Diagnosis and therapy in cancer-associated thromboembolism – what about guideline recommendations?

A. Matzdorff

doi:10.12687/phleb2288-6-2015

Phlebologie, Table of Contents

Phlebologie 2015; 44(06): 299-303
DOI: 10.12687/phleb2288-6-2015

Review Article

Schattauer GmbH

Diagnostik und Therapie Tumorassoziierter venöser Thromboembolien – was sagen die Leitlinien?

Article in several languages: English | deutsch

Authors

A. Matzdorff

¹Asklepios Klinik Uckermark, Innere Medizin II, Schwedt, Germany

Abstract

Zusammenfassung

Tumorwachstum und Gerinnungsaktivierung sind pathophysiologisch eng miteinander verknüpft. Deshalb sind tumorassoziierte venöse Thromboembolien (VTE) häufig. Wäh-rend stationär aufgenommene Tumorpatienten eine Thromboseprophylaxe erhalten wird dies für ambulante Patienten in der Regel nicht empfohlen. Wenn Tumorpatienten doch eine VTE entwickeln, dann sollten sie mit einem NMH in therapeutischer Dosis für 3–6 Monate behandelt werden. Vitamin-K-Antagonisten haben ein höheres Blutungsrisiko und für NOAKs gibt es noch keine ausreichenden Daten. Nicht nur Hämato-Onkologen, sondern alle Ärzte, die Tumorpatienten betreuen, sollten mit den aktuellen Leitlinienempfehlungen vertraut sein. Auch die Patienten sollten über die Symptome einer VTE informiert sein.

Schlüsselwörter

Krebs - venöse Thromboembolie - Leitlinien - Tumor - Prophylaxe

Full Text

References

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