Open AccessManagement of Coagulopathy during Bleeding and Invasive Procedures in Patients with Liver Failure
Author(s) -
Andreas Drolz,
Arnulf Ferlitsch,
Valentin Fuhrmann
Publication year - 2018
Publication title -
visceral medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.598
H-Index - 17
eISSN - 2297-475X
pISSN - 2297-4725
DOI - 10.1159/000491106
Subject(s) - coagulopathy , hemostasis , medicine , cirrhosis , intensive care medicine , liver disease , disease , liver failure , surgery
Alterations in hemostasis are a characteristic feature of advanced liver disease. Patients with coagulopathy of advanced liver disease are prone to bleedings and also thromboembolic events. Under stable conditions, cirrhosis patients show alterations in both pro- and anticoagulatory pathways, frequently resulting in a rebalanced hemostasis. This review summarizes current recommendations of management during bleeding and prior to invasive procedures in patients with cirrhosis.