Bleeding and clotting disorders

About

We provide a full range of diagnostic and management services for patients with bleeding disorders including severe hereditary disorders such as haemophilia, blood coagulation, thrombosis (clotting), von Willebrand disease and platelet disorders. The service extends over all three Trust sites and is part of the North London Adult Haemophilia Network. A complementary service for diagnosis and management of patients with acquired or hereditary thrombotic disorders is provided in parallel.

We provide a service for monitoring of anticoagulation therapy; principally warfarin. We also provide advice on duration of anticoagulation, a choice of several new anticoagulants and management around surgery.

Conditions and treatments

We offer a variety of treatments for bleeding and clotting disorders, including:

• Replacement therapy and adjunctive treatments such as desmopressin and tranexamic acid; either as regular treatments or for specific episodes such as surgery
• Advice on choice of anticoagulant, intensity and duration of treatment
• Management for surgery
• Management of bleeding episodes
• Coagulation screens
• Assays for specific coagulation factors
• Lupus anticoagulant testing
• Thrombophilia testing
• Platelet function testing
• Advice on any of the above

Additional information

Clinical trials and research:

We participate in trials of novel agents for treatment of bleeding disorders and thrombosis, which change frequently. If you would like to participate in trials then please ask the doctor in clinic.

Education

If you are interested in an elective placement with our service, please contact imperial.Electives@nhs.net.

Further online resources

• The Haemophilia Society
• Thrombosis UK