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Annual Report 2003 Aventis - Sanofi

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Medical Background<br />

Deep vein thrombosis (DVT) occurs when a blood<br />

clot develops in the deep veins of the legs. A blood<br />

clot in the deep veins poses the risk of detaching<br />

from the vessel wall and migrating towards the<br />

heart and entering the lungs. If the embolus gets<br />

lodged in a pulmonary artery or one of its branches,<br />

it can interrupt further blood fl ow and cut off<br />

oxygen supply to the body, leading to a life-threatening<br />

condition known as pulmonary embolism.<br />

DVT/PE is often associated with<br />

- Long periods of immobility<br />

- Cancer<br />

- Hypercoagulation, as a result of hereditary factors<br />

or illness<br />

- Abdominal or orthopedic (knee, hip replacement)<br />

surgeries.<br />

<strong>Aventis</strong> approaches to treat thrombosis<br />

Thrombus<br />

formation<br />

Direct Factor Xa<br />

inhibitors<br />

0673<br />

Direct<br />

thrombin<br />

inhibitors<br />

Thrombolysis<br />

Blood<br />

coagulation<br />

Activation<br />

of coagulation<br />

Factor Xa<br />

Factor IIa<br />

(Thrombin)<br />

via AT III<br />

via AT III<br />

via AT III<br />

Indirect<br />

Factor Xa<br />

inhibitors<br />

Heparin:<br />

Lovenox<br />

Fibrin<br />

Activation of<br />

plasminogen<br />

>> 30

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