Cancer and renal dysfunction both increase the risk of venous thromboembolism (VTE). Anticoagulants are not all the same, and extra consideration is needed in patients with renal dysfunction. Low molecular weight heparin (LMWH) is named as the treatment of choice for cancer-associated thrombosis (CAT) in both Canadian and international guidelines, with a treatment duration of 6 months recommended. Even among the LMWH, there are differences that must be considered for the patient with renal dysfunction.
The speakers will present a case of CAT in a patient with moderate-severe renal dysfunction, as well as information about the differences among anticoagulants and within the LMWH class, use of anticoagulants in patients with renal dysfunction, and the Canadian consensus recommendations on the management of venous thromboembolism in patients with cancer.