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Venous Thromboembolism

  • Nicola Maurea
  • Antonietta Caronna
  • Elie N. Mouhayar
Chapter
Part of the Current Clinical Pathology book series (CCPATH)

Abstract

Venous thromboembolism (VTE) is particularly common in cancer patients. Among all patients with VTE, 20% have underlying active malignancy. VTE may be the presenting sign of an occult malignancy, and 10% of patients with idiopathic VTE develop cancer within 2 years. Among hospitalized cancer patients, the cumulative incidence of deep venous thrombosis (DVT) has been reported at 4.6%. On the other hand, up to 50% of cancer patients were found to have evidence of DVT at autopsy. Compared to controls, patients with cancer have a higher risk of first and recurrent VTE, as well as bleeding on anticoagulants.

Currently, the gold standard of VTE treatment is low-molecular-weight heparin, but the results of ongoing trials and a better understanding of bleeding risks related to the pharmacodynamic interaction between direct acting anticoagulants with chemotherapy and better evidence of clinical safety could lead to a change in the therapeutic approach to this pathology.

Keywords

Venous thromboembolism Cancer Pulmonary embolism DOACs Low-molecular-weight heparin VKAs 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nicola Maurea
    • 1
  • Antonietta Caronna
    • 1
  • Elie N. Mouhayar
    • 2
  1. 1.Division of CardiologyIstituto Nazionale Tumori - IRCCS - Fondazione G. PascaleNaplesItaly
  2. 2.Department of Cardiology, Division of Internal MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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