Table 3.
Hematopoietic malignancies
Study | Cancer/number | Test | Findings |
---|---|---|---|
Crowley et al, 2017137 | Multiple myeloma | TEG | ↓ K and ↑α-angle after induction. Hypercoagulability markers directly proportional to myeloma burden. |
Patients: 16 | |||
Giaccherini et al, 201645 | Myeloproliferative neoplasms Patients: 39 |
ROTEM | ↓ CFT and ↑MCF. MCF values indicated lower platelet reactivity in MPN patients. |
Gracheva et al, 2015135 | Multiple myeloma | TEG | Thrombin generation test and TEG parameters (R, K, and MA) reveal hypercoagulability in patients with multiple myeloma. |
Patients: 20 | |||
Crowley et al, 2015138 | Myeloma/MGUS Patients: 24 |
TEG | No difference in TEG parameters between multiple myeloma and MGUS. |
Ko et al, 2015136 | Acute lymphoblastic leukemia | TEG | ↓ R and ↑MA during induction. |
Patients: 80 | |||
Akay et al, 2015140 | Hematologic malignancies | ROTEM | No difference in TEG parameters in low-dose or high-dose random or single-donor platelet transfusions. |
Patients: 100 | |||
Flisberg et al, 2009139 | Thrombocytopenia due to hematologic malignancy | ROTEM | Platelet transfusion in patients with hematologic malignancies is associated with ↓ CFT and ↑MCF. |
Patients: 20 |
Abbreviations: CFT, clot formation time; K, kinetics; MA, maximal amplitude; MCF, maximum clot firmness; MGUS, monoclonal gammopathy of undetermined significance; MPN, myeloproliferative neoplasm; R, reaction time; ROTEM, rotational thromboelastometry; TEG, thromboelastography.