在脆弱人群中治疗与癌症相关的血栓栓塞
Silvy Laporte1, Ygal Benhamou2, Laurent Bertoletti3
1SAINBIOSE Inserm, unité de recherche clinique, innovation et pharmacologie, hôpital Nord, université Jean-Monnet, CHU de Saint-Étienne, Saint-Étienne, France; F-CRIN INNOVTE network, Saint-Étienne, France.
Archives of cardiovascular diseases
|December 8, 2023
概括
癌症相关血栓形成症 (CAT) 的治疗需要在易受伤害的患者群体中仔细考虑. 虚弱,功能障碍和血小板减少需要个性化抗凝药策略,对老年,体重不足和肥胖患者提出具体建议.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 药理学 药理学是指药理学的学科.
背景情况:
- 癌症相关血栓形成 (CAT) 具有显著的发病率和死亡率风险.
- 某些患者亚组,包括老年人,功能障碍患者,血小板减少或极端体重患者,面临着更高的脆弱性.
- 对这些群体的临床试验数据有限,这使得选择最佳抗凝剂变得复杂.
结论:
- 目前的数据不支持基于CAT患者的功能障碍或低体重限制DXI.
- 个性化治疗策略对于CAT易受伤害的人群至关重要,考虑到脆弱性,功能和血小板计数等因素.
- 对于患有CAT的肥胖患者来说,阿皮克萨班可能是最好的选择.
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