Journal article

Thrombin dynamics in children with liver disease or extrahepatic portal vein obstruction or shunt

William Beattie, Romy Kremers, Maria Magnusson, Tessa Peters, Bas de Laat, Winita Hardikar, Paul Monagle, Vera Ignjatovic

THROMBOSIS RESEARCH | PERGAMON-ELSEVIER SCIENCE LTD | Published : 2020

Abstract

INTRODUCTION: Changes in the coagulation profile in children with liver disease and extrahepatic portal vein obstruction or shunt result in both bleeding and thrombosis. Routine coagulation tests do not accurately predict bleeding risk, as they are not sensitive to changes in anticoagulant factors. The thrombin generation assay could be suitable for describing the overall balance of coagulation in children with liver disease. This study aims to characterise the mechanism of thrombin generation in this population, focusing on prothrombin conversion and thrombin inhibition. METHODS: Patients were categorised as: severe (paediatric end stage liver disease score > 15) and mild disease, or portal..

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