Pulmonary Embolism by Unknown
Author:Unknown
Language: eng
Format: epub
ISBN: 9783030517366
Publisher: Springer International Publishing
Periprocedural IVC Filter Placement
Following CDT, an interventionalist may choose to conclude therapy by placing an IVC filter. Periprocedural IVC filter placement is controversial. While some studies have shown a mortality benefit with IVC filter placement in high-risk PE, possibly due to reduction of recurrent PE, there is no convincing role for IVC filter placement in patients with intermediate-risk PE who can tolerate therapeutic anticoagulation [34].
Follow-Up Care
Longitudinal follow-up is critical in the proper care of patients with PE. Semiannual evaluation on an outpatient basis ensures adequate anticoagulation and prompt recognition of the long-term sequelae of PE, namely chronic breathlessness and exercise intolerance. For patients who had an IVC filter placed during their hospitalization, outpatient follow-up also improves rates of filter retrieval and therefore mitigates the risks associated with long-term filter implantation [35]. These patients should be scheduled for filter retrieval once filtration is no longer indicated.
References
1.
Kuo WT. Endovascular therapy for acute pulmonary embolism. J Vasc Interv Radiol. 2012;23:167–79.Crossref
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