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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Journal of Clinical Practice</journal-id><journal-title-group><journal-title xml:lang="en">Journal of Clinical Practice</journal-title><trans-title-group xml:lang="ru"><trans-title>Клиническая практика</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2220-3095</issn><issn publication-format="electronic">2618-8627</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">634775</article-id><article-id pub-id-type="doi">10.17816/clinpract634775</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Venous thromboses and thromboembolism in oncology patients</article-title><trans-title-group xml:lang="ru"><trans-title>Венозные тромбозы и тромбоэмболии у онкологических больных</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7345-0385</contrib-id><name-alternatives><name xml:lang="en"><surname>Dundua</surname><given-names>David P.</given-names></name><name xml:lang="ru"><surname>Дундуа</surname><given-names>Давид Петрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор</p></bio><email>david.doundoua@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1031-9376</contrib-id><contrib-id contrib-id-type="spin">3184-9760</contrib-id><name-alternatives><name xml:lang="en"><surname>Kedrova</surname><given-names>Anna G.</given-names></name><name xml:lang="ru"><surname>Кедрова</surname><given-names>Анна Генриховна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>kedrova.anna@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2595-1908</contrib-id><contrib-id contrib-id-type="spin">9272-9336</contrib-id><name-alternatives><name xml:lang="en"><surname>Oleinikova</surname><given-names>Irina N.</given-names></name><name xml:lang="ru"><surname>Олейникова</surname><given-names>Ирина Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>i.n.oleynikova@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5297-0760</contrib-id><contrib-id contrib-id-type="spin">3221-3627</contrib-id><name-alternatives><name xml:lang="en"><surname>Plokhova</surname><given-names>Ekaterina V.</given-names></name><name xml:lang="ru"><surname>Плохова</surname><given-names>Екатерина Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>evplokhova@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7855-6354</contrib-id><contrib-id contrib-id-type="spin">1523-5499</contrib-id><name-alternatives><name xml:lang="en"><surname>Khabazov</surname><given-names>Robert R.</given-names></name><name xml:lang="ru"><surname>Хабазов</surname><given-names>Роберт Робертович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>roba.khabazov@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies</institution></aff><aff><institution xml:lang="ru">Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">National Medical Research Centre of Cardiology Named After Academician E.I. Chazov</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр кардиологии имени академика Е.И. Чазова</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2024-08-19" publication-format="electronic"><day>19</day><month>08</month><year>2024</year></pub-date><pub-date date-type="pub" iso-8601-date="2024-11-02" publication-format="electronic"><day>02</day><month>11</month><year>2024</year></pub-date><volume>15</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>109</fpage><lpage>125</lpage><history><date date-type="received" iso-8601-date="2024-08-01"><day>01</day><month>08</month><year>2024</year></date><date date-type="accepted" iso-8601-date="2024-08-19"><day>19</day><month>08</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-Вектор</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://clinpractice.ru/clinpractice/article/view/634775">https://clinpractice.ru/clinpractice/article/view/634775</self-uri><abstract xml:lang="en"><p>Deep vein thrombosis and pulmonary artery thromboembolism are the most commonly occurring cardio-vascular complications of oncological diseases, which may develop at any stage of the oncological process. These life-threatening complications take the leading positions within the structure of mortality among cancer patients, giving place only to the oncology disease itself. It is important to note that the patients with cancer-associated thromboses are the most difficult group of patients, in which the development of thromboses and thromboembolisms may not only delay the vitally important treatment of the main disease, but also to completely cease the treatment due to the lack of possibility for its adequate performing. This is an important social and economic task, taking into consideration the costs for the healthcare system required to treat the disease itself and its concomitant complications. Thus, there is a criticality factor of not only the treatment itself, but also of the prevention of oncology-associated thromboses and thromboembolisms. Currently, due to the wide spreading of the said complications, the therapy and the prevention of them undergo significant changes. The traditionally used warfarin is being switched to low molecular weight heparin. At the present moment, oral anticoagulants are used more and more often. The analysis of special scientific literature has allowed for evaluating the novel principles of treatment in cases of oncology-associated thromboses and thromboembolisms depending on the location of the process, on its stage, on the severity of the patient status, as well as to define the risk factors of oncology-associated thromboses, the practicability and possible methods of its prevention in various groups of patients.</p></abstract><trans-abstract xml:lang="ru"><p>Тромбоз глубоких вен и тромбоэмболия лёгочной артерии — наиболее часто встречающиеся сердечно-сосудистые осложнения онкологического заболевания, которые могут возникать на любой стадии онкологического процесса. Эти жизнеугрожающие осложнения занимают лидирующие позиции в структуре смертности у онкобольных, уступая место только самому онкозаболеванию. Необходимо заметить, что пациенты с онкоассоциированными тромбозами — это наиболее тяжёлая группа больных, у которых возникновение тромбозов и тромбоэмболий может не только отсрочить жизненно важное лечение основного заболевания, но и полностью исключить его ввиду невозможности проведения адекватной терапии. Это важная социальная и экономическая задача, учитывая затраты здравоохранения на лечение самого заболевания и сопутствующих осложнений. Таким образом, остро стоит вопрос не только самого лечения, но и профилактики онкоассоциированных тромбозов и тромбоэмболий. В настоящее время в связи с распространением данных осложнений лечение и профилактика претерпевают большие изменения. Традиционно использовался варфарин, на смену которому пришёл низкомолекулярный гепарин. На данный момент всё чаще используются пероральные антикоагулянты. Анализ специальной научной литературы позволил оценить новые принципы лечения онкоассоциированных тромбозов и тромбоэмболий в зависимости от локализации процесса, его стадии, тяжести состояния пациента, а также определить факторы риска онкоассоциированных тромбозов, целесообразность и возможные методы их профилактики в разных группах пациентов.</p></trans-abstract><kwd-group xml:lang="en"><kwd>deep vein thrombosis</kwd><kwd>pulmonary embolism</kwd><kwd>cancer-associated thrombosis</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>тромбоз глубоких вен</kwd><kwd>тромбоэмболия лёгочной артерии</kwd><kwd>онкоассоциированные тромбозы</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Khorana AA. Malignancy, thrombosis and Trousseau: The case for an eponym. 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