Journal of Thrombosis and Circulation: Open Access

Abstract

Clinical Profile of Patients Undergoing Thromboelastography and Its Effectiveness as A Point of Care Diagnostic Modality in Hemostasis

Tejaswini Gudibande*, Hema Subramanian, Deepak Basavaraju Marballi, Deepak Basavaraju Marballi, Shalini Kunigal, Sudarshan Chougle, Chaitanya GB and Mallika Reddy

Thromboelastography (TEG) is a technique for evaluating the effectiveness of whole blood coagulation. It gives a better picture in line with the cell-based model of hemostasis. Although it is increasingly used in emergency rooms, critical care units, perioperative wards and labour room, the effectiveness of this POCT is not appreciated by the medical community.

This retrospective case series analyzed the clinical characteristics of 61 patients who underwent Thromboelastography (TEG) between June 2022 and July 2023 at a tertiary care institution. The most common indication was perioperative assessment during liver transplantation, followed by cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC). TEG offered real-time evaluation of coagulation dynamics, supporting transfusion strategies and aiding in the management of complex bleeding disorders across varied clinical contexts. Distinct and recurring graphical patterns—including the “shallot sign,” “beetroot shoot,” “trophy sign,” and “pebbles on the street”—were observed. Overall, the study underscores TEG’s utility as a point-of-care diagnostic tool in addressing diverse hemostatic challenges.

Published Date: 2026-12-16; Received Date: 2025-12-08