Venous thrombosis at unusual sites and the role of thrombophilia.

Abstract:

:Thrombophilia includes multiple inherited and acquired risk factors that determine a shift in the balance of procoagulant and anticoagulant factors promoting hypercoagulability, which is associated with an increased risk of venous thromboembolism (VTE). VTE is characterized by more common clinical manifestations, such as deep vein thrombosis of the lower limbs or pulmonary embolism, and less common clinical manifestations affecting cerebral, splanchnic, upper limbs, and retinal veins. The role of inherited thrombophilia in the pathogenesis of VTE at unusual sites is better established in cerebral vein thrombosis, but its role is less clear in splanchnic, upper limbs, and retinal vein thrombosis, in which acquired risk factors such as malignancy, central venous catheters, or systemic diseases also are frequently involved. The complex interactions between different inherited and acquired thrombophilic risk factors and their relationship with endothelium may be considered the pathophysiologic key of underlying phenotypic manifestations of thrombosis. The understanding of these mechanisms might facilitate diagnosis with appropriate investigations and improve therapeutic decision making.

journal_name

Semin Thromb Hemost

authors

Lussana F,Dentali F,Ageno W,Kamphuisen PW

doi

10.1055/s-2007-985754

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

582-7

issue

6

eissn

0094-6176

issn

1098-9064

journal_volume

33

pub_type

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