Thrombelastograph Platelet Mapping During Hyperfibrinolysis
Accelerated fibrinolysis in cardiac surgery is infrequent given routine use of antifibrinolytic therapy to decrease risks of bleeding. However, in liver transplantation (LT), hyperfibrinolysis (HF) (>7.5% lysis in 30 minutes) may occur and can be identified in this and other clinical scenarios by point-of-care viscoelastic coagulation monitors, such as the Thrombelastograph (TEG) (Haemonetics, Braintree, MA).1,2 In addition to thrombocytopenia and alteration in platelet aggregation in patients with cirrhosis, detection of the effects of antithrombotic therapy has been reported with Platelet Mapping (PM), an adaptation of the traditional TEG.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tammy H. Trinh, Ludovic P. Pao, Evan G. Pivalizza Tags: Letter to the Editor Source Type: research
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