Are there patients who can forgo anticoagulation with asymptomatic, incidentally discovered subsegmental pulmonary embolism?
If there are a low-risk patients who can be monitored, how would you do so?
If unprovoked, would you consider stopping anticoagulation?
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How do you approach the management of incidental and asymptomatic subsegmental PE?
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2 Answers
Mednet Member
Hematology · Stanford Univeristy
Answered on
Of note, there are two ongoing clinical trials that should hopefully provide further data on the definitive management of SSPE (NCT01455818, NCT04263038).
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Mednet Member
Medical Oncology · Locum Tenens
Answered on · Updated on
The majority of isolated SSPE are likely not "real" pulmonary emboli but are simply artifacts (Hutchinson et al., PMID 26204274). The ACCP recommends observation for low to intermediate risk patients. These small clots should not cause symptoms, so the misstep that I have seen occur is that too much...
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