[Thromboelastography and its use in cardiac surgery].
Thromboelastography is an alternative method to conventional coagulation tests for the general evaluation of hemostatic system. Cardiac surgery with cardiopulmonary bypass is accomplished by complex alterations of hemostasis, including acquired dysfunction of platelets, consumption coagulopathy and increased fibrinolysis. Despite major advances in blood conservation methods and perioperative care of the patients, transfusion rates in cardiac surgery remain high. Thromboelastography has an ability to assess almost all components of haemostatic system globally. Currently, thromboelastography is used with standard coagulation tests to decrease the microvascular bleeding and homologous blood transfusion in cardiac surgery with cardiopulmonary bypass. In this review, we aimed to discuss thromboelastography technology and its usage in cardiac surgery.
Ak
Koray
K
Marmara Universitesi Tip Fakültesi Kalp ve Damar Cerrahisi Anabilim Dali, Istanbul, Türkiye. korayakmd@gmail.com
Atalan
Nazan
N
Tekeli
Atike
A
Işbir
Selim
S
Civelek
Ali
A
Emekli
Nesrin
N
Arsan
Sinan
S
D002318:Cardiovascular Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D011859:Radiography; D013916:Thrombelastography