplearterialthrombosisinprematureinfantclinicalcase
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AT liubovelarina successfultreatmentofmultiplearterialthrombosisinprematureinfantclinicalcase