The Utility of Viscoelastic Testing in Patients Undergoing IR Procedures

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• 作者：Stephen P. Reis ; MD^a ; ^b ; ^{sr3321@cumc.columbia.edu} ; Nicole DeSimone ; MD^d ; Laura Barnes ; MD^c ; Shaun M. Nordeck ; MRS^f ; Simer Grewal ; BS^f ; Michael Cripps ; MD^e ; Sanjeeva P. Kalva ; MD^c
• 关键词：INR ; international normalized ratio ; PT ; prothrombin time ; ROTEM ; Rotational Thromboelastometry ; TEG ; Thromboelastograph
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：28
• 期：1
• 页码：78-87
• 全文大小：4546 K
• 卷排序：28

文摘

Whole-blood viscoelastic testing can identify patient-specific coagulation disturbances, allowing for targeted repletion of necessary coagulation factors and differentiation between coagulopathy and surgical bleeding that requires intervention. Viscoelastic testing complements standard coagulation tests and has been shown to decrease transfusion requirements and improve survival in bleeding patients. Viscoelastic testing also can be used to predict bleeding and improve the care of patients undergoing interventional radiology (IR) procedures.