{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T02:44:14Z","timestamp":1791081854597,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T00:00:00Z","timestamp":1406592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with congenital <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>actor <jats:styled-content style=\"fixed-case\">XIII<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>) deficiency have impaired fibrin stabilization and are at high risk for surgical bleeding. Data regarding the use of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrates before and during surgery are lacking. The objective of this study was to report the use of plasma\u2010derived <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate (<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>orifact in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tates; <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ibrogammin <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content> in other countries) in patients with congenital <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> deficiency undergoing surgical procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate at preoperative doses ranging from 25 to 40\u2009<jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>\/kg was administered to six patients with congenital <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> deficiency undergoing major or minor surgeries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate was administered immediately before surgery for five surgical cases; three of these patients achieved excellent hemostasis during and after surgery, while two had intraoperative bleeding. In one surgical case, a regular prophylactic dose of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate was administered to the patient 1 week before minor surgery. <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate provided rapid replacement of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> activity. In all but one of the patients given a dose of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> designed to increase <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> levels more than 50%, there was satisfactory intraoperative and postoperative hemostasis. One patient undergoing aortic valve replacement on cardiopulmonary bypass (<jats:styled-content style=\"fixed-case\">CPB<\/jats:styled-content>) was the exception. Intraoperative bleeding in this patient was associated with lower\u2010than\u2010expected blood levels of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative plasma\u2010derived <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> concentrate allowed for sufficient hemostasis in most patients with <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content> deficiencies. Additional doses were necessary to achieve hemostasis in one patient who underwent a <jats:styled-content style=\"fixed-case\">CPB<\/jats:styled-content> procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.12784","type":"journal-article","created":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T09:08:21Z","timestamp":1406624901000},"page":"45-50","source":"Crossref","is-referenced-by-count":22,"title":["Use of <scp>F<\/scp>actor <scp>XIII<\/scp> (FXIII) concentrate in patients with congenital FXIII deficiency undergoing surgical procedures"],"prefix":"10.1111","volume":"55","author":[{"given":"Maissaa","family":"Janbain","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane J.","family":"Nugent","sequence":"additional","affiliation":[{"name":"Children's Hospital of Orange County  Orange California Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry S.","family":"Powell","sequence":"additional","affiliation":[{"name":"UC Davis Comprehensive Cancer Center  Sacramento California Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"St\u2010Louis","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al and H\u00e9matologie\u2010Oncologie, H\u00f4pital Maisonneuve\u2010Rosemont  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia B.","family":"Frame","sequence":"additional","affiliation":[{"name":"CSL Behring  King of Prussia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy A.","family":"Leissinger","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01857.x"},{"key":"e_1_2_7_3_1","unstructured":"National Hemophilia Foundation.Factor XIII (fibrin stabilizing factor) deficiency. 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