Details of 14 vascular events among patients with ET and platelet count ≥1500 × 109/L at diagnosis of ET
| Event . | Type of event . | Thrombosis or hemorrhage before event . | Age at event (y)/sex . | Driver mutation . | Revised IPSET-thrombosis at diagnosis . | Platelet count/leukocyte count at event . | CV risk factors . | Therapy at the time of event . | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Cytoreduction . | Aspirin . | Anticoagulation . | ||||||||
| Arterial thrombosis | ||||||||||
| #1 | TIA | None | 44/Male | CALR type 1 | Very low | 1520 × 109/L/ 7.7 × 109/L | None | Anagrelide | None | None | 
| #2* | MI | None | 55/Female | CALR type 2 | Very low | NA | HTN | Hydroxyurea | None | None | 
| #3† | CVA | Splenic venous thrombosis DVT | 56/Female | JAK2 | High | 1100 × 109/L/ 7.9 × 109/L | None | Hydroxyurea | 81 mg | None | 
| #4 | MI | CVA | 57/Female | JAK2 | High | 585 × 109/L/ 12.7 × 109/L | HTN DM | Hydroxyurea | 81 mg | None | 
| #5‡ | MI | None | 87/Male | JAK2 | High | 1185 × 109/L/ 19.9 × 109/L | HTN | None | 81 mg | None | 
| Venous thrombosis | ||||||||||
| #6 | Portal vein thrombosis | None | 50/Female | CALR type 2 | Very low | 299 × 109/L/ 7.4 × 109/L | None | None | None | None | 
| #7† | PE | Splenic venous thrombosis Post splenectomy DVT CVA | 63/Female | JAK2 | High | 565 × 109/L/ 8.1 × 109/L | None | Hydroxyurea | 81 mg | None | 
| Major hemorrhage | Acquired vWD | |||||||||
| #8 | Lower extremity hematoma | None | 46/Female | CALR type 2 | Very low | 1757 × 109/L/ 12.1 × 109/L | Ristocetin cofactor activity 32% | None | None | None | 
| #9 | GI | DVT | 73/Female | JAK2 | Low | 489 × 109/L/ 4.1 × 109/L | NA | None | 81 mg | Warfarin | 
| #10* | Postoperative | MI | 59/Female | CALR type 2 | Very low | NA | NA | Hydroxyurea | None | None | 
| #11† | Epistaxis | Splenic venous thrombosis DVT CVA PE | 64/Female | JAK2 | High | 1134 × 109/L/ 11 × 109/L | NA | Hydroxyurea | 325 mg | Warfarin | 
| #12 | GI | PE | 54/Male | JAK2 | High | NA | NA | None | None | Warfarin | 
| #13 | Lower extremity hematoma | None | 92/Female | JAK2 | High | 162 × 109/L/ 8.8 × 109/L | NA | None | None | None | 
| Event . | Type of event . | Thrombosis or hemorrhage before event . | Age at event (y)/sex . | Driver mutation . | Revised IPSET-thrombosis at diagnosis . | Platelet count/leukocyte count at event . | CV risk factors . | Therapy at the time of event . | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Cytoreduction . | Aspirin . | Anticoagulation . | ||||||||
| Arterial thrombosis | ||||||||||
| #1 | TIA | None | 44/Male | CALR type 1 | Very low | 1520 × 109/L/ 7.7 × 109/L | None | Anagrelide | None | None | 
| #2* | MI | None | 55/Female | CALR type 2 | Very low | NA | HTN | Hydroxyurea | None | None | 
| #3† | CVA | Splenic venous thrombosis DVT | 56/Female | JAK2 | High | 1100 × 109/L/ 7.9 × 109/L | None | Hydroxyurea | 81 mg | None | 
| #4 | MI | CVA | 57/Female | JAK2 | High | 585 × 109/L/ 12.7 × 109/L | HTN DM | Hydroxyurea | 81 mg | None | 
| #5‡ | MI | None | 87/Male | JAK2 | High | 1185 × 109/L/ 19.9 × 109/L | HTN | None | 81 mg | None | 
| Venous thrombosis | ||||||||||
| #6 | Portal vein thrombosis | None | 50/Female | CALR type 2 | Very low | 299 × 109/L/ 7.4 × 109/L | None | None | None | None | 
| #7† | PE | Splenic venous thrombosis Post splenectomy DVT CVA | 63/Female | JAK2 | High | 565 × 109/L/ 8.1 × 109/L | None | Hydroxyurea | 81 mg | None | 
| Major hemorrhage | Acquired vWD | |||||||||
| #8 | Lower extremity hematoma | None | 46/Female | CALR type 2 | Very low | 1757 × 109/L/ 12.1 × 109/L | Ristocetin cofactor activity 32% | None | None | None | 
| #9 | GI | DVT | 73/Female | JAK2 | Low | 489 × 109/L/ 4.1 × 109/L | NA | None | 81 mg | Warfarin | 
| #10* | Postoperative | MI | 59/Female | CALR type 2 | Very low | NA | NA | Hydroxyurea | None | None | 
| #11† | Epistaxis | Splenic venous thrombosis DVT CVA PE | 64/Female | JAK2 | High | 1134 × 109/L/ 11 × 109/L | NA | Hydroxyurea | 325 mg | Warfarin | 
| #12 | GI | PE | 54/Male | JAK2 | High | NA | NA | None | None | Warfarin | 
| #13 | Lower extremity hematoma | None | 92/Female | JAK2 | High | 162 × 109/L/ 8.8 × 109/L | NA | None | None | None | 
CV, cardiovascular; CVA, cerebrovascular accident; DM, diabetes mellitus; DVT, deep venous thrombosis; GI, gastrointestinal; HTN, hypertension; IPSET-thrombosis, International prognostic score for thrombosis in ET; MI, myocardial infarction; NA, not available; PE, pulmonary embolism; TIA, transient ischemic attack; vWD, acquired von Willebrand disease.
Same patient experienced events 2 and 10.
Same patient experienced events 3, 7, and 11.
Same patient experienced events 5 and 14.