Table 5.

Details of the management of the three PwHA undergoing synovectomy managed with additional prophylaxis 

SynovectomySynovectomyArthrofibrosis + chondroplasty + joint debridement + synovectomy
Type of prophylaxis SHL rFVIII SHL rFVIII rFVIIa 
Cumulative dose    
Preoperative 55.0 IU/kg 106.7 IU/kg 170.2 μg/kg 
Postprocedure 192.6 IU/kg — 4087.8 μg/kg 
Doses in the first 7 d postprocedure, n — 49 
Total post-op d on prophylaxis or treatment — 15 
Bleed because of surgery No No Yes 
Additional medication — — — 
AEs of special interest No TE or TMA No TE or TMA No TE or TMA 
SynovectomySynovectomyArthrofibrosis + chondroplasty + joint debridement + synovectomy
Type of prophylaxis SHL rFVIII SHL rFVIII rFVIIa 
Cumulative dose    
Preoperative 55.0 IU/kg 106.7 IU/kg 170.2 μg/kg 
Postprocedure 192.6 IU/kg — 4087.8 μg/kg 
Doses in the first 7 d postprocedure, n — 49 
Total post-op d on prophylaxis or treatment — 15 
Bleed because of surgery No No Yes 
Additional medication — — — 
AEs of special interest No TE or TMA No TE or TMA No TE or TMA 

AE, adverse event; post-op, post-operative; TE, thromboembolic event; TMA, thrombotic microangiopathy.

There was 1 additional major surgical case of synovectomy, which was managed without prophylaxis.

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