Abstract

BUSTILLO SANTANDREU, María de Jesús et al. Deep venous thrombosis in older adults with cancer. Rev Cubana Angiol Cir Vasc [online]. 2015, vol.16, n.1, pp. 9-20. ISSN 1682-0037.

Introduction: the venous thromboembolic disease constitutes one of the most ancient complications of the patients with cancer. Objective: to characterize the deep venous thrombosis in older adults with cancer. Methods: a descriptive study is realized in 89 major adults with cancer and diagnosis of deep venous thrombosis attended in the Hospital "Arnaldo Milián Castro" in the period from april, 2010 until april, 2013. The following information was extracted from the case histories: age, sex, and type of cancer and primary location of the same one, location of the thrombosis, diagnosis, and moment of occurrences, complications and treatment. Results: one found that 44.94 % of the cases had an age between 60 and 69 years, predominating over the masculine sex. The neoplasias of colon, prostate and lung were those of major presentation in the masculine sex and of colon and gynecological in the feminine sex. The moment of occurrence of the thrombosis was 47.19 % during the evolution of the illness and in 25.84 % post-chemotherapy. The most frequent location was the ileo-femoral. The diagnosis was realized clinically in 68.54 % of the cases. The heparin of low molecular weight and the Warfarine were the medicines used for the treatment in 44.94 % of the patients. Complications were not observed in most of the patients. Conclusions: venous thromboembolism is one of the highest impact complications on patients with cancer, so it is necessary to carry out good prophylaxis and early adequate treatment.

Keywords : venous thrombosis; cancer; anticoagulation.

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