Thromboembolic Disease and Antithrombotic Therapy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Hematology".

Deadline for manuscript submissions: 20 September 2024 | Viewed by 920

Special Issue Editor


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Guest Editor
1. Northern Clinical Diagnostics and ThrombovAscular Research (NECTAR) Center, Northern Health, Epping, Melbourne, VIC 3076, Australia
2. Diagnostic Services, Northern Health, Epping, Australia
3. Australian Centre for Blood Diseases, Monash University, Prahran, Melbourne, Australia
4. Department of Medicine, Northern Health, University of Melbourne, Epping, Australia
Interests: thrombosis; anticoagulation; venous thromboembolism; pulmonary embolism; hematology
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Special Issue Information

Dear Colleagues,

Venous thromboembolism is a common disorder affecting up to 1 in 12 individuals in their lifetime, with substantial healthcare and socioeconomic costs due to its recurrence and complications. The introduction of direct oral anticoagulant in the last decade marked a paradigm shift in the management of VTE, although there remains significant disease burden represented by chronic complications such as post thrombotic syndrome and chronic thromboembolic pulmonary hypertension, risk of recurrent thrombosis, bleeding risk associated with anticoagulation and substantial mortality. Despite improved acute VTE management, the management of chronic complications remains inadequate. More recently, Factor XI and XII have emerged as potential new targets for novel anticoagulants.

The next challenge in thrombosis management is the development of effective risk stratification methods using novel biomarkers to encompass the multifactorial contributors to thrombosis, including the various components of Virchow’s triad and taking into account epigenetic mechanisms in modulating VTE. Much refinement is still required to ensure the equilibrium between thrombotic and bleeding risk is carefully maintained. These biomarkers, when identified, will allow the transition of traditional thrombosis care into personalised medicine, and facilitate the development of specific targeted therapies for this heterogenous disease. 

This Special Issue aims to bring together a body of literature which discusses the latest research in thromboembolic disease and antithrombotic therapy as we move towards personalised VTE therapy.

Dr. Prahlad Ho
Guest Editor

Manuscript Submission Information

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Keywords

  • thrombosis
  • pulmonary embolism
  • manticoagulation
  • DOAC (direct oral anticoagulants)
  • DVT (deep vein thrombosis)
  • novel anticoagulants (factor XIa inhibitors)
  • thrombin
  • fibrin generation
  • risk stratification
  • biomarkers
  • Virchow’s triad
  • post thrombotic syndrome

Published Papers (1 paper)

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Review

10 pages, 379 KiB  
Review
Primary Thromboprophylaxis for the Prevention of Venous Thromboembolism in Cancer Patients with Central Venous Catheters: A Literature Review
by Hikmat Abdel-Razeq and Mohammed J. Al-Jaghbeer
J. Clin. Med. 2024, 13(6), 1660; https://doi.org/10.3390/jcm13061660 - 14 Mar 2024
Viewed by 802
Abstract
Cancer is a known risk factor for venous thromboembolism (VTE). The wider adoption of immunotherapy and anti-angiogenic drugs in recent years have increased this risk further. Central venous catheters (CVCs) are widely used access devices utilized to deliver infusion therapy, mostly in ambulatory [...] Read more.
Cancer is a known risk factor for venous thromboembolism (VTE). The wider adoption of immunotherapy and anti-angiogenic drugs in recent years have increased this risk further. Central venous catheters (CVCs) are widely used access devices utilized to deliver infusion therapy, mostly in ambulatory settings. The endothelial injury associated with the use of these catheters adds to the risk of VTE to already high-risk patients. The introduction of direct oral anticoagulants (DOACs), with its proven efficacy and safety in multiple clinical indications, have renewed the attention to VTE prophylaxis in cancer patients with CVC. Several clinical trials and meta-analyses had shown that both apixaban and rivaroxaban are effective in lowering the risk of VTE, without increasing the risk of bleeding. Several risk assessment models (RAM) have utilized patient-related, tumor-related, and treatment-related factors, in addition to widely available biomarkers, like Hemoglobin (Hb) level, white blood cell (WBC) and platelets counts to stratify patients into two or three VTE risk levels. In this manuscript, we review the published clinical trials and meta-analyses that attempted to study the efficacy and safety of anticoagulants, mostly the DOACs, in cancer patients with CVCs. We will also propose a practical risk-directed approach to enhance VTE prophylaxis rate. Full article
(This article belongs to the Special Issue Thromboembolic Disease and Antithrombotic Therapy)
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