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dc.rights.licenseopenen_US
hal.structure.identifierUniversité Catholique de Louvain = Catholic University of Louvain [UCL]
hal.structure.identifierCHU UCL Namur
dc.contributor.authorBAREILLE, Marion
hal.structure.identifierUniversité Catholique de Louvain = Catholic University of Louvain [UCL]
hal.structure.identifierCHU UCL Namur
dc.contributor.authorHARDY, Michaël
hal.structure.identifierUniversité de Namur [Namur] [UNamur]
dc.contributor.authorDOUXFILS, Jonathan
hal.structure.identifierCHU Bordeaux
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorROULLET, Stéphanie
hal.structure.identifierHôpital Necker - Enfants Malades [AP-HP]
dc.contributor.authorLASNE, Dominique
hal.structure.identifierDuke University [Durham]
dc.contributor.authorLEVY, Jerrold
hal.structure.identifierInstitut de Recherche Saint-Louis - Hématologie Immunologie Oncologie (Département de recherche de l’UFR de médecine ; ex- Institut Universitaire Hématologie-IUH) [IRSL]
dc.contributor.authorSTÉPANIAN, Alain
dc.contributor.authorSUSEN, Sophie
hal.structure.identifierUnité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases [ICAN]
dc.contributor.authorFRÈRE, Corinne
hal.structure.identifierUniversité de Genève = University of Geneva [UNIGE]
dc.contributor.authorLECOMPTE, Thomas
hal.structure.identifierCHU UCL Namur
hal.structure.identifierUniversité Catholique de Louvain = Catholic University of Louvain [UCL]
dc.contributor.authorMULLIER, François
dc.date.accessioned2021-06-24T14:19:26Z
dc.date.available2021-06-24T14:19:26Z
dc.date.issued2021-04
dc.identifier.issn2077-0383en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/79289
dc.description.abstractEnInfection by SARS-CoV-2 is associated with a high risk of thrombosis. The laboratory documentation of hypercoagulability and impaired fibrinolysis remains a challenge. Our aim was to assess the potential usefulness of viscoelastometric testing (VET) to predict thrombotic events in COVID-19 patients according to the literature. We also (i) analyzed the impact of anticoagulation and the methods used to neutralize heparin, (ii) analyzed whether maximal clot mechanical strength brings more information than Clauss fibrinogen, and (iii) critically scrutinized the diagnosis of hypofibrinolysis. We performed a systematic search in PubMed and Scopus databases until 31st December 2020. VET methods and parameters, and patients' features and outcomes were extracted. VET was performed for 1063 patients (893 intensive care unit (ICU) and 170 non-ICU, 44 studies). There was extensive heterogeneity concerning study design, VET device used (ROTEM, TEG, Quantra and ClotPro) and reagents (with non-systematic use of heparin neutralization), timing of assay, and definition of hypercoagulable state. Notably, only 4 out of 25 studies using ROTEM reported data with heparinase (HEPTEM). The common findings were increased clot mechanical strength mainly due to excessive fibrinogen component and impaired to absent fibrinolysis, more conspicuous in the presence of an added plasminogen activator. Only 4 studies out of the 16 that addressed the point found an association of VETs with thrombotic events. So-called functional fibrinogen assessed by VETs showed a variable correlation with Clauss fibrinogen. Abnormal VET pattern, often evidenced despite standard prophylactic anticoagulation, tended to normalize after increased dosing. VET studies reported heterogeneity, and small sample sizes do not support an association between the poorly defined prothrombotic phenotype of COVID-19 and thrombotic events.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enCOVID-19
dc.subject.enClotPro
dc.subject.enQuantra
dc.subject.enROTEM
dc.subject.enSARS-CoV-2
dc.subject.enTEG
dc.subject.encoronavirus disease 2019
dc.subject.ensevere acute respiratory syndrome coronavirus 2
dc.subject.ensonorheometry
dc.subject.enthromboelastography
dc.subject.enthromboelastometry
dc.subject.enviscoelastic test
dc.title.enViscoelastometric Testing to Assess Hemostasis of COVID-19: A Systematic Review
dc.typeArticle de revueen_US
dc.identifier.doi10.3390/jcm10081740en_US
dc.subject.halSciences du Vivant [q-bio]en_US
bordeaux.journalJournal of Clinical Medicineen_US
bordeaux.page1740en_US
bordeaux.volume10en_US
bordeaux.hal.laboratoriesBiologie des maladies cardiovasculaires (BMC) - UMR 1034en_US
bordeaux.issue8en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcehal
hal.identifierhal-03215758
hal.version1
hal.exportfalse
workflow.import.sourcehal
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