Table 2 Thromboembolism characteristics.

From: High incidence of thromboembolism in patients with chronic GVHD: association with severity of GVHD and donor-recipient ABO blood group

 

1st TEE

Frequency (%)

2nd TEE

Frequency (%)

N

32

14

Median Days to Diagnosis of TEE from cGVHD (Range), (IQR)

233.5 (12–2050), (84.5–599)

715.5 (19–2137), (459–1139)

cGVHD Disease Status at TEE Event

 Inactive

5 (16%)

4 (29%)

 Active

27 (84%)

10 (71%)

Type and Location of TEE

 PE

6 (19%)

2 (14%)

 DVT

26 (81%)

12 (86%)

 LE Left

9

3

 LE Right

7

2

 LE Bilateral

1

0

 UE Left

4

2

 UE Right

4

5

 IVC

1

0

 Occlusive DVT

16 (61%)

4 (33%)

 UE Catheter Related DVT

5 (19%)

4 (33%)

Lab values at TEE Diagnosis

 Median (range), (IQR)

 WBC (x109/L)

7.1 (0.6–21.2), (4.3–11.2)

6.7 (3.3–11.1), (5.2–9.3)

 Absolute neutrophil count (x109/L)

4.3 (0.6–14.6), (3.5–7.6)

4.3 (1.4–9.2), (3.5–7.2)

 Absolute lymphocyte count (x109/L)

1.0 (0–5.2), (0.5–1.8)

1.3 (0.3–9.5), (0.9–1.6)

 Absolute eosinophil count (x109/L)

0 (0–5.4), (0–0.1)

0.1 (0–0.7), (0–0.3)

 Hemoglobin mg/dl

11.2 (7.4–15.3), (9.9–13.0)

12.0 (8.7–16.1), (10.5–14.4)

 Platelet (x109/L)

112 (8–346), (57–174)

136 (38–326), (61–184)

 Lactate dehydrogenase U/L 

437 (98–1122), (311–806)

384 (311–457)

 Albumin

3.2 (1.5–4.2), (2.7–3.5)

3.1 (1.6–3.6), (2.5–3.4)

Immunosuppression Medications at and 60 days prior to TEE

Number (proportion)

 Corticosteroids

28 (88%)

10 (71%)

 Prednisone Dose equivalent mg/kg/day (averaged over 60 days prior to TEE); Median (range), (IQR)

0.3 (0.1–1.64), (0.2–0.5)

0.2 (0.04–1.6), (0.07–0.31)

 Budesonide

3 (9%)

2 (14%)

 Sirolimus

16 (50%)

4 (29%)

 MMF

1 (3%)

0

 Rituximab

2 (6%)

0

 CNI

5 (16%)

2 (14%)

 TNF-inhibitor

1 (3%)

1 (7%)

 ECP

2 (6%)

1 (7%)

 IVIG

11 (34%)

3 (21%)

 Immunomodulatory Drugs

1 (3%)

0

 Erythropoietin/Thrombopoietin

2 (6%)

0

 Ibrutinib or ruxolitinib

2 (6%)

3 (21%)

 Antiplatelet therapy (Aspirin)

3 (9%)

3 (21%)

  1. *Duration expressed in median (range), (interquartile range).
  2. cGVHD chronic graft-versus-host disease, TEE thromboembolic events, PE pulmonary embolism, DVT deep vein thrombosis, LE lower extremity, UE upper extremity, IVC inferior vena cava, MMF mycophenolate mofetil, CNI calcineurin inhibitor, TNF tumor necrosis factor, ECP extracorporeal photopheresis, IVIG intravenous immunoglobulin.