A new biomarker quantifies differences in clot microstructure in patients with venous thromboembolism

Matthew J. Lawrence, Ahmed Sabra, Gavin Mills, Suresh G. Pillai, Wendy Abdullah, Karl Hawkins, Roger H.K. Morris, Simon J. Davidson, Lindsay A. D'Silva, Daniel J. Curtis, Martin R. Brown, John W. Weisel, Phylip R. Williams, Phillip A. Evans*

*Corresponding author for this work

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Abstract

Summary: This study compared patients with venous thromboembolism (VTE) to non-VTE patients using a biomarker of clot microstructure (df) and clot formation time (TGP). df was the only marker that identified a significant difference (P < 0·001) between the VTE (n = 60) and non-VTE cohorts (n = 69). The 'abnormal' clot microstructures in the VTE patients suggests either inadequate response to anticoagulant therapy or the presence of a procoagulant state not detected by other markers of coagulation (i.e., International Normalized Ratio). Furthermore, elevated values of df in first time VTE patients who later develop a secondary event indicates that df may identify those at risk of recurrence.

Original languageEnglish
Pages (from-to)571-575
Number of pages5
JournalBritish Journal of Haematology
Volume168
Issue number4
DOIs
Publication statusPublished - 10 Oct 2014

Keywords

  • Anticoagulation
  • Blood coagulation
  • Haemostasis
  • Venous thrombosis
  • Warfarin

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