European Journal of Internal Medicine
Volume 19, Issue 7 , Pages 476-481, November 2008

Venous and arterial thrombosis: Different sides of the same coin?

  • Massimo Franchini

      Affiliations

    • Transfusion and Hemophilia Center, City Hospital of Verona, Italy
  • ,
  • Pier Mannuccio Mannucci

      Affiliations

    • Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Department of Medicine and Medical Specialities, University of Milan and IRCCS Maggiore Hospital, Mangiagalli and Regina Elena Foundation, Milan, Italy
    • Corresponding Author InformationCorresponding author. Via Pace 9, 20122 Milano, Italy. Tel.: +0039 02 55035423; fax: +0039 02 50320723.

Received 12 September 2007; accepted 1 October 2007. published online 25 March 2008.

Abstract 

Until recently venous and arterial thrombosis were considered mechanistically distinct entities. However, their separate nature has been challenged by several studies showing that these conditions share a number of risk factors such as age, obesity, infections and the metabolic syndrome. The existence of an association is further supported by the finding that patients with venous thromboembolism are at higher risk of arterial events and vice versa. This review article addresses the association between venous and arterial thrombosis and its clinical and therapeutic implications. We conclude that arterial and venous thrombosis are mechanistically different, but that common risk factors are more relevant and frequent than previously thought.

Keywords: Arterial thrombosis, Venous thrombosis, Therapy

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PII: S0953-6205(08)00049-6

doi:10.1016/j.ejim.2007.10.019

European Journal of Internal Medicine
Volume 19, Issue 7 , Pages 476-481, November 2008