Thrombelastography‐guided blood product use before invasive procedures in cirrhosis with severe coagulopathy: A randomized, controlled trial

Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehens...

Full description

Saved in:
Bibliographic Details
Published inHepatology (Baltimore, Md.) Vol. 63; no. 2; pp. 566 - 573
Main Authors De Pietri, Lesley, Bianchini, Marcello, Montalti, Roberto, De Maria, Nicola, Di Maira, Tommaso, Begliomini, Bruno, Gerunda, Giorgio Enrico, di Benedetto, Fabrizio, Garcia‐Tsao, Guadalupe, Villa, Erica
Format Journal Article
LanguageEnglish
Published United States Wolters Kluwer Health, Inc 01.02.2016
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 109/L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG‐guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P < 0.0001 vs. SOC), 2 received PLT (6.7%; P = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large‐volume paracentesis. Conclusions: In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG‐guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated. (Hepatology 2016;63:566–573)
AbstractList Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 10 super(9)/L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG-guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P<0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P<0.0001 vs. SOC), 2 received PLT (6.7%; P=0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large-volume paracentesis. Conclusions: In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG-guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated. (Hepatology 2016; 63:566-573)
Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 10(9) /L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG-guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P < 0.0001 vs. SOC), 2 received PLT (6.7%; P = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large-volume paracentesis. In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG-guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated.
Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 109/L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG‐guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P < 0.0001 vs. SOC), 2 received PLT (6.7%; P = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large‐volume paracentesis. Conclusions: In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG‐guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated. (Hepatology 2016;63:566–573)
Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 10 9 /L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG‐guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P  < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone ( P  < 0.0001 vs. SOC), 2 received PLT (6.7%; P  = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large‐volume paracentesis. Conclusions : In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG‐guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated. (H epatology 2016;63:566–573)
Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 10(9) /L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG-guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P < 0.0001 vs. SOC), 2 received PLT (6.7%; P = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large-volume paracentesis.UNLABELLEDBleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and is used to justify preprocedure use of fresh frozen plasma (FFP) and/or platelets (PLT). Thromboelastography (TEG) provides a more comprehensive global coagulation assessment than routine tests (international normalized ratio [INR] and platelet count), and its use may avoid unnecessary blood product transfusion in patients with cirrhosis and significant coagulopathy (defined in this study as INR >1.8 and/or platelet count <50 × 10(9) /L) who will be undergoing an invasive procedure. Sixty patients were randomly allocated to TEG-guided transfusion strategy or standard of care (SOC; 1:1 TEG:SOC). The TEG group would receive FFP if the reaction time (r) was >40 min and/or PLT if maximum amplitude (MA) was <30 mm. All SOC patients received FFP and/or PLT per hospital guidelines. Endpoints were blood product use and bleeding complications. Baseline characteristics of the two groups were similar. Per protocol, all subjects in the SOC group received blood product transfusions versus 5 in the TEG group (100% vs. 16.7%; P < 0.0001). Sixteen SOC (53.3%) received FFP, 10 (33.3%) PLT, and 4 (13.3%) both FFP and PLT. In the TEG group, none received FFP alone (P < 0.0001 vs. SOC), 2 received PLT (6.7%; P = 0.009 vs. SOC), and 3 both FFP and PLT (not significant). Postprocedure bleeding occurred in only 1 patient (SOC group) after large-volume paracentesis.In patients with cirrhosis and significant coagulopathy before invasive procedures, TEG-guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated.CONCLUSIONSIn patients with cirrhosis and significant coagulopathy before invasive procedures, TEG-guided transfusion strategy leads to a significantly lower use of blood products compared to SOC (transfusion guided by INR and platelet count), without an increase in bleeding complications. Remarkably, even in patients with significant coagulopathy, postprocedure bleeding was rare, indicating that TEG thresholds should be reevaluated.
Author Di Maira, Tommaso
Begliomini, Bruno
De Maria, Nicola
Garcia‐Tsao, Guadalupe
di Benedetto, Fabrizio
Montalti, Roberto
De Pietri, Lesley
Gerunda, Giorgio Enrico
Bianchini, Marcello
Villa, Erica
Author_xml – sequence: 1
  givenname: Lesley
  surname: De Pietri
  fullname: De Pietri, Lesley
  organization: AOU Policlinico di Modena
– sequence: 2
  givenname: Marcello
  surname: Bianchini
  fullname: Bianchini, Marcello
  organization: AOU Policlinico di Modena
– sequence: 3
  givenname: Roberto
  surname: Montalti
  fullname: Montalti, Roberto
  organization: Polytechnic University of Marche
– sequence: 4
  givenname: Nicola
  surname: De Maria
  fullname: De Maria, Nicola
  organization: AOU Policlinico di Modena
– sequence: 5
  givenname: Tommaso
  surname: Di Maira
  fullname: Di Maira, Tommaso
  organization: AOU Policlinico di Modena
– sequence: 6
  givenname: Bruno
  surname: Begliomini
  fullname: Begliomini, Bruno
  organization: AOU Policlinico di Modena
– sequence: 7
  givenname: Giorgio Enrico
  surname: Gerunda
  fullname: Gerunda, Giorgio Enrico
  organization: AOU Policlinico di Modena
– sequence: 8
  givenname: Fabrizio
  surname: di Benedetto
  fullname: di Benedetto, Fabrizio
  organization: AOU Policlinico di Modena
– sequence: 9
  givenname: Guadalupe
  surname: Garcia‐Tsao
  fullname: Garcia‐Tsao, Guadalupe
  organization: Section of Digestive Diseases
– sequence: 10
  givenname: Erica
  surname: Villa
  fullname: Villa, Erica
  organization: AOU Policlinico di Modena
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26340411$$D View this record in MEDLINE/PubMed
BookMark eNqN0c1u1DAQB3ALFdFt4cALIEtcQCKtHSd23FtVFYpUCQ7lHPljsnHlxMFOtlpOPAHiGXkSvGzhUAnEyZLnN2ON_0foYAwjIPSckhNKSHnaw3RSNrRqHqEVrUtRMFaTA7QipSCFpEweoqOUbgkhsiqbJ-iw5KwiFaUr9O2mj2HQ4FWawzqqqd_--Pp9vTgLFmsfgsVTDHYxM14SYA1diIDduFHJbWBXM2CXCCnfYeNi7ENyCd-5uccJNpCxCWq9-DCpud-e4XMc1WjD4L6AfZNr4xyD9_mxOTrln6LHnfIJnt2fx-jT28ubi6vi-sO79xfn14WpJG0KVXHBdU1IxYklnHSaEV2CAGulpdQwrYEBKGkbLRtdlrWxuuqYkox1YAw7Rq_2c_MCnxdIczu4ZMB7NUJYUkuF4JwzJpr_oJxIQni1oy8f0NuwxDEvklUtpOCyEVm9uFeLHsC2U3SDitv2dygZvN4DE0NKEbo_hJJ2F3ibA29_BZ7t6QNr3Kxmt_tX5fy_Ou6ch-3fR7dXlx_3HT8Bd8G_7g
CODEN HPTLD9
CitedBy_id crossref_primary_10_1111_aas_14558
crossref_primary_10_1016_j_cgh_2023_04_016
crossref_primary_10_1055_s_0040_1702918
crossref_primary_10_1007_s10049_016_0242_x
crossref_primary_10_1007_s11239_021_02621_1
crossref_primary_10_1016_j_jvir_2019_04_016
crossref_primary_10_1002_lt_25198
crossref_primary_10_1111_liv_13056
crossref_primary_10_1016_j_tmrv_2017_06_002
crossref_primary_10_1111_ejh_13342
crossref_primary_10_1111_hae_14548
crossref_primary_10_1055_s_0043_1773773
crossref_primary_10_1016_j_jclinane_2020_110154
crossref_primary_10_1111_apt_17080
crossref_primary_10_1080_00325481_2024_2320080
crossref_primary_10_1007_s00134_023_07149_x
crossref_primary_10_1016_j_rgmx_2023_08_007
crossref_primary_10_1111_jvim_15467
crossref_primary_10_3390_jcm11144036
crossref_primary_10_3390_diagnostics12123172
crossref_primary_10_3390_jcm11205994
crossref_primary_10_3390_membranes11030189
crossref_primary_10_1002_hep_28833
crossref_primary_10_1002_hep_28830
crossref_primary_10_1111_liv_14034
crossref_primary_10_3390_jcm13123612
crossref_primary_10_1111_jth_15562
crossref_primary_10_1161_CIRCULATIONAHA_120_043561
crossref_primary_10_1038_ajg_2016_498
crossref_primary_10_1055_s_0040_1714205
crossref_primary_10_1093_labmed_lmx041
crossref_primary_10_4103_ijciis_ijciis_65_23
crossref_primary_10_1186_s13049_017_0378_9
crossref_primary_10_1002_pbc_26955
crossref_primary_10_1053_j_gastro_2021_08_015
crossref_primary_10_1055_s_0040_1715774
crossref_primary_10_1055_s_0040_1714203
crossref_primary_10_1097_MCG_0000000000001285
crossref_primary_10_1111_liv_13712
crossref_primary_10_1007_s11695_018_3437_z
crossref_primary_10_1016_j_cld_2021_02_001
crossref_primary_10_1177_1751143720978849
crossref_primary_10_1007_s11938_018_0182_2
crossref_primary_10_1016_j_jhep_2024_07_032
crossref_primary_10_1111_jth_14447
crossref_primary_10_1016_j_ajem_2022_04_049
crossref_primary_10_1016_j_cgh_2018_09_043
crossref_primary_10_1016_j_jceh_2022_03_004
crossref_primary_10_7759_cureus_32818
crossref_primary_10_1007_s11894_017_0585_6
crossref_primary_10_1007_s12072_018_9886_6
crossref_primary_10_1016_j_jss_2018_09_052
crossref_primary_10_1016_j_jclinane_2020_109809
crossref_primary_10_14309_ajg_0000000000001595
crossref_primary_10_3390_medicina59020346
crossref_primary_10_1002_hep_31443
crossref_primary_10_1186_s13017_018_0194_1
crossref_primary_10_1002_hep_28291
crossref_primary_10_14218_JCTH_2019_00055
crossref_primary_10_14309_ajg_0000000000000486
crossref_primary_10_1016_j_tmrv_2024_150823
crossref_primary_10_1007_s10620_019_05939_2
crossref_primary_10_1002_hep_28855
crossref_primary_10_1002_jgh3_70013
crossref_primary_10_1515_sjpain_2018_0041
crossref_primary_10_1055_s_0042_1758081
crossref_primary_10_1016_j_annemergmed_2020_07_026
crossref_primary_10_1080_17474086_2022_2144217
crossref_primary_10_1055_a_1242_3827
crossref_primary_10_5811_westjem_2018_7_37893
crossref_primary_10_1097_MEG_0000000000001588
crossref_primary_10_1093_gastro_goae071
crossref_primary_10_1055_a_1355_3716
crossref_primary_10_1111_hae_14995
crossref_primary_10_1177_1098612X20939828
crossref_primary_10_1055_s_0040_1715475
crossref_primary_10_21320_1818_474X_2024_4_7_39
crossref_primary_10_1016_j_jceh_2018_10_002
crossref_primary_10_1080_20009666_2018_1466600
crossref_primary_10_1111_liv_15398
crossref_primary_10_1111_apt_14331
crossref_primary_10_1111_apt_18016
crossref_primary_10_1016_j_jhepr_2021_100363
crossref_primary_10_12968_hmed_2021_0111
crossref_primary_10_1053_j_gastro_2021_09_004
crossref_primary_10_1136_flgastro_2023_102432
crossref_primary_10_1016_j_cgh_2021_07_018
crossref_primary_10_52784_27112330_145
crossref_primary_10_3350_cmh_2024_0928
crossref_primary_10_1016_j_transproceed_2021_10_012
crossref_primary_10_1080_17843286_2025_2469906
crossref_primary_10_1213_ANE_0000000000003301
crossref_primary_10_1002_rth2_12037
crossref_primary_10_1111_eci_13508
crossref_primary_10_1016_j_jhep_2021_11_004
crossref_primary_10_7759_cureus_41401
crossref_primary_10_3748_wjg_v27_i23_3290
crossref_primary_10_1177_17511437241290154
crossref_primary_10_1002_cld_906
crossref_primary_10_1097_EJA_0000000000000630
crossref_primary_10_1159_000501229
crossref_primary_10_1016_j_tige_2021_09_002
crossref_primary_10_1097_EJA_0000000000000513
crossref_primary_10_7861_clinmedicine_18_4_320
crossref_primary_10_1097_EJA_0000000000000514
crossref_primary_10_1038_s41598_024_54379_0
crossref_primary_10_1111_jth_15888
crossref_primary_10_1055_a_1246_3423
crossref_primary_10_1016_j_jhep_2020_10_024
crossref_primary_10_1055_s_0042_1753530
crossref_primary_10_1111_jth_14672
crossref_primary_10_1055_s_0042_1757135
crossref_primary_10_1053_j_gastro_2023_05_046
crossref_primary_10_7759_cureus_11124
crossref_primary_10_1055_s_0040_1715451
crossref_primary_10_1007_s11901_018_0406_x
crossref_primary_10_1097_HEP_0000000000000671
crossref_primary_10_1111_ejh_13688
crossref_primary_10_1177_1076029617731624
crossref_primary_10_1080_02656736_2017_1390787
crossref_primary_10_3748_wjg_v29_i9_1460
crossref_primary_10_3390_jcm12175759
crossref_primary_10_1016_j_thromres_2019_04_033
crossref_primary_10_1016_j_jhep_2015_09_018
crossref_primary_10_1016_j_jss_2017_05_115
crossref_primary_10_1177_1089253217739121
crossref_primary_10_17352_2455_3476_000042
crossref_primary_10_1155_2021_8218042
crossref_primary_10_1007_s12072_017_9826_x
crossref_primary_10_1016_j_jhepr_2023_100986
crossref_primary_10_1055_s_0040_1715449
crossref_primary_10_4330_wjc_v13_i11_599
crossref_primary_10_1097_HC9_0000000000000147
crossref_primary_10_1111_anae_13480
crossref_primary_10_1016_j_thromres_2019_03_021
crossref_primary_10_5500_wjt_v6_i3_583
crossref_primary_10_1016_j_transci_2021_103247
crossref_primary_10_1016_j_transci_2021_103125
crossref_primary_10_1055_a_1214_5355
crossref_primary_10_1016_j_suc_2023_05_011
crossref_primary_10_1111_vec_13034
crossref_primary_10_3350_cmh_2016_0110
crossref_primary_10_1055_a_2448_0664
crossref_primary_10_1007_s12325_022_02235_w
crossref_primary_10_1007_s00261_022_03539_9
crossref_primary_10_1016_j_jceh_2024_102409
crossref_primary_10_1016_j_jhep_2021_09_003
crossref_primary_10_14218_JCTH_2020_00067
crossref_primary_10_3390_jcm13020506
crossref_primary_10_1016_j_liver_2023_100152
crossref_primary_10_1097_CCM_0000000000004193
crossref_primary_10_1002_14651858_CD011756_pub2
crossref_primary_10_1111_ctr_13191
crossref_primary_10_1111_hae_14033
crossref_primary_10_1111_jth_15185
crossref_primary_10_1016_j_aohep_2023_101140
crossref_primary_10_1016_j_dld_2018_06_003
crossref_primary_10_1097_CCM_0000000000004192
crossref_primary_10_1136_bcr_2016_218294
crossref_primary_10_1159_000491106
crossref_primary_10_1177_0885066620903027
crossref_primary_10_1016_j_bbmt_2017_01_074
crossref_primary_10_1016_j_dld_2016_08_119
crossref_primary_10_1097_MEG_0000000000001526
crossref_primary_10_1097_MOT_0000000000000391
crossref_primary_10_1186_s13613_020_00703_6
crossref_primary_10_1111_apt_14654
crossref_primary_10_1182_hematology_2023000479
crossref_primary_10_1016_j_emc_2019_03_008
crossref_primary_10_1097_MOT_0000000000000275
crossref_primary_10_1007_s00261_021_03075_y
crossref_primary_10_1097_MCC_0000000000000591
crossref_primary_10_1159_000486453
crossref_primary_10_1136_gutjnl_2020_321299
crossref_primary_10_1001_jama_2021_12742
crossref_primary_10_1007_s12072_024_10720_3
crossref_primary_10_3390_diagnostics15060751
crossref_primary_10_1016_j_xcrm_2022_100765
crossref_primary_10_15406_jaccoa_2016_06_00215
crossref_primary_10_30841_2307_5112_5_6_2020_225448
crossref_primary_10_1111_vox_13225
crossref_primary_10_1053_j_gastro_2019_03_070
crossref_primary_10_1007_s40140_018_0270_9
crossref_primary_10_1055_a_1886_5909
crossref_primary_10_1007_s15036_020_1371_0
crossref_primary_10_1055_a_1667_7293
crossref_primary_10_1002_cld_947
crossref_primary_10_1097_EJA_0000000000001803
crossref_primary_10_1016_j_jcrc_2017_07_053
crossref_primary_10_28982_josam_7694
crossref_primary_10_1093_bja_aex122
crossref_primary_10_1016_j_jceh_2024_102452
crossref_primary_10_1007_s11894_019_0700_y
crossref_primary_10_1097_HEP_0000000000000756
crossref_primary_10_1007_s00101_025_01518_5
crossref_primary_10_14309_ajg_0000000000003129
crossref_primary_10_1159_000446304
crossref_primary_10_1186_s13063_023_07552_1
crossref_primary_10_14309_ctg_0000000000000062
crossref_primary_10_1016_j_gtc_2017_01_005
crossref_primary_10_1097_MCG_0000000000001568
crossref_primary_10_4240_wjgs_v15_i2_127
crossref_primary_10_16931_1995_5464_20211107_114
crossref_primary_10_3390_ijms21093294
crossref_primary_10_1097_ALN_0000000000003670
crossref_primary_10_3892_etm_2019_7333
crossref_primary_10_1016_j_jss_2023_02_004
crossref_primary_10_5604_01_3001_0010_8635
crossref_primary_10_1097_CNQ_0000000000000398
crossref_primary_10_1097_MOG_0000000000000635
crossref_primary_10_3748_wjg_v29_i46_6092
crossref_primary_10_1016_j_rpth_2022_100031
crossref_primary_10_1097_MCC_0000000000000698
crossref_primary_10_23736_S0375_9393_18_12875_6
crossref_primary_10_1097_HC9_0000000000000292
crossref_primary_10_1002_14651858_CD012779_pub2
crossref_primary_10_1097_MCG_0000000000001214
crossref_primary_10_1111_liv_15621
crossref_primary_10_1002_jac5_1828
crossref_primary_10_1016_j_cvsm_2016_11_009
crossref_primary_10_1002_hep_28336
crossref_primary_10_1177_1178632917691270
crossref_primary_10_17085_apm_2019_14_4_371
crossref_primary_10_1097_MPG_0000000000003555
crossref_primary_10_5604_01_3001_0012_7205
crossref_primary_10_1007_s11239_018_1756_5
crossref_primary_10_1111_jth_14737
crossref_primary_10_1186_s13063_017_1835_5
crossref_primary_10_1080_09537104_2021_1961709
crossref_primary_10_1177_29768675231208426
crossref_primary_10_1007_s00063_015_0138_4
crossref_primary_10_1111_jvim_14639
crossref_primary_10_1016_j_amjms_2016_02_022
crossref_primary_10_1016_j_amjsurg_2023_09_001
crossref_primary_10_1016_j_cld_2021_08_002
crossref_primary_10_14309_ctg_0000000000000288
crossref_primary_10_1002_cld_976
crossref_primary_10_1007_s10620_021_07376_6
crossref_primary_10_1080_0886022X_2019_1700805
crossref_primary_10_1111_trf_16073
crossref_primary_10_1097_MPG_0000000000001721
crossref_primary_10_1016_j_tmrv_2017_05_008
crossref_primary_10_1007_s12072_024_10644_y
crossref_primary_10_1097_CCE_0000000000000287
crossref_primary_10_1055_s_0042_1758058
crossref_primary_10_1111_jth_14265
crossref_primary_10_1111_ctr_13819
crossref_primary_10_3390_jcm13216614
crossref_primary_10_1111_apt_14600
crossref_primary_10_3389_fcvm_2020_00009
crossref_primary_10_1016_j_tmrv_2016_11_006
crossref_primary_10_3748_wjg_v25_i28_3738
crossref_primary_10_1007_s11239_023_02941_4
crossref_primary_10_1016_j_bja_2019_09_017
crossref_primary_10_1016_j_jvir_2024_06_014
crossref_primary_10_3390_jpm13050764
crossref_primary_10_1097_EJA_0000000000001200
crossref_primary_10_33590_emjhepatol_10313853
crossref_primary_10_1002_cld_749
crossref_primary_10_1016_j_cgh_2019_04_057
crossref_primary_10_1111_jth_14712
crossref_primary_10_1097_ALN_0000000000001467
crossref_primary_10_1097_CCE_0000000000001023
crossref_primary_10_1097_MEG_0000000000001948
crossref_primary_10_4103_singaporemedj_SMJ_2021_404
crossref_primary_10_1016_j_rgmx_2022_03_012
crossref_primary_10_1016_j_rgmxen_2023_08_008
crossref_primary_10_1111_liv_15659
crossref_primary_10_1007_s41971_019_0045_2
crossref_primary_10_36290_vnl_2024_064
crossref_primary_10_1097_PG9_0000000000000324
crossref_primary_10_1002_14651858_CD012745_pub2
crossref_primary_10_1097_EJA_0000000000002069
crossref_primary_10_1053_j_jvca_2022_03_003
crossref_primary_10_1055_a_2255_7246
crossref_primary_10_1177_0310057X1704500206
crossref_primary_10_3748_wjg_v27_i42_7285
crossref_primary_10_1016_j_cld_2023_03_010
crossref_primary_10_1016_j_amjmed_2020_04_029
crossref_primary_10_1016_j_transproceed_2018_07_032
crossref_primary_10_1002_hep_31646
crossref_primary_10_1186_s12876_020_01413_w
crossref_primary_10_1002_hep_30794
crossref_primary_10_3343_alm_2017_37_3_204
crossref_primary_10_1016_j_transproceed_2021_07_018
crossref_primary_10_1016_j_jvir_2017_04_001
crossref_primary_10_1002_lt_26451
crossref_primary_10_1007_s10620_019_05597_4
crossref_primary_10_4254_wjh_v12_i11_1115
crossref_primary_10_1002_14651858_CD012745
crossref_primary_10_1016_j_jhepr_2019_02_006
crossref_primary_10_22516_25007440_313
crossref_primary_10_1111_bjh_19360
crossref_primary_10_1111_liv_13493
crossref_primary_10_1007_s12325_020_01307_z
crossref_primary_10_1055_a_1934_1867
crossref_primary_10_1055_a_2531_4712
crossref_primary_10_5604_16652681_1226811
crossref_primary_10_1002_cld_606
crossref_primary_10_1111_apt_15279
crossref_primary_10_1016_j_dld_2020_07_017
crossref_primary_10_1016_j_jceh_2021_05_001
crossref_primary_10_12788_jhm_3458
crossref_primary_10_1055_s_0042_1756302
crossref_primary_10_1111_anae_16463
crossref_primary_10_1016_j_rgmxen_2022_06_011
Cites_doi 10.1016/j.jvir.2012.02.012
10.1002/hep.21303
10.1097/00001721-200107000-00001
10.1016/j.ejim.2010.01.005
10.1007/s00464-012-2334-0
10.1186/s12871-015-0033-9
10.1002/hep.20569
10.1016/j.cgh.2009.05.004
10.1016/S1072-7515(00)00261-1
10.1002/hep.21231
10.1053/j.jvca.2006.01.016
10.1097/EJA.0b013e32835f4d5b
10.1111/j.1365-2141.2007.06688.x
10.1056/NEJMra1011170
10.1002/hep.27546
10.1016/j.transproceed.2010.05.144
10.1378/chest.12-2374
10.1053/j.gastro.2012.07.018
10.1378/chest.101.6.1481
10.1111/j.1365-2036.2007.03369.x
10.1136/gut.2004.042796
10.1002/1097-0142(19810101)47:1<207::AID-CNCR2820470134>3.0.CO;2-6
10.1038/ajg.2008.34
10.1002/hep.22853
10.1053/j.gastro.2009.08.045
10.1111/aas.12295
ContentType Journal Article
Copyright 2015 by the American Association for the Study of Liver Diseases
2015 by the American Association for the Study of Liver Diseases.
2016 by the American Association for the Study of Liver Diseases
Copyright_xml – notice: 2015 by the American Association for the Study of Liver Diseases
– notice: 2015 by the American Association for the Study of Liver Diseases.
– notice: 2016 by the American Association for the Study of Liver Diseases
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7T5
7TM
7TO
7U9
H94
K9.
7X8
DOI 10.1002/hep.28148
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
Immunology Abstracts
Nucleic Acids Abstracts
Oncogenes and Growth Factors Abstracts
Virology and AIDS Abstracts
AIDS and Cancer Research Abstracts
ProQuest Health & Medical Complete (Alumni)
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
AIDS and Cancer Research Abstracts
ProQuest Health & Medical Complete (Alumni)
Immunology Abstracts
Virology and AIDS Abstracts
Oncogenes and Growth Factors Abstracts
Nucleic Acids Abstracts
MEDLINE - Academic
DatabaseTitleList AIDS and Cancer Research Abstracts
MEDLINE

AIDS and Cancer Research Abstracts
CrossRef
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1527-3350
EndPage 573
ExternalDocumentID 3925320061
26340411
10_1002_hep_28148
HEP28148
Genre article
Randomized Controlled Trial
Journal Article
GroupedDBID ---
--K
.3N
.55
.GA
.GJ
.Y3
05W
0R~
10A
186
1B1
1CY
1L6
1OB
1OC
1ZS
1~5
24P
31~
33P
3O-
3SF
3WU
4.4
4G.
4ZD
50Y
50Z
51W
51X
52M
52N
52O
52P
52R
52S
52T
52U
52V
52W
52X
53G
5GY
5RE
5VS
7-5
702
7PT
8-0
8-1
8-3
8-4
8-5
8UM
930
A01
A03
AAEDT
AAESR
AAEVG
AAHHS
AALRI
AANHP
AAONW
AAQFI
AAQQT
AAQXK
AASGY
AAXRX
AAXUO
AAZKR
ABCQN
ABCUV
ABEML
ABIJN
ABLJU
ABMAC
ABOCM
ABPVW
ABWVN
ABXGK
ACAHQ
ACBWZ
ACCFJ
ACCZN
ACGFS
ACLDA
ACMXC
ACPOU
ACPRK
ACRPL
ACSCC
ACXBN
ACXQS
ACYXJ
ADBBV
ADEOM
ADIZJ
ADKYN
ADMGS
ADMUD
ADNMO
ADOZA
ADXAS
ADZMN
ADZOD
AECAP
AEEZP
AEIMD
AENEX
AEQDE
AEUQT
AFBPY
AFFNX
AFGKR
AFPWT
AFUWQ
AFZJQ
AHMBA
AIACR
AIURR
AIWBW
AJAOE
AJBDE
ALAGY
ALMA_UNASSIGNED_HOLDINGS
ALUQN
AMBMR
AMYDB
ASPBG
ATUGU
AVWKF
AZBYB
AZFZN
AZVAB
BAFTC
BAWUL
BDRZF
BHBCM
BMXJE
BROTX
BRXPI
BY8
C45
CAG
COF
CS3
D-6
D-7
D-E
D-F
DCZOG
DIK
DPXWK
DR2
DRFUL
DRMAN
DRSTM
DU5
E3Z
EBS
EJD
F00
F01
F04
F5P
FD8
FDB
FEDTE
FGOYB
FUBAC
G-S
G.N
GNP
GODZA
H.X
HBH
HF~
HHY
HHZ
HVGLF
HZ~
IHE
IX1
J0M
J5H
JPC
KBYEO
KQQ
LATKE
LC2
LC3
LEEKS
LH4
LITHE
LOXES
LP6
LP7
LUTES
LW6
LYRES
M41
M65
MJL
MK4
MRFUL
MRMAN
MRSTM
MSFUL
MSMAN
MSSTM
MXFUL
MXMAN
MXSTM
N04
N05
N4W
N9A
NF~
NNB
NQ-
O66
O9-
OIG
OK1
OVD
P2P
P2W
P2X
P2Z
P4B
P4D
PALCI
PQQKQ
Q.N
Q11
QB0
QRW
R.K
R2-
RGB
RIG
RIWAO
RJQFR
ROL
RPZ
RWI
RX1
RYL
SEW
SSZ
SUPJJ
TEORI
UB1
V2E
V9Y
W2D
W8V
W99
WBKPD
WH7
WHWMO
WIB
WIH
WIJ
WIK
WIN
WJL
WOHZO
WQJ
WRC
WUP
WVDHM
WXI
X7M
XG1
XV2
ZGI
ZXP
ZZTAW
~IA
~WT
AAYXX
ABJNI
ACZKN
AFNMH
AGQPQ
AHQVU
CITATION
MEWTI
WXSBR
ACIJW
CGR
CUY
CVF
ECM
EIF
NPM
7T5
7TM
7TO
7U9
AAMMB
ADSXY
AEFGJ
AGXDD
AIDQK
AIDYY
H94
K9.
7X8
ID FETCH-LOGICAL-c4918-a4676b500460d060fb30b2e7edd9d11c3bbe3eea9d8b98b225cdb4f3a933fecc3
IEDL.DBID DR2
ISSN 0270-9139
1527-3350
IngestDate Fri Jul 11 05:24:57 EDT 2025
Tue Aug 05 11:29:11 EDT 2025
Wed Aug 13 04:34:33 EDT 2025
Thu Apr 03 07:02:55 EDT 2025
Thu Apr 24 23:07:43 EDT 2025
Tue Jul 01 03:33:42 EDT 2025
Wed Jan 22 16:52:15 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Language English
License 2015 by the American Association for the Study of Liver Diseases.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c4918-a4676b500460d060fb30b2e7edd9d11c3bbe3eea9d8b98b225cdb4f3a933fecc3
Notes See Editorial on Page 368
These authors contributed equally.
Potential conflict of interest: Nothing to report.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ObjectType-Undefined-3
OpenAccessLink https://aasldpubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hep.28148
PMID 26340411
PQID 1757976987
PQPubID 996352
PageCount 8
ParticipantIDs proquest_miscellaneous_1776663378
proquest_miscellaneous_1760900648
proquest_journals_1757976987
pubmed_primary_26340411
crossref_primary_10_1002_hep_28148
crossref_citationtrail_10_1002_hep_28148
wiley_primary_10_1002_hep_28148_HEP28148
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate February 2016
PublicationDateYYYYMMDD 2016-02-01
PublicationDate_xml – month: 02
  year: 2016
  text: February 2016
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Hoboken
PublicationTitle Hepatology (Baltimore, Md.)
PublicationTitleAlternate Hepatology
PublicationYear 2016
Publisher Wolters Kluwer Health, Inc
Publisher_xml – name: Wolters Kluwer Health, Inc
References 2015; 15
2012; 143
2009; 20
1992; 101
1981; 47
2005; 41
2013; 144
2005; 43
1985; 64
2009; 49
2009; 137
2000; 191
2011; 9
2010; 21
2010; 42
2009; 13
2006; 20
2007; 138
2006; 44
2015; 61
2013; 30
2015; 21
2014; 58
2005; 54
2009; 7
2012; 26
2001; 12
2012; 23
2011; 365
2009; 104
2007; 26
(hep28148-bib-0012-20241017) 2005; 54
(hep28148-bib-0025-20241017) 2005; 43
(hep28148-bib-0015-20241017) 2010; 42
(hep28148-bib-0029-20241017) 2009; 20
(hep28148-bib-0004-20241017) 2012; 23
(hep28148-bib-0028-20241017) 2009; 49
(hep28148-bib-0024-20241017) 2000; 191
(hep28148-bib-0014-20241017) 2001; 12
(hep28148-bib-0027-20241017) 2012; 26
(hep28148-bib-0018-20241017) 1992; 101
(hep28148-bib-0020-20241017) 1981; 47
(hep28148-bib-0011-20241017) 2015; 61
(hep28148-bib-0016-20241017) 2006; 20
(hep28148-bib-0008-20241017) 2007; 138
(hep28148-bib-0017-20241017) 2013; 30
(hep28148-bib-0023-20241017) 2014; 58
(hep28148-bib-0013-20241017) 2012; 143
(hep28148-bib-0021-20241017) 2009; 7
(hep28148-bib-0007-20241017) 2006; 44
(hep28148-bib-0002-20241017) 2010; 21
(hep28148-bib-0019-20241017) 2015; 15
(hep28148-bib-0001-20241017) 2009; 137
(hep28148-bib-0005-20241017) 2007; 26
(hep28148-bib-0030-20241017) 2006; 44
(hep28148-bib-0006-20241017) 2005; 41
(hep28148-bib-0032-20241017) 2015; 21
(hep28148-bib-0009-20241017) 2011; 365
(hep28148-bib-0010-20241017) 2009; 104
(hep28148-bib-0031-20241017) 1985; 64
(hep28148-bib-0022-20241017) 2013; 144
26547808 - Hepatology. 2016 Aug;64(2):682-3
26547626 - Hepatology. 2016 Aug;64(2):683-4
26474059 - Hepatology. 2016 Feb;63(2):368-70
References_xml – volume: 44
  start-page: 1039
  year: 2006
  end-page: 1046
  article-title: Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management
  publication-title: Hepatology
– volume: 64
  start-page: 888
  year: 1985
  end-page: 896
  article-title: Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation
  publication-title: Anesth Analg
– volume: 26
  start-page: 3258
  year: 2012
  end-page: 3263
  article-title: The risk of postpolypectomy bleeding during colonoscopy in patients with early liver cirrhosis
  publication-title: Surg Endosc
– volume: 44
  start-page: 53
  year: 2006
  end-page: 61
  article-title: Elevated levels of von Willebrand Factor in cirrhosis support platelet adhesion despite reduced functional capacity
  publication-title: Hepatology
– volume: 54
  start-page: 691
  year: 2005
  end-page: 697
  article-title: Splanchnic vein thrombosis in candidates for liver transplantation: usefulness of screening and anticoagulation
  publication-title: Gut
– volume: 191
  start-page: 38
  year: 2000
  end-page: 46
  article-title: Seven hundred forty‐seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection
  publication-title: J Am Coll Surg
– volume: 20
  start-page: S240
  issue: 7 Suppl
  year: 2009
  end-page: S249
  article-title: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image‐guided interventions
  publication-title: J Vasc Interv Radiol
– volume: 7
  start-page: 906
  year: 2009
  end-page: 909
  article-title: Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study
  publication-title: Clin Gastroenterol Hepatol
– volume: 21
  start-page: 45
  year: 2015
  end-page: 51
  article-title: Use of viscoelastic haemostatic assay in emergency and elective surgery
  publication-title: Hong Kong Med J
– volume: 144
  start-page: 456
  year: 2013
  end-page: 463
  article-title: Safety of ultrasound‐guided thoracentesis in patients with abnormal preprocedural coagulation parameters
  publication-title: Chest
– volume: 49
  start-page: 2087
  year: 2009
  end-page: 2107
  article-title: Management of adult patients with ascites due to cirrhosis: an update
  publication-title: Hepatology
– volume: 138
  start-page: 534
  year: 2007
  end-page: 540
  article-title: ADAMTS13 activity to antigen ratio in physiological and pathological conditions associated with an increased risk of thrombosis
  publication-title: Br J Haematol
– volume: 365
  start-page: 147
  year: 2011
  end-page: 156
  article-title: The coagulopathy of chronic liver disease
  publication-title: N Engl J Med
– volume: 42
  start-page: 2590
  year: 2010
  end-page: 2593
  article-title: Thromboelastography‐guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: randomized clinical trial
  publication-title: Transplant Proc
– volume: 15
  start-page: 50
  year: 2015
  article-title: Time impact on non‐activated and kaolin‐activated blood samples in thromboelastography
  publication-title: BMC Anesthesiol
– volume: 47
  start-page: 207
  year: 1981
  end-page: 214
  article-title: Reporting results of cancer treatment
  publication-title: Cancer
– volume: 21
  start-page: 62
  year: 2010
  end-page: 64
  article-title: The coagulopathy of chronic liver disease: is there a causal relationship with bleeding? Yes
  publication-title: Eur J Intern Med
– volume: 13
  start-page: 343
  year: 2009
  end-page: 403
  article-title: European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia
– volume: 58
  start-page: 508
  year: 2014
  end-page: 524
  article-title: Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine
  publication-title: Acta Anaesthesiol Scand
– volume: 30
  start-page: 270
  year: 2013
  end-page: 382
  article-title: Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology
  publication-title: Eur J Anaesthesiol
– volume: 137
  start-page: 2105
  year: 2009
  end-page: 2111
  article-title: An imbalance of pro‐ vs anti‐coagulation factors in plasma from patients with cirrhosis
  publication-title: Gastroenterology
– volume: 23
  start-page: 727
  year: 2012
  end-page: 736
  article-title: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image‐guided interventions
  publication-title: J Vasc Interv Radiol
– volume: 143
  start-page: 1253
  year: 2012
  end-page: 1260
  article-title: Enoxaparin prevents portal vein thrombosis and liver decompensation in patients with advanced cirrhosis
  publication-title: Gastroenterology
– volume: 104
  start-page: 96
  year: 2009
  end-page: 101
  article-title: Risk of venous thromboembolism in patients with liver disease: a nationwide population‐based case‐control study
  publication-title: Am J Gastroenterol
– volume: 43
  start-page: 177
  year: 2005
  end-page: 188
  article-title: Complications of endoscopic variceal therapy
  publication-title: S Afr J Surg
– volume: 12
  start-page: 327
  year: 2001
  end-page: 337
  article-title: Thrombelastography
  publication-title: Blood Coagul Fibrinolysis
– volume: 101
  start-page: 1481
  year: 1992
  end-page: 1483
  article-title: The ACCP‐SCCM consensus conference on sepsis and organ failure
  publication-title: Chest
– volume: 26
  start-page: 141
  year: 2007
  end-page: 148
  article-title: Review article: the prothrombin time test as a measure of bleeding risk and prognosis in liver disease
  publication-title: Aliment Pharmacol Ther
– volume: 61
  start-page: 660
  year: 2015
  end-page: 667
  article-title: Causes and consequences of portal vein thrombosis in 1,243 patients with cirrhosis: results of a longitudinal study
  publication-title: Hepatology
– volume: 41
  start-page: 553
  year: 2005
  end-page: 558
  article-title: Evidence of normal thrombin generation in cirrhosis despite abnormal conventional coagulation tests
  publication-title: Hepatology
– volume: 9
  start-page: 320
  year: 2011
  end-page: 335
– volume: 20
  start-page: 548
  year: 2006
  end-page: 553
  article-title: Transfusion triggers in orthotopic liver transplantation: a comparison of the thromboelastometry analyzer, the thromboelastogram, and conventional coagulation tests
  publication-title: J Cardiothorac Vasc Anesth
– volume: 23
  start-page: 727
  year: 2012
  ident: hep28148-bib-0004-20241017
  article-title: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image‐guided interventions
  publication-title: J Vasc Interv Radiol
  doi: 10.1016/j.jvir.2012.02.012
– volume: 44
  start-page: 1039
  year: 2006
  ident: hep28148-bib-0030-20241017
  article-title: Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management
  publication-title: Hepatology
  doi: 10.1002/hep.21303
– volume: 12
  start-page: 327
  year: 2001
  ident: hep28148-bib-0014-20241017
  article-title: Thrombelastography
  publication-title: Blood Coagul Fibrinolysis
  doi: 10.1097/00001721-200107000-00001
– volume: 20
  start-page: S240
  issue: 7 Suppl
  year: 2009
  ident: hep28148-bib-0029-20241017
  article-title: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image‐guided interventions
  publication-title: J Vasc Interv Radiol
– volume: 21
  start-page: 62
  year: 2010
  ident: hep28148-bib-0002-20241017
  article-title: The coagulopathy of chronic liver disease: is there a causal relationship with bleeding? Yes
  publication-title: Eur J Intern Med
  doi: 10.1016/j.ejim.2010.01.005
– volume: 26
  start-page: 3258
  year: 2012
  ident: hep28148-bib-0027-20241017
  article-title: The risk of postpolypectomy bleeding during colonoscopy in patients with early liver cirrhosis
  publication-title: Surg Endosc
  doi: 10.1007/s00464-012-2334-0
– volume: 15
  start-page: 50
  year: 2015
  ident: hep28148-bib-0019-20241017
  article-title: Time impact on non‐activated and kaolin‐activated blood samples in thromboelastography
  publication-title: BMC Anesthesiol
  doi: 10.1186/s12871-015-0033-9
– volume: 41
  start-page: 553
  year: 2005
  ident: hep28148-bib-0006-20241017
  article-title: Evidence of normal thrombin generation in cirrhosis despite abnormal conventional coagulation tests
  publication-title: Hepatology
  doi: 10.1002/hep.20569
– volume: 7
  start-page: 906
  year: 2009
  ident: hep28148-bib-0021-20241017
  article-title: Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study
  publication-title: Clin Gastroenterol Hepatol
  doi: 10.1016/j.cgh.2009.05.004
– volume: 191
  start-page: 38
  year: 2000
  ident: hep28148-bib-0024-20241017
  article-title: Seven hundred forty‐seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection
  publication-title: J Am Coll Surg
  doi: 10.1016/S1072-7515(00)00261-1
– volume: 21
  start-page: 45
  year: 2015
  ident: hep28148-bib-0032-20241017
  article-title: Use of viscoelastic haemostatic assay in emergency and elective surgery
  publication-title: Hong Kong Med J
– volume: 44
  start-page: 53
  year: 2006
  ident: hep28148-bib-0007-20241017
  article-title: Elevated levels of von Willebrand Factor in cirrhosis support platelet adhesion despite reduced functional capacity
  publication-title: Hepatology
  doi: 10.1002/hep.21231
– volume: 20
  start-page: 548
  year: 2006
  ident: hep28148-bib-0016-20241017
  article-title: Transfusion triggers in orthotopic liver transplantation: a comparison of the thromboelastometry analyzer, the thromboelastogram, and conventional coagulation tests
  publication-title: J Cardiothorac Vasc Anesth
  doi: 10.1053/j.jvca.2006.01.016
– volume: 30
  start-page: 270
  year: 2013
  ident: hep28148-bib-0017-20241017
  article-title: Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology
  publication-title: Eur J Anaesthesiol
  doi: 10.1097/EJA.0b013e32835f4d5b
– volume: 138
  start-page: 534
  year: 2007
  ident: hep28148-bib-0008-20241017
  article-title: ADAMTS13 activity to antigen ratio in physiological and pathological conditions associated with an increased risk of thrombosis
  publication-title: Br J Haematol
  doi: 10.1111/j.1365-2141.2007.06688.x
– volume: 365
  start-page: 147
  year: 2011
  ident: hep28148-bib-0009-20241017
  article-title: The coagulopathy of chronic liver disease
  publication-title: N Engl J Med
  doi: 10.1056/NEJMra1011170
– volume: 61
  start-page: 660
  year: 2015
  ident: hep28148-bib-0011-20241017
  article-title: Causes and consequences of portal vein thrombosis in 1,243 patients with cirrhosis: results of a longitudinal study
  publication-title: Hepatology
  doi: 10.1002/hep.27546
– volume: 42
  start-page: 2590
  year: 2010
  ident: hep28148-bib-0015-20241017
  article-title: Thromboelastography‐guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: randomized clinical trial
  publication-title: Transplant Proc
  doi: 10.1016/j.transproceed.2010.05.144
– volume: 144
  start-page: 456
  year: 2013
  ident: hep28148-bib-0022-20241017
  article-title: Safety of ultrasound‐guided thoracentesis in patients with abnormal preprocedural coagulation parameters
  publication-title: Chest
  doi: 10.1378/chest.12-2374
– volume: 143
  start-page: 1253
  year: 2012
  ident: hep28148-bib-0013-20241017
  article-title: Enoxaparin prevents portal vein thrombosis and liver decompensation in patients with advanced cirrhosis
  publication-title: Gastroenterology
  doi: 10.1053/j.gastro.2012.07.018
– volume: 101
  start-page: 1481
  year: 1992
  ident: hep28148-bib-0018-20241017
  article-title: The ACCP‐SCCM consensus conference on sepsis and organ failure
  publication-title: Chest
  doi: 10.1378/chest.101.6.1481
– volume: 26
  start-page: 141
  year: 2007
  ident: hep28148-bib-0005-20241017
  article-title: Review article: the prothrombin time test as a measure of bleeding risk and prognosis in liver disease
  publication-title: Aliment Pharmacol Ther
  doi: 10.1111/j.1365-2036.2007.03369.x
– volume: 64
  start-page: 888
  year: 1985
  ident: hep28148-bib-0031-20241017
  article-title: Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation
  publication-title: Anesth Analg
– volume: 54
  start-page: 691
  year: 2005
  ident: hep28148-bib-0012-20241017
  article-title: Splanchnic vein thrombosis in candidates for liver transplantation: usefulness of screening and anticoagulation
  publication-title: Gut
  doi: 10.1136/gut.2004.042796
– volume: 43
  start-page: 177
  year: 2005
  ident: hep28148-bib-0025-20241017
  article-title: Complications of endoscopic variceal therapy
  publication-title: S Afr J Surg
– volume: 47
  start-page: 207
  year: 1981
  ident: hep28148-bib-0020-20241017
  article-title: Reporting results of cancer treatment
  publication-title: Cancer
  doi: 10.1002/1097-0142(19810101)47:1<207::AID-CNCR2820470134>3.0.CO;2-6
– volume: 104
  start-page: 96
  year: 2009
  ident: hep28148-bib-0010-20241017
  article-title: Risk of venous thromboembolism in patients with liver disease: a nationwide population‐based case‐control study
  publication-title: Am J Gastroenterol
  doi: 10.1038/ajg.2008.34
– volume: 49
  start-page: 2087
  year: 2009
  ident: hep28148-bib-0028-20241017
  article-title: Management of adult patients with ascites due to cirrhosis: an update
  publication-title: Hepatology
  doi: 10.1002/hep.22853
– volume: 137
  start-page: 2105
  year: 2009
  ident: hep28148-bib-0001-20241017
  article-title: An imbalance of pro‐ vs anti‐coagulation factors in plasma from patients with cirrhosis
  publication-title: Gastroenterology
  doi: 10.1053/j.gastro.2009.08.045
– volume: 58
  start-page: 508
  year: 2014
  ident: hep28148-bib-0023-20241017
  article-title: Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine
  publication-title: Acta Anaesthesiol Scand
  doi: 10.1111/aas.12295
– reference: 26474059 - Hepatology. 2016 Feb;63(2):368-70
– reference: 26547626 - Hepatology. 2016 Aug;64(2):683-4
– reference: 26547808 - Hepatology. 2016 Aug;64(2):682-3
SSID ssj0009428
Score 2.6226513
Snippet Bleeding is a feared complication of invasive procedures in patients with cirrhosis and significant coagulopathy (as defined by routine coagulation tests) and...
SourceID proquest
pubmed
crossref
wiley
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 566
SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Blood Coagulation Disorders - complications
Female
Hepatology
Humans
Liver Cirrhosis - complications
Male
Middle Aged
Plasma
Platelet Transfusion
Preoperative Care - methods
Severity of Illness Index
Thrombelastography
Young Adult
Title Thrombelastography‐guided blood product use before invasive procedures in cirrhosis with severe coagulopathy: A randomized, controlled trial
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fhep.28148
https://www.ncbi.nlm.nih.gov/pubmed/26340411
https://www.proquest.com/docview/1757976987
https://www.proquest.com/docview/1760900648
https://www.proquest.com/docview/1776663378
Volume 63
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELaqHhAXKO-lBRnEgQPZxrETx_RUoVYrpCKEWqkHpCi2J92IbbLabJDoiV-A-I38ko6dR1VeQtyiZKLYzozns2f8DSEvQEaAfoMFstA2EAxEoBGFBCmTNkEPHzNwWwNH75LZiXh7Gp9ukL3hLEzHDzFuuDnL8PO1M_BcN7tXpKFzWE6jFNE8zr8uV8sBog9X1FFK-LqquOoKXXRZDaxCYbQ7vnndF_0CMK_jVe9wDm-Tj0NTuzyTT9N2rafm4icWx__syxa51QNRut9pzh2yAdVdcuOoD7XfI9-O56v6XAOi63VPa_3j6_eztrRgqU93p8uOLZa2DVANiH6BltXn3CXEU-8YbYuLebxHTblazeumbKjb96XojQGFTZ2ftYvaFUX-8pruU3Sbtj4vL8C-on0K_QI_5guL3CcnhwfHb2ZBX7whMEKxNMhxBk507A-n2jAJC81DHYEEa5VlzHCtgQPkyqZapRqnFWO1KHiuOC9Qr_gDslnVFTwiNEwLkYdxEevICBnnKk1cVEIZBoXETk_Iy-E3ZqZnNncFNhZZx8kcZTi-mR_fCXk-ii47Oo_fCe0MupD1Ft1kCLMkQjeVygl5Nj5GW3QBlryCunUySagcyEv_JiNxxci5RJmHnZ6NLYkSLkLBGHbIa8ufm5jNDt77i8f_LrpNbiLa61POd8jmetXCE0RUa_3Um84lmNogRg
linkProvider Wiley-Blackwell
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZKkYAL79KFAgZx4EC2cezEMeJSoVYLdCuEtlIvKIrjSTfqNlntbpDoiV-A-I38EsbOoyovIW5RMlFsZ8bzeTz-hpBnIANAv8E8mWvjCQbC04hCvJhJE6GHDxnY0MD4IBodirdH4dEaedWdhWn4IfqAm7UMN19bA7cB6e1z1tApzIdBjHD-ErlsK3q7BdWHc_IoJVxlVVx3-XZ_WXW8Qn6w3b960Rv9AjEvIlbncvZukI9dY5tMk5NhvdLD7OwnHsf_7c1Ncr3FonSnUZ5bZA3K2-TKuN1tv0O-TqaL6lQDAuxVy2z9_cu347owYKjLeKfzhjCW1kugGhAAAy3KT6nNiafON5oa1_N4j2bFYjGtlsWS2tAvRYcMKJxV6XE9q2xd5M8v6Q5Fz2mq0-IMzAvaZtHP8GOutshdcri3O3k98tr6DV4mFIu9FCfhSIfufKrxIz_X3NcBSDBGGcYyrjVwgFSZWKtY48ySGS1ynirOc1QtvkHWy6qETUL9OBepH-ahDjIhw1TFkd2YUBmDXGKnB-R59x-TrCU3tzU2ZklDyxwkOL6JG98BedqLzhtGj98JbXXKkLRGvUwQaUlEbyqWA_Kkf4zmaPdY0hKq2spEvrI4L_6bjMRFI-cSZe41ita3JIi48AVj2CGnLn9uYjLafe8u7v-76GNydTQZ7yf7bw7ePSDXEPy1GehbZH21qOEhAqyVfuTs6Ad0ICRh
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZKkSouvCkLBQziwIFs7cRJbDhVtKvl0apCrdQDUhTHk27ENlntbpDoiV9Q9TfySxg7j6q8hLhFyUSxnRnPZ8_4G0KeQ-wD-g3uxbk2nuAgPI0oxJM8NhF6-JCD3RrY3YvGh-LdUXi0Ql53Z2Eafoh-w81ahpuvrYHPTL55QRo6gdnQl4jmr5CrImLSqvT2xwvuKCVcYVVcdjEbXlYdrRDzN_tXLzujXxDmZcDqPM7oBvnUtbVJNPk8rJd6mJ3-ROP4n525Sa63SJRuNapzi6xAeZus7bax9jvk7GAyr040ILxetrzW37-dH9eFAUNdvjudNXSxtF4A1YDwF2hRfkltRjx1ntHUuJrHezQr5vNJtSgW1G78UnTHgMJZlR7X08pWRf76im5R9JumOilOwbykbQ79FD_mKovcJYejnYM3Y6-t3uBlQnHppTgFRzp0p1MNi1iuA6Z9iMEYZTjPAq0hAEiVkVpJjfNKZrTIg1QFQY6KFdwjq2VVwn1CmcxFysI81H4m4jBVMrJhCZVxyGPs9IC86H5jkrXU5rbCxjRpSJn9BMc3ceM7IM960VnD5_E7oY1OF5LWpBcJ4qwYsZuS8YA87R-jMdoIS1pCVVuZiCmL8uTfZGJcMgZBjDLrjZ71LfGjQDDBOXbIacufm5iMd_bdxYN_F31C1va3R8mHt3vvH5JriPza9PMNsrqc1_AI0dVSP3ZW9AMXpiMZ
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Thrombelastography-guided+blood+product+use+before+invasive+procedures+in+cirrhosis+with+severe+coagulopathy%3A+A+randomized%2C+controlled+trial&rft.jtitle=Hepatology+%28Baltimore%2C+Md.%29&rft.au=De+Pietri%2C+Lesley&rft.au=Bianchini%2C+Marcello&rft.au=Montalti%2C+Roberto&rft.au=De+Maria%2C+Nicola&rft.date=2016-02-01&rft.pub=Wolters+Kluwer+Health%2C+Inc&rft.issn=0270-9139&rft.eissn=1527-3350&rft.volume=63&rft.issue=2&rft.spage=566&rft_id=info:doi/10.1002%2Fhep.28148&rft.externalDBID=NO_FULL_TEXT&rft.externalDocID=3925320061
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0270-9139&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0270-9139&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0270-9139&client=summon