1. Thromboelastometry predicts thrombosis in patients with hepatocellular carcinoma
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Abstract
ROTEM is a test to evaluate the overall hemostasis process. To predict the risk of thrombosis, a study was conducted on 125 patients with hepatocellular carcinoma undergoing thromboelastometry from February to December 2024 at Bach Mai Hospital. The results showed that the disease is more common in male/, the most common cause of hepatocellular carcinoma is hepatitis B. The CFT index of INTEM and EXTEM in the group with thrombosis was shorter than the group without thrombosis. The alpha, A10, MCF indexes in INTEM and EXTEM, MCF of FIBTEM in the group with thrombosis were higher than the group without thrombosis with statistical significance at p < 0.05. MCF FIBTEM is the parameter with the best correlation with hypercoagulability in patients with hepatocellular carcinoma, increased MCF of FIBTEM (> 17.5mm) is associated with a 2.488-fold higher risk of portal vein thrombosis.
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Keywords
Hepatocellular carcinoma, thromboelastometry, ROTEM
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