New London Cancer Center

 

Coagulation Clinic:

Welcome to the Coagulation Clinic at the New London Cancer Center. Disorders of both bleeding and clotting are unique hematological problems that can be serious and need to be monitored closely.

Bleeding disorders include diseases that may be congenital (those that you are born with) or acquired later in life. There are many reasons why bleeding is unable to be controlled. Usually there is a problem with the clotting system in the body. Someone in your family can often have the same disease. To stop bleeding we use "replacement therapy." The coagulation clinic has expertise in diagnosing, treating, managing, and preventing complications of these bleeding disorders.

Clotting disorders occur because of hypercoagulation. This means that blood that is supposed to move through your body, clots. If it clots in a vessel, it is called a thrombosis. If the clot breaks up and travels to another place, this is called an embolism, such as people who develop strokes. Clotting disorders can be genetic or acquired throughout life. To dissolve clots we use "anticoagulation therapy." The coagulation clinic can help to manage and prevent excessive and recurrent clotting.

SERVICES PROVIDED

  • Initial consultation and treatment plan of clotting or bleeding disorder
  •  On site PT/INR with immediate results and management of coumadin therapy or other anticoagulation
  • Education and planning of short and long term therapy or anti-platelet therapy
  • Risk assessment for both clotting/bleeding disorders
  • Family inheritance evaluation
  • Pre-surgical evaluation and treatment of congenital and acquired blood disorders
  • Prevention of recurrent clotting
  • Management of dietary restrictions during anticoagulation therapy
  • Formulation and management of treatment plans during travel
  • Management of complications ensuing from excessive bleeding and recurrent clotting disorders


    TREATMENTS MONITORED AND MANAGED
  • Coumadin
  • Lovenox and "new Heparins"
  • Heparin
  • ASA and Anti-Platelet Agents
  • Factor replacement/Blood Products
  • DDAVP
  • Vitamin K
     

We provide evaluation, management and treatment of

Bleeding Disorders

  • Von Willebrand disease
  • Factor deficiencies
  • Inhibitors
  • Hemophilia
  • Platelet dysfunction
  • Vitamin K deficiency
  • Liver dysfunction
     

Hypercoagulation/Bleeding Disorders

  • Venous thromboembolism
  • Pulmonary embolism
  • Arterial thrombosis
  • Stroke
  • Factor V Leiden
  • Pregnancy
  • Protein C deficiency
  • Protein S deficiency
  • Anti-thrombin III deficiency
  • Genetic mutations
  • Thrombocytosis
  • Lupus anticoagulant
  • Prologed bedrest/nonambulatory
  • Hyperhomocysteinemia
  • Smoking/Obesity/Trauma/Surgery
  • Malignancy
 

National Cancer Institute   American Society of Clinical Oncology The American Society of Hematology Association of Community Cancer Centers, National Comprehensive Cancer Network
American Cancer Society The William W. Backus Hospital L&M Hospital National Breast Cancer Foundation

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