Download PDF
Semin Thromb Hemost 1995; 21(S 04): 021-026
DOI: 10.1055/s-0032-1313617
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Thromboelastography for the Assessment of Hypercoagulability During General Surgery

Juan I Arcelus
a   Department of Surgery, Hospital General de la Axarquía, Vélez-Málaga, Malaga, Spain
,
Clara I Traverso
b   Department of Surgery, Hospital Universitario, Granada, Spain
,
Joseph A Caprini
c   Department of Surgery, The Glenbrook Hospital, Glenview, Illinois, and Northwestern University Medical School, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
09 May 2012 (online)

  PDF Download  Permissions and Reprints
 

  • References

  • 1 De Nicola P, Mazzetti GM. Evaluation of thrombelastography. Am J Clin Pathol 25: 447-452 1955;
    PubMedGoogle Scholar
  • 2 Elliot RL, von Kaulla K, Blount SG. Thrombelastographic studies with a twenty-four hour schedule for subcutaneous heparin. Circulation 24: 1206-1214 1976;
    PubMedGoogle Scholar
  • 4 Lee BY, Trainor FS, Thoden WR, Kavner D. Monitoring coagulation dynamics: thrombelastography. In: Lee BY, Trainor FS, Thoden WR, Kavner D, (Eds) Handbook of Noninvasive Diagnostic Techniques in Vascular Surgery. Appleton-Century-Crofts; New York: 1981: 266-286
    Google Scholar
  • 4 Hartert H. Blutgerinnungsstudien mit der Thrombelastographie, einem neuen Untersuchungsverfahren. Klin Wochenschr 26: 577-583 1948;
    CrossrefPubMedGoogle Scholar
  • 5 Marchal G, Leroux ME, Samama M. Thrombodynamographie (Thrombelastographie) Sa place actuelle en clinique. Presse Med 68: 1919-1922 1960;
    PubMedGoogle Scholar
  • 6 Raby C. Biologie des hemorragies et des thromboses. Masson; Paris: 1966
    Google Scholar
  • 7 Franz RC, Coetzee WJ. The thrombelastographic diagnosis of hemostatic defects. Surg Annual 13: 75-107 1981;
    PubMedGoogle Scholar
  • 8 Bloom WL, Brewer S. The independent, yet synergistic effect of heparin and dextran. Acta Chir Scand 387: 53-57 1968;
    PubMedGoogle Scholar
  • 9 Lee BY, Trainor FS, Kaynar D, McCann WJ. Monitoring heparin therapy. Surg Gynecol Obstet 149: 843-847 1979;
    PubMedGoogle Scholar
  • 10 De Gaetano G, Vermylen J. Effect of aspirin on the thromboelastogram of human blood. Thromb Diath Haemorrh 30: 494-498 1973;
    PubMedGoogle Scholar
  • 11 Howland WS, Ryan GM, Bettigole RE, Fortner JG. Coagulation abnormalities associated with liver transplantation. Surgery 68: 591-596 1970;
    PubMedGoogle Scholar
  • 12 Kang YG, Martin DJ, Marquez J, Lewis JH, Bontempo FA, Shaw BW, Winter PM. Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation. Anesth Anal 64: 888-896 1985;
    PubMedGoogle Scholar
  • 13 Owen C, Rettke SR, Bowie EJW, Cole TL, Jensen CC, Wiesner RH, Krom RAF. Hemostatic evaluation of patients undergoing liver transplantation. Mayo Clin Proc 62: 761-772 1987;
    CrossrefPubMedGoogle Scholar
  • 14 Chapin JW, Becker GL, Hurlbert BJ, Newland MC, Cuka DJ, Wood RP, Shaw BW. Comparison of thromboelastogram and sonoclot coagulation analyzer for assessing coagulation status during orthotopic liver transplantation. Transplant Proc 21: 3539 1989;
    PubMedGoogle Scholar
  • 15 Spiess BD, Tuman KJ, McCarthy RJ, DeLaria GA, Schillo R, Ivankovich AD. Thrombelastography as an indicator of post-cardiopulmonary bypass coagulopathies. J Clin Monit 3: 25-30 1987;
    CrossrefPubMedGoogle Scholar
  • 16 Tuman KJ, Spiess BD, McCarthy RJ, Ivankovich AD. Comparison of viscoelastic measures of coagulation after cardiopulmonary bypass. Anesth Analg 69: 69-75 1989;
    PubMedGoogle Scholar
  • 17 Martin P, Horkay F, Rajah SM. Monitoring of coagulation status using thrombelastography during pediatric open heart surgery. Int J Clin Monit Comput 8: 183-187 1991;
    CrossrefPubMedGoogle Scholar
  • 18 Mongan PD, Hosking MP. The role of desmopressin acetate in patients undergoing coronary artery bypass surgery. Anesthesiology 77: 38-46 1992;
    CrossrefPubMedGoogle Scholar
  • 19 Caprini JA, Zuckerman L, Cohen E, Vagher JP, Lipp V. The identification of accelerated coagulability. Thromb Res 9: 167-180 1976;
    CrossrefPubMedGoogle Scholar
  • 20 Cohen E, Caprini JP, Zuckerman L, Vagher P, Robinson B. Evaluation of three methods used to identify accelerated coagulability. Thromb Res 10: 587-604 1977;
    CrossrefPubMedGoogle Scholar
  • 21 Howland WS, Castro EB, Fortner JB, Gould RN. Hypercoagulability, thrombelastographic monitoring during extensive hepatic surgery. Arch Surg 108: 605-608 1974;
    CrossrefPubMedGoogle Scholar
  • 22 Heather BP, Jennings SA, Greenhalgh RM. The saline dilution test—a preoperative predictor of DVT. Br J Surg 67: 63-65 1980;
    CrossrefPubMedGoogle Scholar
  • 23 Moriwaki K, Sato N, Kubota M, Maekawa T, Nomura M, Sasaki H, Nakatani K, Yuge O. Thromboelastography as a bedside monitor of coagulation and fibrinolysis during surgery—a report of three cases. Masui 41: 1145-1150 1992;
    PubMedGoogle Scholar
  • 24 Sharnoff JG, Kass HH, Mistica BA. A plan of heparinization of the surgical patients to prevent postoperative thromboembolism. Surg Gynecol Obstet 115: 75-80 1962;
    PubMedGoogle Scholar
  • 25 Hedlund PO, Blombäck M. The effect of prophylaxis with low dose heparin on blood coagulation parameters. A double blind study in connection with transvesical prostatectomy. Thromb Haemostas 41: 337-344 1979;
    PubMedGoogle Scholar
  • 26 Lundqvist PB, Swedenborg J. Postoperative hypercoagulability, detection and measurement using a modified recalcification time system, effects of low dose heparin and types of surgery, (Abst.). Thromb Hemostas 46: 16 1981;
    PubMedGoogle Scholar
  • 27 Chayen D, Blair SD, McCollum CN, Greenhalgh RM. Prediction of postoperative DVT by saline dilution. (Abst.) Thromb Hemostas 58: 384 1987;
    PubMedGoogle Scholar
  • 28 Wu KK. Thrombogenesis, atherogenesis, and hypercoagulability. In: Wu KK, (Ed.) Pathophysiology and Management ofThromboembolic Disorders. APG; Littleton, MA: 1984: 5-18
    Google Scholar
  • 29 Butler MJ. Thromboelastography during and after elective abdominal surgery. Thromb Hemostas 39: 488-495 1978;
    PubMedGoogle Scholar
  • 30 Blair SD, Menashi S, Samson D, Greenhalgh RM. Can the hypercoagulability of surgery be measured?. Br J Surg 73 1986; 500
    PubMedGoogle Scholar
  • 31 Zuckerman L, Cohen E, Vagher JP, Woodward E, Caprini JA. Comparison of thrombelastography with common coagulation tests. Thromb Haemostas 46: 752-756 1981;
    PubMedGoogle Scholar
  • 32 Raina S, Spillert CR, Greenstein SM, Lazaro EJ. Effect of surgery on tumor-induced accelerated coagulation in a rat carcinoma. J Surg Res 38: 138-142 1985;
    CrossrefPubMedGoogle Scholar
  • 33 Spillert CR, McGovern PJ, Vidaver RM, Lazaro EJ. Thrombelastographic evaluation of cut-down induced accelerated coagulation (Letter.). Thromb Hemostas 46 1981; 567
    PubMedGoogle Scholar
  • 34 Parvez Z, Moncada R, Fareed J, Messmore HL. Effect of non-ionic contrast media on the components of coagulation and complement systems. Invest Radiol 18: 279-284 1983;
    CrossrefPubMedGoogle Scholar
  • 35 Arcelus JI, Traverso CI, Lopez-Cantarero M, García JM, Navarro F, Gómez E, Bravo F. Estudio de la modificaciones tromboelastograficas inducidas por la heparinizacion profilactica en cirugia general. Cir Esp 43: 518-526 1988;
    PubMedGoogle Scholar
  • 36 Negus D, Pinto DJ, Slack WW. Effects of small doses of heparin on platelet adhesiveness and lipoprotein-lipase activity before and after surgery. Lancet 1: 1202-1204 1971;
    PubMedGoogle Scholar
  • 37 Sandset PM, Hogevold HE, Lyberg T, Andersson TR, Abildgaard U. Extrinsic pathway inhibitor in elective surgery: A comparison with other coagulation inhibitors. Thromb Haemostas 62: 865-860 1989;
    PubMedGoogle Scholar
  • 38 Kernen M, Sperling H, Mumme A, Zumtobel V. The thrombinantithrombin III complex ELISA test in diagnosis of surgery-induced blood coagulation activation. Infusionstherapie 18: 199-201 1991;
    PubMedGoogle Scholar
  • 39 National Institutes of Health Consensus Conference. Gallstones and laparoscopic cholecystectomy. JAMA 269: 1018-1024 1993;
    CrossrefPubMedGoogle Scholar
  • 40 Arcelus JI, Caprini JA, Traverso CI, Size G, Hasty JH. The role of elastic compression stockings in prevention of venous dilatation induced by reverse Trendelenburg position. Phlebology 8: 11-115 1993;
    PubMedGoogle Scholar
  • 41 Millard JA, Hill BB, Cook P, Fenoglio ME. Intermittent sequential pneumatic compression of the legs in the prevention of venous stasis associated with pneumoperitoneum. 100th Scientific Session of the Western Surgical Association 1992. San Antonio, Texas: 32
    PubMedGoogle Scholar
  • 42 Beebe DS, McNevin MP, Belani KJ, Letourneau JG, Crain MR, Goodale RL. Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy. Anesthesiology 77 (3A) 1992; 148
    CrossrefPubMedGoogle Scholar
  • 43 Caprini JA, Arcelus JI, Traverso CI, Vittum D. Hypercoagulability after laparoscopic cholecystectomy. Thromb Haemostas 65 1991; 1347
    PubMedGoogle Scholar
  • 44 Rodzynek JJ, Leautaud P, Martin T, Schoenfeld P, Wettendorf P, Delcourt A. The transfer test: A new screening procedure for thrombotic diseases. J Surg Res 35: 227-233 1983;
    CrossrefPubMedGoogle Scholar
  • 45 Traverso CI, Arcelus JI, Gomez E, Luna JD, Lopez-Cantarero M, Garcia JM. Prospective assessment of the risk of deep vein thrombosis in elective abdominal surgery. Predictive role of thrombelastography. Thromb Haemorrh Disord 7: 9-15 1993;
    PubMedGoogle Scholar
  • 46 Collins R, Srimgeur A, Yusuf S, Peto R. Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. N Engl J Med 318: 1162-1173 1988;
    CrossrefPubMedGoogle Scholar
  • 47 Clagett GP, Reisch JS. Prevention of venous thromboembolism in general surgical patients. Ann Surg 208: 227-240 1988;
    CrossrefPubMedGoogle Scholar
  • 48 Gallus AS, Hirsh J, O’Brien SE, McBride JA, Tuttle RJ, Gent M. Prevention of venous thrombosis with small, subcutaneous doses of heparin. JAMA 235: 1980-1982 1976;
    CrossrefPubMedGoogle Scholar
  • 49 Pachter L, Riles T. Low dose heparin: Bleeding and wound complications in the surgical patients. Ann Surg 186: 660-674 1977;
    PubMedGoogle Scholar
  • 50 van Ooijen B. Subcutaneous heparin and postoperative wound hematomas. Arch Surg 121: 937-940 1986;
    CrossrefPubMedGoogle Scholar
  • 51 De Takats G. Heparin tolerance revisited. Surgery 70: 318-322 1971;
    PubMedGoogle Scholar
  • 52 Gurewich V, Nunn T, Kuriakose TT, Hume M. Hemostatic effects of uniform, low-dose heparin in surgical patients. Arch Intern Med 138: 41-44 1978;
    CrossrefPubMedGoogle Scholar
  • 53 Cooke ED, Lloyd MJ, Bowcock S. Monitoring during low dose heparin. N Engl J Med 294: 1066-1069 1976;
    PubMedGoogle Scholar
  • 54 Nicolaides AN, Harbourne T, Russell RCG. Subcutaneous heparin, plasma heparin levels and postoperative wound haematoma. Br J Surg 71: 62-64 1984;
    CrossrefPubMedGoogle Scholar
  • 55 Lahnborg G, Bergstrom K. Clinical and hemostatic parameters related to thromboembolism and low-dose heparin prophylaxis in major surgery. Acta Chir Scand 141: 590-595 1975;
    PubMedGoogle Scholar
  • 56 Arcelus JI, Traverso CI. Repercusiones tromboelastograficas inducidas por la heparina-dihidroergotamina utilizada como profilaxis de la enfermedad tromboembolica venosa. Actual Med 75: 141-148 1989;
    PubMedGoogle Scholar
  • 57 Sagar S, Massey J, Sanderson JM. Low-dose heparin prophylaxis against fatal pulmonary embolism. Br M ed J 4: 257-263 1975;
    PubMedGoogle Scholar
  • 58 Vernese NA, Spillert CR, Lazaro EJ. Thromboelastographic evaluation of mini-dose heparin in minor surgical procedures. Am Surg 52: 112-113 1986;
    PubMedGoogle Scholar
  • 59 Vara-Thorbeck R, Lopez M, Guerrero JA. Modificaciones tromboelastograficas inducidas por la hemodilucion con dextrano en cirugia de la cadera. Cir Esp 40: 1061-1069 1986;
    PubMedGoogle Scholar
  • 60 Caprini JA, Natonson RA. Postoperative deep vein thrombosis: Current clinical considerations. Semin Thromb Hemost 15: 8-13 1989;
    PubMedGoogle Scholar
  • 61 Nurmohamed MT, Rosendaal FR, Büller HR, Dekker E, Hommes DW, Vandenhroucke JP, Briët E. Low-molecular-weight heparin versus standard heparin in general and orthopedic surgery: a meta-analysis. Lancet 340: 152-156 1992;
    CrossrefPubMedGoogle Scholar
  • 62 Doutremepuich C, Lalanne MC, Guyot M, Doutremepuich F, De Seze O, Toulemonde F. Laboratory control of heparin and heparin fragment treatment: an experimental study. Semin Thromb Hemost 15: 373-377 1989;
    Article in Thieme ConnectPubMedGoogle Scholar