Perioperative Monitoring with Rotational Thromboelastometry in a Severe Hemophilia A Patient Undergoing Elective Ankle Surgery.

Abstract

We read with great interest the report from Tsantes et al[1] describing the ability of rotational thromboelastometry to identify patients at high risk for bleeding, transfusion requirements, and excessive bleeding in major orthopaedic surgery, as published in a recent issue of Seminars in Thrombosis and Hemostasis. We therefore wish to report a case of hemophilia A that was successfully monitored using rotational thromboelastometry (ROTEM) in orthopaedic perioperative management during arthrodesis.