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Updated: Nov 1, 2025

Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
Published on: June 4, 2020
Comparison between thromboelastography and conventional coagulation assays in patients with deep vein thrombosis
Chaoqin Mao1, Yueshan Xiong2, Cheng Fan3
1Department of Rehabilitation, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Insights
Thromboelastography (TEG) effectively identifies deep vein thrombosis (DVT) and hypercoagulability, outperforming conventional coagulation assays (CCAs). TEG offers superior insights into DVT patient coagulation status compared to CCAs.
Area of Science:
- Hematology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Conventional coagulation assays (CCAs) have limitations in assessing coagulation in deep vein thrombosis (DVT) patients.
- There is a need for more effective methods to evaluate coagulation status in DVT.
- Thromboelastography (TEG) is a potential alternative for DVT assessment.
Purpose of the Study:
- To compare the efficacy of TEG and CCAs in identifying DVT.
- To evaluate coagulation status in DVT patients using both TEG and CCAs.
- To determine the diagnostic capabilities of TEG versus CCAs for DVT.
Main Methods:
- A study involving 66 DVT patients and 40 healthy controls.
- Blood samples analyzed using TEG and CCAs within 4 hours of hospital admission.
- Comparative analysis of TEG and CCA parameters between DVT patients and controls.
Main Results:
- TEG revealed significant differences, indicating hypercoagulability in DVT patients.
- CCAs showed no significant differences between DVT patients and controls.
- TEG demonstrated a superior ability to identify DVT compared to CCAs.
- Few correlations were found between TEG and CCA parameters.
Conclusions:
- TEG is advantageous for identifying DVT and detecting hypercoagulability.
- TEG provides a better understanding of coagulation status in DVT patients than CCAs.
- TEG offers a more insightful diagnostic approach for DVT management.
Background:
Conventional coagulation assays (CCAs) are of limited value in the assessment of coagulation status in patients with deep vein thrombosis (DVT). We aimed to compare thromboelastography (TEG) and CCAs in identifying DVT and evaluating coagulation status in DVT patients.
Methods:
Sixty-six patients diagnosed with DVT and forty healthy controls were enrolled. Blood samples were collected within 4 h of patients' admission to hospital before any operation and tested by TEG and CCAs. TEG and CCA parameters were compared between DVT patients and controls. The ability of each parameter in identifying DVT was assessed. Pearson's correlation was used to determine the correlation between TEG and CCA parameters among the study population.
Results:
TEG showed significant differences between DVT patients and controls, indicating a hypercoagulable tendency in patients suffering from DVT. In contrast, no significant difference regarding CCAs was observed between the DVT and control group. Furthermore, TEG displayed a better capacity in identifying DVT than CCAs. In addition, Pearson's correlation analysis showed TEG and CCA parameters had few correlations.
Conclusion:
TEG has advantages in identifying DVT and detecting hypercoagulability, and provides a better insight in evaluating coagulation status in patients with DVT than CCAs.
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