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Cardiovascular & Hematological Disorders-Drug Targets

Editor-in-Chief

ISSN (Print): 1871-529X
ISSN (Online): 2212-4063

Review Article

A Review of the Current Role of Blood Clotting Analyzers in Clinical Practice

Author(s): Karan Sarode*, Saad S. Hussain, Alan Tyroch and Debabrata Mukherjee

Volume 17, Issue 3, 2017

Page: [167 - 179] Pages: 13

DOI: 10.2174/1871529X17666171030120851

Price: $65

Abstract

Background: Viscoelastic tests (VETs) such as thromboelastography, rotational thromboelastography, and the Sonoclot Analyzer assess the entire process of clot formation through dissolution in real-time, and may provide additional therapeutic value to conventional laboratory coagulation tests. With the ability to obtain rapid results and identify specific coagulopathies, VETs has been examined in a variety of clinical scenarios, including cardiac surgery, trauma, obstetric emergencies, and liver transplant.

Conclusion: This review provides a summary of clinical trials utilizing VETs in the aforementioned clinical scenarios, and suggests that VETs have demonstrated a capability to identify coagulopathies, utility in guiding algorithms to reduce the amount of transfusions, and a limited ability to predict bleeding events or mortality.

Keywords: Viscoelastic tests, clot analyzer, coagulopathy, trauma, surgery, coagulation tests.

Graphical Abstract

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