Father carried his baby girl on shoulders

Hematology (Blood Disorders)

Our Approach to Hematology (Blood Disorders) Care

FACT Accredited
National Alliance of Sickle Cell Centers
ATHN logo
American Society of Hematology

Montefiore Einstein Hematology (Blood Disorders) is one of the largest programs of its kind in the country, and is a globally recognized leader, providing comprehensive, state-of-the-art care for adults and children with the full range of inherited and acquired nonmalignant hematologic conditions, from anemias and hemoglobinopathies to bleeding disorders and thrombosis.

Our multidisciplinary team of world-renowned hematologists collaborates closely with hematopathologists, geneticists, endocrinologists, nephrologists, rheumatologists, immunologists, obstetricians, gynecologists, oncologists, surgeons, primary care providers and other specialists to provide seamless and coordinated compassionate care.

We are proud members of the National Alliance of Sickle Cell Centers, the American Thrombosis & Hemostasis Network and the American Society of Hematology, reflecting our commitment to advancing research, improving outcomes and delivering the highest standards of care in hematology. Our programs are also accredited by the Foundation for the Accreditation of Cellular Therapy, recognizing excellence in cellular therapy and transplantation services.

A Legacy of Firsts in Hematology Innovation

We were among the first in the nation to manage bridging anticoagulation as an outpatient therapy for thrombosis. As pioneers in hematopoietic stem cell research and transplantation methods, our paradigm-shifting discoveries have led to the development of many of the latest treatments used today, including transformative therapies for vaso-occlusion in sickle cell disease (SCD). We use the most up-to-date Food and Drug Administration (FDA)-approved and newly emerging therapies to effectively manage symptoms, prevent complications, achieve remission or a cure, and improve the quality of life for each patient. 

Home to the first sickle cell center and research laboratory in the U.S., we have been at the forefront of innovation in research, education and advancing clinical care for blood disorders for more than 70 years. 

Expert Care Across the Full Spectrum of Blood Disorders

We are one of the few gene-therapy-certified treatment centers for SCD in the U.S. and one of the nation’s premier destinations for clotting disorders. Our Thrombosis Prevention and Treatment Program and Sickle Cell Center are among the largest programs of their kind in the nation, and our Health Resources and Services Administration-designated Comprehensive Adult Hemostasis & Thrombosis Center is the first to be approved in the New England region for more than 40 years. 

Our specialists use an integrated and personalized care approach tailored to each patient. We offer state-of-the-art laboratory and hematopathologic testing, including next-generation genomic sequencing, we work hand in hand with interventional surgical teams for periprocedural planning and we help diagnose malignant blood conditions.

Group of medical professionals in lab coats examining slides through microscopes in a classroom setting, with blood cell images displayed on a screen.

State-of-the-Art Diagnostics

We offer the latest hematologic, morphologic, genetic and genomic testing, including next-generation sequencing, to help inform optimal management and prognosis and facilitate precision care plans. We use advanced bone marrow aspiration and biopsy techniques and incorporate digital morphology and artificial-intelligence-driven assessments to enhance the accuracy and efficiency of identifying pathologic bone marrow and blood cells. Our in-house American Society for Histocompatibility and Immunogenetics-accredited immunology laboratory offers state-of-the-art histocompatibility, immunology and immunogenetics testing, including the latest human leukocyte antigen typing, antibody and cross-match testing techniques to ensure the best possible outcomes for patients.

For prenatal diagnosis, we also offer advanced noninvasive prenatal screening tests and work together with specialists from our Department of Obstetrics & Gynecology and Women's Health who specialize in performing chorionic villus sampling, amniocentesis and cordocentesis to collect circulating fetal cells, as well as sophisticated blastocyst biopsy for pre-implantation embryo diagnostics.

We closely monitor our patients to prevent, detect and treat blood clots, bleeding issues or malignant transformations. When needed, we use advanced imaging like venous duplex ultrasonography, ventilation/perfusion scans, computed tomography (CT) pulmonary angiography, high-resolution 3T magnetic resonance imaging, CT and positron emission tomography scans.

Leading-Edge Treatments

We offer personalized, leading-edge treatments across the full spectrum of blood disorders. These range from lifestyle modifications and supportive measures to the latest FDA-approved and newly emerging therapies and treatments. We also offer access to numerous clinical trials, enabling patients to benefit from the latest advancements that may not be available to the general public.

Our world-renowned team uses the most advanced treatments and targeted therapies, from gene and ribonucleic acid (RNA)-based therapies to bispecific antibodies and recombinant clotting factor therapies for bleeding and clotting disorders. Our leading-edge treatments to prevent and control blood clots and bleeding include advanced blood thinners, clotting factor therapies and special medications for hemophilia patients with inhibitors. Monoclonal antibody treatments and new complement inhibitors help with certain blood-related immune disorders. Tyrosine kinase inhibitors, including Janus kinase (JAK) inhibitors, are used for myeloproliferative diseases. We provide newly approved gene therapies for our SCD patients.

For some blood disorders that do not respond to other treatments, surgery might be needed. This can include removing the spleen (splenectomy). We collaborate closely with our world-renowned surgical teams & develop treatment plans to ensure optimal surgical outcomes.

Home to the first sickle cell center and research laboratory in the U.S. and the second largest in the country, we are one of the few gene-therapy-certified treatment centers for SCD. We provide access to the complete range of SCD treatments, such as:

  • Allogeneic and haploidentical stem cell transplantation
  • Disease-modifying therapies
  • Iron chelation therapy
  • Newly approved gene therapies for SCD, including:
    • Lyfgenia
    • Casgevy
  • Pain management, including medical cannabis
  • Simple and exchange transfusion therapy

At our Adult Comprehensive Hemostasis & Thrombosis Center, we offer expertise in administering therapies such as:

  • Antifibrinolytics
  • Bispecific antibody therapy
  • Desmopressin (DDAVP)
  • Gene and small interfering RNA therapies
  • Recombinant (synthetically manufactured) clotting factor therapies with extended half-life

Because these therapies do not rely on human blood plasma, patients are not at risk of contracting bloodborne infections, such as hepatitis and human immunodeficiency virus. We also offer bypassing agents to treat bleeding in patients with hemophilia with inhibitors.

At our thrombosis program, we use the latest anticoagulation, antithrombotic and hemostatic (reversal) therapies, such as:

  • Antiplatelet medications
  • Direct oral anticoagulants
  • Direct thrombin inhibitors
  • Heparins
    • Intravenous unfractionated heparin
    • Low-molecular-weight heparin
  • Vitamin K antagonists (such as warfarin)

Our multidisciplinary team of vascular doctors offers a variety of the latest endovascular treatments, including:

  • Catheter-directed thrombolysis
  • Inferior vena cava (IVC) filters, including retrievable IVC filters
  • Percutaneous aspiration thrombectomy
  • Pharmacomechanical catheter-directed thrombolysis, administering “clot-busting” drugs directly into the clot
  • Venous balloon dilation

At our immunohematology program, we offer a full range of the latest treatments, such as:

  • A wide range of monoclonal antibody therapies that target different parts of the immune system
  • Anticytokine therapy, such as tocilizumab and siltuximab
  • B-cell-directed therapies, such as rituximab and obinutuzumab
  • Clinical trials exploring new agents and therapies
  • Complement inhibitors
  • Corticosteroids and other immunosuppressive and immunomodulatory agents
  • Hemostatic therapies, such as tranexamic acid
  • Intravenous immunoglobulin
  • Plasma-cell-directed therapies, such as bortezomib and daratumumab
  • Platelet transfusion
  • Small-molecule spleen tyrosine kinase inhibitors
  • Thrombopoietin receptor agonists

Other newly emerging treatments targeting multiple sites within the complement pathway are also available.

At our myeloproliferative neoplasms program, we provide a broad range of treatments, including:

  • Antiplatelet therapies
  • Allogeneic hematopoietic stem cell transplantation
  • Clinical trials exploring new agents and therapies
  • Cytoreductive therapies to reduce the number of blood cells in the bloodstream, including:
    • Chemotherapy
    • Immunotherapies/immunomodulators to stimulate the immune system to fight the overproduction of blood cells
    • Interferon/pegylated interferon alpha-2a (PEG-IFN-α-2a)
    • Tyrosine kinase inhibitors/JAK inhibitors
  • Platelet-reducing agents
  • Therapeutic phlebotomy

Innovative treatments to reduce itching for patients with polycythemia vera and plateletpheresis (removing platelets from the blood) for individuals with essential thrombocythemia are also available.

Most cases of iron deficiency and iron deficiency anemia (IDA) can be successfully managed with oral iron supplementation. Certain individuals may benefit from intravenous (IV) iron therapy. At Montefiore Einstein Classical Hematology, we offer access to the latest iron formulations that allow for administering a total dose infusion in one visit to enhance convenience. We developed a novel rapid telemedicine referral platform (e-IRON Program) for triaging and expediting the management of patients with iron deficiency and IDA who require IV iron infusion.

Illustration of two lab technicians holding test tubes standing in front of a wall with multitude of lab samples illustrations.

Clinical Trials for Hematology

Find a clinical trial that is right for you.

Research & Clinical Trials

Our world-renowned team leads groundbreaking research in blood disorders, partnering with major organizations like the Centers for Disease Control and Prevention, National Institutes of Health (NIH), American Society of Hematology (ASH) and American Thrombosis and Hemostasis Network (ATHN) to develop new diagnostics and treatments. Through clinical trials, we help set new standards of care and have contributed to FDA approvals of innovative medications. These trials also give patients access to emerging therapies that are not yet available to the public.

Our research spans from understanding blood disorder biology and genetics to improving treatment options like stem cell therapy and immune modulation. We contribute to national studies through organizations such as NIH, ASH and ATHN, which help improve patient care. Our work has advanced knowledge in areas like anticoagulation guidelines for COVID-19 and the diagnosis and treatment of Evans syndrome.

We have played a key role in SCD research, exploring genetic factors, treatment approaches like gene therapy, and new care strategies. By collaborating with data experts, we use machine learning to enhance patient care and standardize pain management protocols. Our contributions continue to shaping the future of hematology and improving patient outcomes.

Pioneers in Hematopoietic Stem Cell Research

Our researchers discovered that white blood cells, not just misshapen red blood cells, play a key role in sickle cell blockages, leading to the FDA approval of new therapies. We also uncovered how gut bacteria influence sickle cell complications and how the nervous system controls the movement of stem cells in the body. Additionally, we were the first to identify a process called trogocytosis in stem cells, which could improve stem cell transplants.

smiling older couple walking together down a city sidewalk

Care Navigation & Support Services

If you or your child is newly diagnosed with a chronic blood condition, such as immune thrombocytopenic purpura, hemophilia or SCD, our world-renowned team at Montefiore Einstein Hematology is here to provide you with exceptional support, care and resources. Our full-service center offers a comprehensive range of traditional and holistic care, from screening, prevention and diagnosis to treatment and recovery, including social and support services, genetic counseling and education. Our expansive breadth of resources enables us to deliver highly specialized and coordinated care that takes into account the whole person, addressing each individual’s complex medical needs and improving quality of life. Our team of compassionate and deeply knowledgeable doctors, nurses, specialists and support staff is dedicated to helping you at every step of your hematology care journey.

Hematology Programs & Services

Montefiore Einstein Hematology is a global leader, providing comprehensive, state-of-the-art care for adults and children with the full range of inherited and acquired nonmalignant hematologic conditions. We are renowned for our leading-edge research, innovative education and dedication to delivering the highest-quality care for all individuals. Explore our comprehensive suite of state-of-the-art programs and services below.

Your Hematology Team

Our multidisciplinary team of world-renowned hematologists specializes in the prevention, diagnosis and management of the full spectrum of hematology conditions, delivering comprehensive and personalized care. We are committed to optimizing outcomes, relieving symptoms, preventing complications and improving the quality of life for all patients and their families.

Meet Your Hematology Team

Learn More About Hematology Conditions, Screenings, Preventions and Treatments

Receiving a blood disorder diagnosis, or being at risk for or suspected of having one, can feel overwhelming, but learning more about the diagnosis can help you navigate treatment and care. Visit the links below to learn more about some of the different types of hematologic conditions, their causes and associated symptoms, as well as screening, diagnosis, prevention and treatment options. The list below includes a selection of blood disorders and related conditions. Schedule a consultation with us for diagnosis, prevention and treatment options for any hematologic conditions.

Training the Hematology and Oncology Leaders of the Future

One of the largest programs of its kind, with approximately 30 trainees, our three-year combined Hematology/Oncology Fellowship, accredited by the Accreditation Council for Graduate Medical Education, provides trainees with comprehensive exposure to a broad diversity of patients and pathologies in a collegial learning environment. Our trainees are provided extensive clinical and research opportunities, structured didactics and mentorship from some of the world’s preeminent Hematology/Oncology investigators and clinicians. With an emphasis on clinical, translational and basic hematology and oncology research, fellows receive training in clinical practice, clinical investigation and laboratory science. Our goal is to foster the careers of our trainees, preparing them for modern academic and clinical practice.

Find Psychiatry & Behavioral Sciences Locations

Our Locations

Montefiore Einstein Hematology provides hematologic care at multiple convenient locations, offering advanced treatments for all types of blood disorders.