Pulmonary Embolus

Questions discussed in this category

Is there any role for adjusting how long to hold anticoagulation perioperatively based on DOAC dose?

For example, if on a prophylactic dose of DOAC, planned for an upcoming procedure such as colonoscopy or cystoscopy, would you hold for 24 hours prior...

1 Answer available

How do you manage perioperative anticoagulation for a patient with a history of recent, surgically provoked VTE?

Repeat surgery is planned 3 months after the index event, which included PE. Patient is anticoagulated with a DOAC. Is there a benefit to perioperati...

1 Answer available

Are you more permissive of perioperative interruption of anticoagulation for VTE depending on the location and relative chronicity of the thrombus?

1 Answer available

How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?

7 Answers available

For patients with newly diagnosed VTE on IV heparin planned for transition to DOAC, would you start at the loading or maintenance DOAC dose?

If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?

5 Answers available

Do you obtain an echocardiogram as a part of risk stratification in all patients hospitalized with an acute pulmonary embolism?

2 Answers available

How do you counsel an otherwise healthy patient on how soon they can go back to moderate exercise after a bilateral pulmonary embolism?

1 Answer available

Do you consider thrombocytopenia a contraindication for fibrinolytic therapy for a massive PE?

Does your platelet threshold (if it exists) differ between Catheter Directed Thrombolysis (CDT) vs. Intravenous Systemic Thrombolysis (IVT)?

2 Answers available

Do you routinely evaluate for PE if a DVT is found?

2 Answers available

How do you manage concurrent non-life-threatening hemoptysis and acute pulmonary embolism?

Estimating blood loss from hemoptysis is not always reliable. The bleeding may be due to the PE itself. Is anticoagulation with any degree of hemoptys...

1 Answer available

What is your protocol for transitioning to oral anticoagulation post-thrombolysis for pulmonary embolism?

High-risk PEs are typically treated with loading doses of anticoagulants or bridging with LMWH. Do you omit the bridging/loading period and go straigh...

1 Answer available

How does your approach to subsegmental PE differ from segmental PE both diagnostically and therapeutically?

3 Answers available

How would you manage a patient with morbid obesity who presents with new symptomatic pulmonary embolism a few days after he was started on DOAC for DVT?

What is your preferred anticoagulation in patients with BMI >50?

5 Answers available

How do you follow pulmonary embolism patients who have completed anticoagulation?

1 Answer available

Would you restart prophylactic anticoagulation in a patient with a history of unprovoked PE who received short term anticoagulation with a prior physician?

E.g. low dose DOAC

1 Answer available

Do you consider extensive clot burden as a factor in determining whether patients with submassive PE may be appropriate for thrombolytic therapy?