The prophylaxis of venous thrombosis in patients with cancer undergoing major abdominal surgery: Emerging options

被引:22
作者
Agnelli, Giancarlo
Caprini, Joseph A.
机构
[1] Univ Perugia, Dipartimento Med Interna, Sez Med Interna & Cardiovascolare, Stroke Unit & Cardiovasc Med, I-06126 Perugia, Italy
[2] Evanston NW Healthcare, Dept Surg, Evanston, IL USA
[3] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
[4] Northwestern Univ, Robert R McCormick Sch Engn & Appl Sci, Evanston, IL 60208 USA
关键词
VTE prophylaxis; cancer; abdominal surgery; factor Xa inhibitors;
D O I
10.1002/jso.20808
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer is a risk factor for venous thromboembolism (VTE). This risk is amplified by treatment with chemotherapy, radiation, or surgery. Thus, patients with cancer undergoing major surgery should receive appropriate prophylaxis. Available agents include low-dose unfractionated heparin (LDUH), low-molecular-weight heparin (LMWH), and Factor Xa inhibitors. Recent data suggest that Factor Xa inhibitors are safe and effective for VTE prevention in patients with cancer undergoing abdominal surgery. Further study in this patient population is warranted.
引用
收藏
页码:265 / 272
页数:8
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