Venous thromboembolic complications in lymphoma patients

作者: Darko Antić , Biljana Mihaljević , Vladimir Otašević

DOI: 10.5937/MP71-29196

关键词: Intensive care medicineThrombosisIncidence (epidemiology)Clinical courseVte prophylaxisLymphomaIn patientRandomized controlled trialMalignancy

摘要: Lymphomas represent a heterogeneous group of malignant hematological diseases with high risk for development venous thromboembolic complications (VTE). Consequently, VTE significantly impacts morbidity and mortality in these patients. Another concern is the financial burden healthcare system caused by diagnostic therapeutic procedures cancer-associated thrombosis (CAT). The complex biology lymphoma, conjunction patient treatment related factors VTE, results procoagulant hemostatic dysregulation. Considering incidence patients there an emerging demand both reliable risks assessment model (RAM) prediction as well effective prophylaxis treatment. clinical course accompanied wide range potential complications, making task prevention even more challenging. In recent years, great progress has been achieved understanding pathophysiological mechanisms thrombotic while significant number randomized controlled trials (RCT) have provided standards malignancy. comparison to previous recommendations guidelines CAT, use direct oral anticoagulants (DOAC) gradually approaching low molecular weight heparins (LMWH) terms efficacy safety profile indications. This systematic review focused on latest advances, assessment, prophylactic concerning lymphoma.

参考文章(72)
Connie I Diakos, Kellie A Charles, Donald C McMillan, Stephen J Clarke, Cancer-related inflammation and treatment effectiveness Lancet Oncology. ,vol. 15, ,(2014) , 10.1016/S1470-2045(14)70263-3
Vanesa Caruso, Augusto Di Castelnuovo, Susana Meschengieser, Maria A. Lazzari, Giovanni de Gaetano, Sergio Storti, Licia Iacoviello, Maria Benedetta Donati, Thrombotic complications in adult patients with lymphoma: a meta-analysis of 29 independent cohorts including 18 018 patients and 1149 events Blood. ,vol. 115, pp. 5322- 5328 ,(2010) , 10.1182/BLOOD-2010-01-258624
Gokhan Keser, Inflammation-induced thrombosis: mechanisms, disease associations and management. Current Pharmaceutical Design. ,vol. 18, pp. 1478- 1493 ,(2012) , 10.2174/138161212799504731
M Mohren, I Markmann, K Jentsch-Ullrich, M Koenigsmann, G Lutze, A Franke, Increased risk of thromboembolism in patients with malignant lymphoma: a single-centre analysis British Journal of Cancer. ,vol. 92, pp. 1349- 1351 ,(2005) , 10.1038/SJ.BJC.6602504
Alok A. Khorana, Gregory C. Connolly, Assessing Risk of Venous Thromboembolism in the Patient With Cancer Journal of Clinical Oncology. ,vol. 27, pp. 4839- 4847 ,(2009) , 10.1200/JCO.2009.22.3271
Richard A. Marlar, Sanam Husain, The enigmas of the lupus anticoagulant: Mechanisms, diagnosis, and management Current Rheumatology Reports. ,vol. 10, pp. 74- 80 ,(2008) , 10.1007/S11926-008-0013-X
Wendy Lim, Francesco Dentali, John W. Eikelboom, Mark A. Crowther, Meta-Analysis: Low-Molecular-Weight Heparin and Bleeding in Patients with Severe Renal Insufficiency Annals of Internal Medicine. ,vol. 144, pp. 673- 684 ,(2006) , 10.7326/0003-4819-144-9-200605020-00011
Anna Falanga, Marina Marchetti, Laura Russo, Venous thromboembolism in the hematologic malignancies. Current Opinion in Oncology. ,vol. 24, pp. 702- 710 ,(2012) , 10.1097/CCO.0B013E3283592331