Table 3

Temporal changes in coagulation assays over time

VariableT0T1T2T3
Laboratory
PT
Median (IQR)13 (12–14)22 (20–26)13 (13–15)12 (12–13)
P value0.0030.4150.191
APTT
Median (IQR)27 (26–32)180 (180–180)28 (28–31)27 (26–31)
P value0.0010.8700.976
TCT
Median (IQR)16 (14–18)180 (180–180)17 (16–24)15 (14–17)
P value0.0200.0540.256
Fibrinogen
Median (IQR)2.87 (2.61–3.01)2.65 (2.19–2.78)2.69 (2.65–2.91)3.16 (2.91–3.37)
P value0.0160.8580.007
ROTEMSigma
MCF FIBTEM
Median (IQR)18 (12–19)15 (12–19)17 (13–18)17 (12–20)
P value0.2990.4940.928
CT HEPTEM
Median (IQR)178 (169–181)223 (212–229)181 (175–187)177 (162–183)
P value0.0040.1260.755
MCF HEPTEM
Median (IQR)60 (52–66)60 (58–66)58 (57–59)61 (58–63)
P value0.2110.8780.097
TEG6s
MA CRT
Mean (SD)63.2 (3.3)64.3 (2.6)63.6 (2.9)63.8 (2.9)
P value0.0050.2720.164
R CRT
Mean (SD)0.44 (0.13)2.27 (1.00)0.59 (0.24)0.40 (0.13)
P value<0.0010.0570.459
MA CKH
Median (IQR)60.9 (58.2–63.5)60.8 (33.1–62.0)60.7 (57.3–61.2)62.0 (59.2–66.1)
P value0.5000.9980.018
R CKH
Median (IQR)7.2 (6.9–8.0)9.8 (6.1–12.3)8.9 (7.1–9.5)8.1 (7.2–8.8)
P value0.2860.0830.062
MA CFF
Median (IQR)23.6 (20.5–26.6)22.1 (19.2–24.9)23.5 (21.1–26.5)22.9 (20.3–29.6)
P value0.6550.3060.247
TEG-ACT
Median (IQR)97 (79–97)219 (182–303)97 (88–116)88 (79–97)
P value0.0030.0580.582
  • aPTT, activated partial thromboplastin time; CFF, citrated functional fibrinogen; CK, citrated kaolin; CKH, citrated kaolin with heparinase; CRT, RapidTEG; CT, clotting time; EXTEM, activation of extrinsic pathway; FIBTEM, activation of extrinsic pathway and in vitro blocking of thrombocytes; HEPTEM, activation of intrinsic pathway and in vitro blocking of heparin; INTEM, activation of intrinsic pathway; MA, maximum amplitude; MCF, maximum clot firmness; PT, prothrombin time; R, reaction time; T0, baseline post induction of anaesthesia; T1, postheparin and TAVI deployment; T2, post protamine; T3, 6 hours postprocedure; TCT, total clotting time.