Hypercoagulation and thrombophilia in liver disease
A complex balance exists between endogenous procoagulants and the anticoagulant system in liver disease patients. Hypercoagulable events occur in cirrhosis patients despite the well‐known bleeding diathesis of liver disease. These events may be clinically evident, such as in portal vein thrombosis o...
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| Published in | Journal of thrombosis and haemostasis Vol. 6; no. 1; pp. 2 - 9 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.01.2008
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| Subjects | |
| Online Access | Get full text |
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| Abstract | A complex balance exists between endogenous procoagulants and the anticoagulant system in liver disease patients. Hypercoagulable events occur in cirrhosis patients despite the well‐known bleeding diathesis of liver disease. These events may be clinically evident, such as in portal vein thrombosis or pulmonary embolism, but these conditions may also be a silent contributor to certain disease states, such as portopulmonary hypertension or parenchymal extinction with liver atrophy as well as thrombosis of extracorporeal circuits in dialysis or liver assist devices. Moreover, liver disease‐related hypercoagulability may contribute to vascular disease in the increasingly common condition of non‐alcoholic fatty liver disease. Despite the incidence of these problems, there are few widely accessible and practical laboratory tests to evaluate the risk of a hypercoagulable event in cirrhosis patients. Furthermore, there is little research on the use of commonly accepted anticoagulants in patients with liver disease. This article is a result of an international symposium on coagulation disorders in liver disease and addresses several areas of specific interest in hypercoagulation in liver disease. Critical areas lacking clinical information are highlighted and future areas of research interest are defined with an aim to foster clinical research in this field. |
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| AbstractList | A complex balance exists between endogenous procoagulants and the anticoagulant system in liver disease patients. Hypercoagulable events occur in cirrhosis patients despite the well‐known bleeding diathesis of liver disease. These events may be clinically evident, such as in portal vein thrombosis or pulmonary embolism, but these conditions may also be a silent contributor to certain disease states, such as portopulmonary hypertension or parenchymal extinction with liver atrophy as well as thrombosis of extracorporeal circuits in dialysis or liver assist devices. Moreover, liver disease‐related hypercoagulability may contribute to vascular disease in the increasingly common condition of non‐alcoholic fatty liver disease. Despite the incidence of these problems, there are few widely accessible and practical laboratory tests to evaluate the risk of a hypercoagulable event in cirrhosis patients. Furthermore, there is little research on the use of commonly accepted anticoagulants in patients with liver disease. This article is a result of an international symposium on coagulation disorders in liver disease and addresses several areas of specific interest in hypercoagulation in liver disease. Critical areas lacking clinical information are highlighted and future areas of research interest are defined with an aim to foster clinical research in this field. |
| Author | SANYAL, A. J. BALOGUN, R. A. FALLON, M. B. CALDWELL, S. H. IKURA, Y. NORTHUP, P. G. REDDY, K. R. HOFFMAN, M. R. SUNDARAM, V. ANSTEE, Q. M. |
| Author_xml | – sequence: 1 givenname: P. G. surname: NORTHUP fullname: NORTHUP, P. G. – sequence: 2 givenname: V. surname: SUNDARAM fullname: SUNDARAM, V. – sequence: 3 givenname: M. B. surname: FALLON fullname: FALLON, M. B. – sequence: 4 givenname: K. R. surname: REDDY fullname: REDDY, K. R. – sequence: 5 givenname: R. A. surname: BALOGUN fullname: BALOGUN, R. A. – sequence: 6 givenname: A. J. surname: SANYAL fullname: SANYAL, A. J. – sequence: 7 givenname: Q. M. surname: ANSTEE fullname: ANSTEE, Q. M. – sequence: 8 givenname: M. R. surname: HOFFMAN fullname: HOFFMAN, M. R. – sequence: 9 givenname: Y. surname: IKURA fullname: IKURA, Y. – sequence: 10 givenname: S. H. surname: CALDWELL fullname: CALDWELL, S. H. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/17892532$$D View this record in MEDLINE/PubMed |
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| Notes | The Coagulation in Liver Disease Group: Nathan Bass, University of California, San Francisco; Andres T. Blei, Northwestern University; Don Gabriel, University of North Carolina, Chapel Hill; Pere Gines, University of Barcelona; Peter Grant, University of Leeds; Kris Kowdley, University of Washington; Samuel Lee, University of Calgary; Santiago Munoz, Albert Einstein Medical Center; Ian Wanless, University of Toronto, Canada; Abdullah Al‐Osaimi, Carl Berg, Thomas Bleck, David Bogdonoff, Andrew Martoff, Paul Mintz and Timothy Pruett, University of Virginia. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 |
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| Publisher | Blackwell Publishing Ltd |
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| SubjectTerms | blood coagulation disorders blood coagulation tests cirrhosis coagulation factors Humans Hypertension - etiology Liver Diseases - blood Liver Diseases - complications Portal Vein - pathology portal vein thrombosis Thrombophilia - complications venous thrombosis Venous Thrombosis - etiology |
| Title | Hypercoagulation and thrombophilia in liver disease |
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