SIR ePoster Library

Viscoelastic Testing: A Replacement or Adjunct to Conventional Coagulation Assays?
SIR ePoster library. Shah N. 03/04/17; 170036; 600
Neil Shah
Neil Shah
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Abstract
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Final ID
600

Type
Educational Exhibit-Poster Only

Authors
N Shah1, S Reis2

Institutions
1Columbia University Medical Center, New York, NY, 2Columbia University, New York, NY

Purpose
Teaching Points:1. Review of Viscoelastic Testing.2. Clinical Indications for Viscoelastic Testing.3. Understanding the clinical limitations and pitfalls of Viscoelastic Testing.

Materials & Methods
Prothrombin time, partial prothrombin time, and international normalization ratio have been widely accepted as the gold standard of conventional preprocedural tests. And while these assays do provide a picture of the patient's ability to achieve hemostasis, other characteristics of the patient's blood properties go uncharted. Viscoelastic testing has been shown to decrease perioperative complications, especially in the setting of coagulopathy.

Results
The exhibit outlines the different types of viscoelastic coagulation tests and their role in the periprocedural care. It relates the deficiencies in conventional testing and explains viscoelastic testing's role in interventional procedures. The most common viscoelastic analyzers, Thromboelastograph (TEG) and Rotational Thromboelastometry (ROTEM) will be explained and correlated with cases for educational purposes.

Conclusions
Teaching Points:1. Pitfalls to conventional coagulation tests.2. Role of Viscoelastic Testing in limiting periprocedural complications in the setting of coagulopathy.

Final ID
600

Type
Educational Exhibit-Poster Only

Authors
N Shah1, S Reis2

Institutions
1Columbia University Medical Center, New York, NY, 2Columbia University, New York, NY

Purpose
Teaching Points:1. Review of Viscoelastic Testing.2. Clinical Indications for Viscoelastic Testing.3. Understanding the clinical limitations and pitfalls of Viscoelastic Testing.

Materials & Methods
Prothrombin time, partial prothrombin time, and international normalization ratio have been widely accepted as the gold standard of conventional preprocedural tests. And while these assays do provide a picture of the patient's ability to achieve hemostasis, other characteristics of the patient's blood properties go uncharted. Viscoelastic testing has been shown to decrease perioperative complications, especially in the setting of coagulopathy.

Results
The exhibit outlines the different types of viscoelastic coagulation tests and their role in the periprocedural care. It relates the deficiencies in conventional testing and explains viscoelastic testing's role in interventional procedures. The most common viscoelastic analyzers, Thromboelastograph (TEG) and Rotational Thromboelastometry (ROTEM) will be explained and correlated with cases for educational purposes.

Conclusions
Teaching Points:1. Pitfalls to conventional coagulation tests.2. Role of Viscoelastic Testing in limiting periprocedural complications in the setting of coagulopathy.

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