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Cancer is the most important acquired risk factor of thromboembolisms. More than 20% of all episodes of venous thromboembolism (VT) or pulmonary thromboembolisms (PT) are cancer related. Cancer patients with VT or PT are treated with low molecular weight heparins (LMWH) during at least 3 months, but nowadays the duration of treatment is not accurately determined.
The D-Dimer determination has been used like recurrence predictors after LMWH treatment suspension, but in cancer patients the useful is limited. Phospholipid-dependent microparticles could been used like recurrence predictors in cancer patients and tailored the duration of LMWH treatment for each patient.
We are carrying out a study in Cancer-associated-thromboembolism patients in order to decide the suitable anticoagulation time. A set of exclusion criteria is being used to determine in which patients LMWH will be withdrawn. Patients are being followed after LMWH withdrawal until 6 months. Blood samples are being taken at baseline (LMWH withdrawal), 3 weeks and 3 months after. We will look for association between several biomarkers and venous thromboembolism recurrences.
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| Measure | Description | Time Frame |
|---|---|---|
| Recurrence thromboembolisms | Venous thromboembolisms or Pulmonary thromboembolism recurrence after LMWH suppression | 3 months |
| Recurrence thromboembolisms | Venous thromboembolisms or Pulmonary thromboembolism recurrence after LMWH suppression | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hemorrhagic events | Hemorrhagic events due to LMWH treatment | 6 months |
| Thromboembolic event attributable death | Death related to embolic event |
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Inclusion Criteria:
Exclusion Criteria:
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Patient with diagnosis of cancer (any) and diagnosis of pulmonary thromboembolism (PT) or venous thromboembolism (VT) , in treatment with low molecular weight heparin (LMWH).
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| Name | Affiliation | Role |
|---|---|---|
| Remedios Otero Candelera, MD PhD | Hospital Universitario Virgen del Rocío IBIS | Study Chair |
| Teresa Elias, MD PhD | Hospitales Universitarios Virgen del Rocío | Principal Investigator |
| Isabel Blasco, MD | Hospital Universitario Virgen Macarena | Principal Investigator |
| Maria Rodriguez, MD | Hospital Universitario de Valme | Principal Investigator |
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| D011655 | Pulmonary Embolism |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Blood samples
| 6 months |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004617 | Embolism |