Conclusion
ATAAD induces an activation of the coagulation system that affects all
three subsystems: the extrinsic, the intrinsic and the common pathway.
ROTEM does not adequately catch the full coagulopathy in ATAAD. A
transfusion protocol in ATAAD should be specifically created to target
this complex coagulopathic state and ROTEM does not negate the need for
routine laboratory tests.