Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation
Abstract Background Changes in coagulability during the hyperacute phase within 24 h after transcatheter aortic valve implantation (TAVI) for Heyde’s syndrome, or aortic stenosis complicated by gastrointestinal angiodysplasia and acquired coagulation dysfunction, have not been clarified. We evaluate...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-01-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-019-0224-3 |
| _version_ | 1818968223244091392 |
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| author | Kumi Fukuhara Takashi Kondo Hirotsugu Miyoshi Hiroshi Hamada Masashi Kawamoto |
| author_facet | Kumi Fukuhara Takashi Kondo Hirotsugu Miyoshi Hiroshi Hamada Masashi Kawamoto |
| author_sort | Kumi Fukuhara |
| collection | DOAJ |
| description | Abstract Background Changes in coagulability during the hyperacute phase within 24 h after transcatheter aortic valve implantation (TAVI) for Heyde’s syndrome, or aortic stenosis complicated by gastrointestinal angiodysplasia and acquired coagulation dysfunction, have not been clarified. We evaluated perioperative changes in coagulability using rotational thromboelastometry (ROTEM). Case presentation A female patient with Heyde’s syndrome in her 80s underwent TAVI. ROTEM showed coagulation dysfunction before and at 6 h after surgery. Improvements in coagulation function started at 12 h after surgery. Based on ROTEM findings, oral administration of antiplatelet agents was started on the day after surgery. No hemorrhagic complications were observed in the postoperative phase. Conclusions Evaluation of coagulation function using ROTEM was useful for monitoring perioperative hemostasis and coagulation in this patient. |
| first_indexed | 2024-12-20T14:01:16Z |
| format | Article |
| id | doaj.art-23f3128fa5d3499f9e4487b2a9899160 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-20T14:01:16Z |
| publishDate | 2019-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-23f3128fa5d3499f9e4487b2a98991602022-12-21T19:38:22ZengSpringerOpenJA Clinical Reports2363-90242019-01-01511510.1186/s40981-019-0224-3Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantationKumi Fukuhara0Takashi Kondo1Hirotsugu Miyoshi2Hiroshi Hamada3Masashi Kawamoto4Department of Anesthesiology and Critical Care, Hiroshima University HospitalDepartment of Anesthesiology and Critical Care, Hiroshima University HospitalDepartment of Anesthesiology and Critical Care, Hiroshima University HospitalDepartment of Anesthesiology and Critical Care, Hiroshima University HospitalDepartment of Anesthesiology and Critical Care, Hiroshima University HospitalAbstract Background Changes in coagulability during the hyperacute phase within 24 h after transcatheter aortic valve implantation (TAVI) for Heyde’s syndrome, or aortic stenosis complicated by gastrointestinal angiodysplasia and acquired coagulation dysfunction, have not been clarified. We evaluated perioperative changes in coagulability using rotational thromboelastometry (ROTEM). Case presentation A female patient with Heyde’s syndrome in her 80s underwent TAVI. ROTEM showed coagulation dysfunction before and at 6 h after surgery. Improvements in coagulation function started at 12 h after surgery. Based on ROTEM findings, oral administration of antiplatelet agents was started on the day after surgery. No hemorrhagic complications were observed in the postoperative phase. Conclusions Evaluation of coagulation function using ROTEM was useful for monitoring perioperative hemostasis and coagulation in this patient.http://link.springer.com/article/10.1186/s40981-019-0224-3Heyde’s syndromeRotational thromboelastometryTranscatheter aortic valve implantation |
| spellingShingle | Kumi Fukuhara Takashi Kondo Hirotsugu Miyoshi Hiroshi Hamada Masashi Kawamoto Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation JA Clinical Reports Heyde’s syndrome Rotational thromboelastometry Transcatheter aortic valve implantation |
| title | Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation |
| title_full | Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation |
| title_fullStr | Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation |
| title_full_unstemmed | Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation |
| title_short | Rotational thromboelastometry-guided perioperative management of coagulation in a patient with Heyde’s syndrome undergoing transcatheter aortic valve implantation |
| title_sort | rotational thromboelastometry guided perioperative management of coagulation in a patient with heyde s syndrome undergoing transcatheter aortic valve implantation |
| topic | Heyde’s syndrome Rotational thromboelastometry Transcatheter aortic valve implantation |
| url | http://link.springer.com/article/10.1186/s40981-019-0224-3 |
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