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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