Table 1.
Factors influencing development of VTE in SCD patients
| Traditional risk factors | SCD-related factors |
|---|---|
| Central venous catheters (CVCs) for poor venous access, transfusion therapy |
Increased prevalence of thrombophilic defects |
| • Totally implantable CVCs (port) | • Anti-phospholipid antibodies |
| • Partially implantable CVCs (tunneled and nontunneled lines) |
• Protein C/S deficiency Genotype (SS/S•0 vs. SC/ S•+) |
| Frequent hospitalization for pain and complications |
Splenectomy |
| Surgery | • Surgical |
| • Orthopedic surgery (hip, shoulder avascular necrosis) |
• Functional asplenia? |
| • Cholecystectomy | |
| Pregnancy |
VTE venous thromboembolism, SCD sickle cell disease