ROULLET, S.; LABROUCHE, S.; FREYBURGER, G.

doi:10.1136/jclinpath-2018-205560

Metadatos

Mostrar el registro completo del ítem

Licencia de uso del documento

ROULLET, S.
Biologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases

LABROUCHE, S.

FREYBURGER, G.

Idioma

Article de revue

Este ítem está publicado en

Journal of Clinical Pathology. 2019-09, vol. 72, n° 9, p. 636–638

Resumen en inglés

An issue in orthotopic liver transplantation (OLT) is the diagnosis of hyperfibrinolysis. The Thrombodynamics-4D assay (TD4D) is a videomicroscopy system allowing the dynamic analysis of fibrin clot. Fibrinolysis is highlighted by a change in clot intensity. The aim of this observational study was to evaluate the TD4D as a tool to diagnose fibrinolysis during OLT. Thirty consecutive patients were included. We studied a subset of 41 samples from 13 patients who demonstrated hyperfibrinolysis during OLT by global fibrinolytic capacity studied by the Lysis Timer (GFC/LT) and/or euglobulin clot lysis time (ECLT) and/or EXTEM maximum lysis (EXTEM ML) on ROTEM. Three samples exhibited fibrinolysis. They exhibited significantly shorter ECLT, higher lysis on EXTEM graphs, shorter GFC/LT clot lysis time and higher t-PA activity values. After adding urokinase, 13 samples exhibited fibrinolysis. In conclusion, TD4D allows the dynamic analysis of fibrin clot formation and lysis. It only recognises the most severe forms of hyperfibrinolysis during OLT.< Leer menos

Palabras clave

Article CLINIQUE

Metadatos

Compartir este ítem

Licencia de uso del documento

Fibrinolysis during liver transplantation: analysis by the Thrombodynamics method

Idioma

Este ítem está publicado en

Resumen en inglés

Palabras clave

URI

DOI

Centros de investigación