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Phlebologie 2015; 44(05): 256-260
DOI: 10.12687/phleb2279-5-2015
Review article
Schattauer GmbH

Niedermolekulares Heparin bei Tumor-assoziierter venöser Thromboembolie – immer noch „CATCH of the day“?

Article in several languages: English | deutsch
A. Matzdorff
1   Asklepios Klinik Uckermark, Schwedt, Germany
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Publication History

Received: 04 August 2015

Accepted: 07 August 2015

Publication Date:
04 January 2018 (online)

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Zusammenfassung

Im Dezember 2014 wurde auf dem Jahreskongress der American Society of Hematology die CATCH-Studie vorgestellt. Sie vergleicht die Gabe des niedermolekularen Heparins Tinzaparin mit dem Vitamin-K-Antagonisten Warfarin in der 6-monatigen Lang-zeittherapie (Sekundärprophylaxe) nach Tumor-assoziierter venöser Thrombose oder Lungenembolie (VTE). Die Studie zeigt, dass 6,9 % der mit Tinzaparin behandelten und 10 % der Warfarin-Patienten eine symptomatische und/oder asymptomatische RezidivThromboembolie entwickelten. Der Unterschied war statistisch nicht signifikant. Wenn man jedoch nur die symptomatischen Thromboembolie-Rezidive betrachtet, war Tinzaparin sogar signifikant besser. Blutungen waren mit Tinzaparin auch nicht häufiger, so genannte nicht-schwerwiegende, aber klinisch relevante Blutungen sogar signifikant seltener. Die CATCH-Studie ist die bisher größte Studie zur Frage der Langzeitantikoagulation nach Tumor-assoziierter VTE. Sie bestätigt die Empfehlung der Fachgesellschaften, dass niedermolekulare Heparine in der Sekundärprophylaxe bei Tumorpatienten mit venöser Thromboembolie den Vitamin-K-Antagonisten vorgezogen werden sollten.

Schlüsselwörter

Tumor-assoziierte Thromboembolie - CATCH - Tinzaparin - NMH
 

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