PMID- 19228604 OWN - NLM STAT- MEDLINE DCOM- 20090305 LR - 20240312 IS - 1524-4636 (Electronic) IS - 1079-5642 (Print) IS - 1079-5642 (Linking) VI - 29 IP - 3 DP - 2009 Mar TI - New insights into cancer-associated thrombosis. PG - 316-20 LID - 10.1161/ATVBAHA.108.182196 [doi] AB - Venous thromboembolism (VTE) is an increasingly frequent complication of anticancer therapy. The underlying mechanisms are not completely understood, but are related in part to oncogene activation and tissue factor (TF) expression. Several risk factors have been identified including site and stage of cancer, patient comorbidities, and specific therapeutic agents. Candidate biomarkers such as blood counts, TF, and P-selectin have recently been identified. A risk model predictive of chemotherapy-associated VTE has been validated. Thromboprophylaxis with low molecular weight heparin (LMWH), unfractionated heparin (UFH), or fondaparinux is recommended for hospitalized medical and surgical cancer patients. Long-term anticoagulation with LMWH is safe and effective in reducing recurrent VTE in cancer. The role of thromboprophylaxis in ambulatory cancer patients receiving chemotherapy is an area of active investigation. FAU - Sousou, Tarek AU - Sousou T AD - James P. Wilmot Cancer Center and the Department of Medicine, University of Rochester, NY, USA. FAU - Khorana, Alok A AU - Khorana AA LA - eng GR - K23 CA120587/CA/NCI NIH HHS/United States GR - K23 CA120587-03/CA/NCI NIH HHS/United States GR - R01 HL095109/HL/NHLBI NIH HHS/United States GR - 1R01HL095109-01/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Arterioscler Thromb Vasc Biol JT - Arteriosclerosis, thrombosis, and vascular biology JID - 9505803 RN - 0 (Anticoagulants) RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers) SB - IM MH - Anticoagulants/*therapeutic use MH - Antineoplastic Agents/*adverse effects MH - Biomarkers/blood MH - Blood Coagulation/*drug effects MH - Humans MH - Neoplasms/blood/*complications/drug therapy MH - Predictive Value of Tests MH - Risk Assessment MH - Risk Factors MH - Secondary Prevention MH - Treatment Outcome MH - Venous Thromboembolism/blood/drug therapy/*etiology/prevention & control PMC - PMC2727713 MID - NIHMS126042 EDAT- 2009/02/21 09:00 MHDA- 2009/03/06 09:00 PMCR- 2010/03/01 CRDT- 2009/02/21 09:00 PHST- 2009/02/21 09:00 [entrez] PHST- 2009/02/21 09:00 [pubmed] PHST- 2009/03/06 09:00 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - 29/3/316 [pii] AID - 10.1161/ATVBAHA.108.182196 [doi] PST - ppublish SO - Arterioscler Thromb Vasc Biol. 2009 Mar;29(3):316-20. doi: 10.1161/ATVBAHA.108.182196.