Antithrombotic therapy in oncology patients
A.V. VOROBIEV, A.D. MAKATSARIYA
First Moscow State Medical University named after I.M. Sechenov, 2 Pirogovskaya St., b.4, Moscow, Russian Federation, 119991
Vorobiev A.V. — Cand. Med. Sc., Associate Professor of the Department of Obstetrics and Gynecology of Public Health Faculty, tel. +7-903-105-63-65, e-mail: alvorobev@gmail.com
Makatsariya A.D. — Corresponding Member of the Russian Academy of Medical Sciences, Professor, D. Med. Sc., Head of the Department of Obstetrics and Gynecology of Public Health Faculty, tel. +7-903-08-97, e-mail: gemostasis@mail.ru
The article describes the main anticoagulant drugs used for patients with cancer, taking into consideration the pathogenetic aspects of hypercoagulation status in oncologic patients: oral anticoagulants, heparin drugs, selective factor Xa inhibitors. The main advantages of low molecular weight heparin as compared with unfractioned heparin are described. The article provides a comparison of low-molecular weight heparin drugs, their generics and biosimilar drugs. Recommendations on prevention of thrombotic complications in cancer patients are provided. An overview of the possible complications of heparin therapy and methods of their prevention is presented.
Key words: low molecular weight heparin, oral anticoagulants, heparin induced thrombocytopenia, thrombosis prophylaxis, factor Xa inhibitors.
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