The Utility of Viscoelastic Testing in Patients Undergoing IR Procedures

• Published in: Journal of vascular and interventional radiology Vol. 28; no. 1; pp. 78 - 87
• Main Authors: Reis, Stephen P., MD, DeSimone, Nicole, MD, Barnes, Laura, MD, Nordeck, Shaun M., MRS, Grewal, Simer, BS, Cripps, Michael, MD, Kalva, Sanjeeva P., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-01-2017
• Subjects: Blood Coagulation; Blood Coagulation Disorders - blood; Blood Coagulation Disorders - complications; Blood Coagulation Disorders - diagnosis; Blood Coagulation Disorders - therapy; Blood Coagulation Tests - methods; Blood Loss, Surgical - prevention & control; Blood Viscosity; Elasticity; Hemorrhage - blood; Hemorrhage - etiology; Hemorrhage - prevention & control; Humans; Predictive Value of Tests; Radiography, Interventional - adverse effects; Radiography, Interventional - methods; Radiology; Reproducibility of Results; Risk Factors; Time Factors; Treatment Outcome; PT; ROTEM; TEG; prothrombin time; INR; Rotational Thromboelastometry; international normalized ratio; Thromboelastograph
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2016.09.015

Abstract 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.