High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation
Wille K, Sadjadian P, Becker T, Kolatzki V, Horstmann A, Fuchs C, Griesshammer M (2019)
ANNALS OF HEMATOLOGY 98(1): 93-100.
Zeitschriftenaufsatz
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Autor*in
Wille, Kai;
Sadjadian, Parvis;
Becker, Tatjana;
Kolatzki, Vera;
Horstmann, Anette;
Fuchs, ChristianeUniBi 
;
Griesshammer, Martin
;
Griesshammer, MartinAbstract / Bemerkung
Venous thromboembolism (VTE) is a major burden in patients with BCR-ABL-negative myeloproliferative neoplasms (MPN). In addition to cytoreductive treatment anticoagulation is mandatory, but optimal duration of anticoagulation is a matter of debate. In our single center study, we retrospectively included 526 MPN patients. In total, 78 of 526 MPN patients (14.8%) had 99 MPN-associated VTE. Median age at first VTE was 52.5years (range 23-81). During a study period of 3497years, a VTE event rate of 1.7% per patient/year was detected. 38.4% (38/99) of all VTEs appeared before or at MPN diagnosis and 55.6% (55/99) occurred at uncommon sites like splanchnic or cerebral veins. MPN patients with VTEs were significantly more female (p=0.028), JAK2 positive (p=0.018), or had a polycythemia vera (p=0.009). MPN patients without VTEs were more often CALR positive (p=0.023). Total study period after first VTE was 336years with 20 VTE recurrences accounting for a recurrence rate of 6% per patient/year. In 36 of 71 MPN patients with anticoagulation therapy after first VTE event (50.7%), prophylactic anticoagulation was terminated after a median time of 6months (range 1-61); 13 of those 36 patients (36.1%) had a VTE recurrence after a median of 13months (range 4-168). In contrast, only three of 35 (8.6%) patients with ongoing anticoagulation had a VTE recurrence (p=0.0127). Thus, termination of prophylactic anticoagulation was associated with a significantly higher risk of VTE recurrence. Our data suggest that in MPN patients with VTE, a prolonged duration of anticoagulation may be beneficial.
Erscheinungsjahr
2019
Zeitschriftentitel
ANNALS OF HEMATOLOGY
Band
98
Ausgabe
1
Seite(n)
93-100
ISSN
0939-5555
eISSN
1432-0584
Page URI
https://pub.uni-bielefeld.de/record/2933522
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Wille K, Sadjadian P, Becker T, et al. High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation. ANNALS OF HEMATOLOGY. 2019;98(1):93-100.
Wille, K., Sadjadian, P., Becker, T., Kolatzki, V., Horstmann, A., Fuchs, C., & Griesshammer, M. (2019). High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation. ANNALS OF HEMATOLOGY, 98(1), 93-100. doi:10.1007/s00277-018-3483-6
Wille, Kai, Sadjadian, Parvis, Becker, Tatjana, Kolatzki, Vera, Horstmann, Anette, Fuchs, Christiane, and Griesshammer, Martin. 2019. “High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation”. ANNALS OF HEMATOLOGY 98 (1): 93-100.
Wille, K., Sadjadian, P., Becker, T., Kolatzki, V., Horstmann, A., Fuchs, C., and Griesshammer, M. (2019). High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation. ANNALS OF HEMATOLOGY 98, 93-100.
Wille, K., et al., 2019. High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation. ANNALS OF HEMATOLOGY, 98(1), p 93-100.
K. Wille, et al., “High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation”, ANNALS OF HEMATOLOGY, vol. 98, 2019, pp. 93-100.
Wille, K., Sadjadian, P., Becker, T., Kolatzki, V., Horstmann, A., Fuchs, C., Griesshammer, M.: High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation. ANNALS OF HEMATOLOGY. 98, 93-100 (2019).
Wille, Kai, Sadjadian, Parvis, Becker, Tatjana, Kolatzki, Vera, Horstmann, Anette, Fuchs, Christiane, and Griesshammer, Martin. “High risk of recurrent venous thromboembolism in BCR-ABL-negative myeloproliferative neoplasms after termination of anticoagulation”. ANNALS OF HEMATOLOGY 98.1 (2019): 93-100.
Daten bereitgestellt von European Bioinformatics Institute (EBI)
2 Zitationen in Europe PMC
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Validation of the revised International Prognostic Score of Thrombosis for Essential Thrombocythemia (IPSET-thrombosis) in 585 Mayo Clinic patients.
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Comparison of low-intensity warfarin therapy with conventional-intensity warfarin therapy for long-term prevention of recurrent venous thromboembolism.
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Association of V617F Jak2 mutation with the risk of thrombosis among patients with essential thrombocythaemia or idiopathic myelofibrosis: a systematic review.
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CALR mutation, MPL mutation and triple negativity identify patients with the lowest vascular risk in primary myelofibrosis.
Finazzi MC, Carobbio A, Cervantes F, Isola IM, Vannucchi AM, Guglielmelli P, Rambaldi A, Finazzi G, Barosi G, Barbui T., Leukemia 29(5), 2014
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