Fig. 4
From: Monitoring the coagulation status of trauma patients with viscoelastic devices
Results using the ROTEM system in a coagulopathic patient with complicated medical conditions. This was a ROTEM result in an 80-year-old woman who complained of vertigo. She had undergone artificial blood vessel replacement surgery for thoracoabdominal aortic aneurysm 8Â years previously, and she had chronic hepatitis C, liver cirrhosis (Child-Pugh class B), and chronic atrial fibrillation. The ROTEM test revealed prolonged CT, prolonged CFT, low alpha angle, and low clot amplitude in every test in EXTEM and INTEM. Additionally, significantly reduced clot firmness in FIBTEM indicated fibrinogen dysfunction. This patient was not diagnosed with any acute cerebrovascular disease, and she was discharged on the same day