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<article article-type="research-article" dtd-version="1.3" 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" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2024.579</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-2288</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Chemotherapy and hemostasis disorders</article-title><trans-title-group xml:lang="ru"><trans-title>Химиотерапия и нарушения гемостаза</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7441-2778</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Слуханчук</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Slukhanchuk</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Слуханчук Екатерина Викторовна, к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Ekaterina V. Slukhanchuk, MD, PhD</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><email xlink:type="simple">ekaterina@ginekologhirurg.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бицадзе</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Bitsadze</surname><given-names>V. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бицадзе Виктория Омаровна, д.м.н., проф., профессор РАН</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID: 6506003478. WoS ResearcherID: F-8409-2017</p></bio><bio xml:lang="en"><p>Victoria O. Bitsadze, MD, Dr Sci Med, Prof., Professor of RAS</p><p>Scopus Author ID: 6506003478. WoS ResearcherID: F-8409-2017</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7456-2386</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солопова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Solopova</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солопова Антонина Григорьевна, д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID: 6505479504. WoS ResearcherID: Q-1385-2015</p></bio><bio xml:lang="en"><p>Antonina G. Solopova, MD, Dr Sci Med, Prof. </p><p>Scopus Author ID: 6505479504. WoS ResearcherID: Q-1385-2015</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0725-9686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хизроева</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Khizroeva</surname><given-names>J. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хизроева Джамиля Хизриевна, д.м.н., профессор</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID: 57194547147. WoS ResearcherID: F-8384-2017</p></bio><bio xml:lang="en"><p>Jamilya Kh. Khizroeva, MD, Dr Sci Med, Prof. </p><p>Scopus Author ID: 57194547147. WoS ResearcherID: F-8384-2017</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7756-8935</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>К. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoreva</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Кристина Николаевна </p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Kristina N. Grigoreva, MD. </p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0764-4477</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гашимова</surname><given-names>Н. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gashimova</surname><given-names>N. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гашимова Нилуфар Рамиль кызы </p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Nilufar R. Gashimova, MD.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2541-3843</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Наталия Александровна, к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>WoS ResearcherID: F-8406-2017</p></bio><bio xml:lang="en"><p>Nataliya A. Makatsariya, MD, PhD. </p><p>WoS ResearcherID: F-8406-2017</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3367-9844</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Блинов</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Blinov</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Блинов Дмитрий Владиславович, к.м.н.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>123056 Москва, 2-я Брестская ул., д. 5, с. 1—1а</p><p>141551 Московская область, деревня Голубое, Родниковая ул., стр. 6 к. 1</p><p>Scopus Author ID: 6701744871. WoS ResearcherID: E-8906-2017</p></bio><bio xml:lang="en"><p>Dmitry V. Blinov, MD, PhD, MBA</p><p>Scopus Author ID: 6701744871. WoS ResearcherID: E-8906-2017</p><p>4—10 Sadovaya-Triumfalnaya Str., Moscow 127006</p><p>5 bldg. 1-1a, 2-ya Brestskaya Str., Moscow 123056</p><p>6 bldg. 1, Rodnikovaya Str., Village Goluboe, Moscow region 141551</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6619-6179</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галкин</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Galkin</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галкин Всеволод Николаевич, д.м.н., проф.</p><p>115446 Москва, Коломенский проезд, д. 4</p></bio><bio xml:lang="en"><p>Vsevolod N. Galkin - MD, Dr Sci Med, Prof. </p><p>4 Kolomenskiy Proezd, Moscow 115446</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-6018-4667</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шатилина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Shatilina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шатилина Анастасия Юрьевна </p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Anastasia Yu. Shatilina</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-6971-8552</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ляднова</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyadnova</surname><given-names>E. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ляднова Елизавета Михайловна </p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Elizaveta M. Lyadnova</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-8512-4498</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шульга</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shulga</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шульга Наталия Александровна </p><p>Москва 119234, Ленинские горы, д. 1</p></bio><bio xml:lang="en"><p>Natalia A. Shulga</p><p>12, Leninskie Gory, Moscow 119234</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-3056-8603</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тогузаева</surname><given-names>Л. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Toguzaeva</surname><given-names>L. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тогузаева Лейля Тахировна </p><p>117997 Москва, ул. Академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Leylya T. Toguzaeva, MD. </p><p>4 Academika Oparina Str., Moscow 117997</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-2378-2477</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Моркос</surname><given-names>С.</given-names></name><name name-style="western" xml:lang="en"><surname>Morkos</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Моркос Саймон, д.м.н., проф.</p><p>Дубай, Хадаэк Мухаммед Бин Рашид, Эль-Барша</p></bio><bio xml:lang="en"><p>Simon Morkos, Dr Sci Med, Prof. </p><p>Al Barsha, Khadaek Mohammed Bin Rashid, Dubai</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9899-9910</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гри</surname><given-names>Ж.-К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gris</surname><given-names>J.-C.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гри Жан-Кристоф, д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Франция, 34090 Монпелье, ул. Огюста Бруссоне, д. 163</p><p>Scopus Author ID: 7005114260. WoS ResearcherID: AAA-2923-2019</p></bio><bio xml:lang="en"><p>Jean-Christophe Gris, MD, Dr Sci Med, Prof. </p><p>Scopus Author ID: 7005114260. WoS ResearcherID: AAA-2923-2019</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>163 Rue Auguste Broussonnet, Montpellier 34090, France</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9576-1368</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Элалами</surname><given-names>И.</given-names></name><name name-style="western" xml:lang="en"><surname>Elalamy</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Элалами Исмаил, д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Франция, 75006 Париж, Улица медицинского факультета, д. 12</p><p>Франция, 75020 Париж, Китайская улица, д. 4</p><p>Scopus Author ID: 7003652413. WoS ResearcherID: AAC-9695-2019</p></bio><bio xml:lang="en"><p>Ismail Elalamy, MD, Dr Sci Med, Prof. </p><p>Scopus Author ID: 7003652413. WoS ResearcherID: AAC-9695-2019</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>12 Rue de l’Ecole de Medecine, Paris 75006, France</p><p>4 Rue de la Chine, Paris 75020, France</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геротзиафас</surname><given-names>Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gerotziafas</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Геротзиафас Григориос, д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Франция, 75006 Париж, Улица медицинского факультета, д. 12</p><p>Франция, 75020 Париж, Китайская улица, д. 4</p></bio><bio xml:lang="en"><p>Grigories Gerotziafas, MD, Dr Sci Med, Prof.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p><p>12 Rue de l’Ecole de Medecine, Paris 75006, France</p><p>4 Rue de la Chine, Paris 75020, France</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7415-4633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Александр Давидович, д.м.н., проф., академик РАН</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p><p>Scopus Author ID: 57222220144. WoS ResearcherID: M-5660-2016</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya, MD, Dr Sci Med, Prof., Academician of RAS</p><p>Scopus Author ID: 57222220144. WoS ResearcherID: M-5660-2016</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Институт Превентивной и Социальной Медицины; АНО ДПО «Московский медико-социальный институт имени Ф.П. Гааза»; ФГБУ «Федеральный научно-клинический центр медицинской реабилитации и курортологии Федерального медико-биологического агентства»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>institute for Preventive and Social Medicine; Moscow Haass Medical - Social Institute; Federal Scientific and Clinical Center for Medical Rehabilitation and Balneology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБУЗ «Городская клиническая больница имени С.С. Юдина Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yudin City Clinical Hospital, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика&#13;
В.И. Кулакова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Academician Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Больница Аль-Захра</institution><country>Объединенные Арабские Эмираты</country></aff><aff xml:lang="en"><institution>Al Zahra Hospital</institution><country>United Arab Emirates</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Университет Монпелье</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; University of Montpellier</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Медицинский Университет Сорбонны; Госпиталь Тенон</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University; Medicine Sorbonne University; Hospital Tenon</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>10</day><month>01</month><year>2025</year></pub-date><volume>18</volume><issue>6</issue><fpage>835</fpage><lpage>846</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Slukhanchuk E.V., Bitsadze V.O., Solopova A.G., Khizroeva J.K., Grigoreva K.N., Gashimova N.R., Makatsariya N.A., Blinov D.V., Galkin V.N., Shatilina A.Y., Lyadnova E.M., Shulga N.A., Toguzaeva L.T., Morkos S., Gris J., Elalamy I., Gerotziafas G., Makatsariya A.D., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Слуханчук Е.В., Бицадзе В.О., Солопова А.Г., Хизроева Д.Х., Григорьева К.Н., Гашимова Н.Р., Макацария Н.А., Блинов Д.В., Галкин В.Н., Шатилина А.Ю., Ляднова Е.М., Шульга Н.А., Тогузаева Л.Т., Моркос С., Гри Ж., Элалами И., Геротзиафас Г., Макацария А.Д.</copyright-holder><copyright-holder xml:lang="en">Slukhanchuk E.V., Bitsadze V.O., Solopova A.G., Khizroeva J.K., Grigoreva K.N., Gashimova N.R., Makatsariya N.A., Blinov D.V., Galkin V.N., Shatilina A.Y., Lyadnova E.M., Shulga N.A., Toguzaeva L.T., Morkos S., Gris J., Elalamy I., Gerotziafas G., Makatsariya A.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.gynecology.su/jour/article/view/2288">https://www.gynecology.su/jour/article/view/2288</self-uri><abstract><p>Cancer patients are at risk of developing arterial and venous thrombosis during chemotherapy (CT) and after its cessation. A prothrombotic risk may arise via pathogenetic pathways such as activation of external and internal coagulation pathways, decreased anticoagulant levels, platelet activation, fibrinolysis blockade, etc. Chemotherapeutic agents exert direct cytotoxicity, as well as indirectly suppress cellular processes necessary for tumor cell proliferation. CT-related cytotoxicity act on both tumor and healthy body cells. Available targeted drugs with improved selectivity for tumor cells are also associated with thrombosis risk. Low molecular weight heparins, which effectively reduce the risk of venous thromboembolism, have not yet been officially recommended for routine use during CT. Here, we discuss the prothrombotic effects of various antitumor agents aimed at gaining deeper understanding of the underlying mechanisms that may allow to develop new strategies for prevention and treatment of such formidable complications.</p></abstract><trans-abstract xml:lang="ru"><p>Онкологические пациенты находятся в зоне риска артериальных и венозных тромбозов на фоне проведения курсов хи­миотерапии (ХТ) как в процессе проведения, так и по ее окончании. Патогенетическими путями реализации протромботического риска являются активация внешних и внутренних путей коагуляции, снижение уровня антикоагулянтов, активация тромбоцитов, блок фибринолиза и др. Химиотерапевтические агенты обладают прямой цитотоксичностью, а также опосредованной, подавляя клеточные процессы, необходимые для пролиферации опухолевых клеток. Цитотоксичность ХТ направлена как на опухолевые, так и на здоровые клетки организма. Современные таргетные препараты, обладающие улучшенной селективностью в отношении опухолевых клеток, также связаны с риском тромбоза. Низкомолекулярные гепарины, эффективно снижающие риск венозной тромбоэмболии, до настоящего времени официально не рекомендо­ваны для рутинного использования на фоне ХТ. В данной статье рассмотрены протромботические эффекты различных противоопухолевых агентов. Более глубокое понимание механизмов в дальнейшем позволит разработать новые стратегии профилактики и лечения этих грозных осложнений.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рак</kwd><kwd>венозная тромбоэмболия</kwd><kwd>тромбоз</kwd><kwd>химиотерапия</kwd><kwd>ХТ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cancer</kwd><kwd>venous thromboembolism</kwd><kwd>thrombosis</kwd><kwd>chemotherapy</kwd><kwd>СТ</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Elyamany G., Alzahrani A.M., Bukhary E. Cancer-associated thrombosis: an overview. Clin Med Insights Oncol. 2014;8:129-37. https://doi.org/10.4137/cmo.s18991.</mixed-citation><mixed-citation xml:lang="en">Elyamany G., Alzahrani A.M., Bukhary E. Cancer-associated thrombosis: an overview. 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