Title |
Successful Treatment of Transplant Associated Thrombotic Microangiopathy (TA-TMA) with Low Dose Defibrotide
|
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Published in |
Indian Journal of Hematology and Blood Transfusion, November 2017
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DOI | 10.1007/s12288-017-0904-y |
Pubmed ID | |
Authors |
Santhosh Kumar Devadas, Manoj Toshniwal, Bhausaheb Bagal, Navin Khattry |
Abstract |
Transplant associated microangiopathy (TA-TMA) is a potentially serious complication of stem cell transplantation. Though stopping calcineurin/mTOR inhibitor is the first step in managing TA-TMA, this is not always adequate. The pathophysiology of TA-TMA is different from microangiopathy seen in other settings. Many drugs have been used in TA-TMA with modest responses. Defibrotide has been explored in TA-TMA in the past with good results. However, its availability is erratic and cost of therapy very high. Hence its routine use in low middle income country (LMIC) is financially demanding. We report the use of low dose defibrotide safely and successfully in this case series. This is pertinent more to LMIC's and warrants prospective evaluation. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 15 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 2 | 13% |
Student > Ph. D. Student | 2 | 13% |
Student > Bachelor | 1 | 7% |
Professor | 1 | 7% |
Student > Master | 1 | 7% |
Other | 2 | 13% |
Unknown | 6 | 40% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 6 | 40% |
Economics, Econometrics and Finance | 1 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 7% |
Unknown | 7 | 47% |