THBD and thrombophilia: Our results are in accord with earlier reports that ROTEM does not indicate hypercoagulability in chronic liver disease.[26,32] In particular, the patients with Child-Pugh C did not have an explicit hypercoagulability as has been suggested by studies using thrombin generation measured with thrombomodulin.[5,12] Expression of hypercoagulability on TEG varies among liver diseases classically considered as potential hypercoagulable.