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MARCH 22, 2021

In Cancer Patients, Tranexamic Acid Prophylaxis Does Not Reduce Bleeding Risk

Commonly used to reduce bleeding in patients with hematologic malignancies and severe thrombocytopenia, tranexamic acid (TXA) failed to show this protection in a randomized trial in this setting. Instead, an increased risk for catheter thrombosis associated this preventive strategy with an adverse benefit-to-risk ratio.

TXA has been found to be effective in controlling bleeding in surgery, but “clearly patients with low platelet counts and blood cancers have a different kind of