Do you routinely repeat imaging for PE after anticoagulation treatment to establish a new baseline?
Repeat ultrasounds for DVT to establish new baselines seem to be common practice. Does this also extend to chest imagine for PE?
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Do you repeat imaging after VTE to establish new baselines of clot burden?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · Ohio State University
Answered on
We only do imaging if the patient is symptomatic still after a few weeks or has persistent chest pain or clinical signs of pulmonary hypertension. Rarely I have seen recurrent or progressive thromboembolic disease on anticoagulation.
Another possible reason if the patient needs to go to surgery in t...
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Mednet MemberInvited Expert
Hematology · University of Rochester School of Medicine and Dentistry
Answered on · Updated on
No. A CT angio is a very expensive test in comparison to Dopplers of the lower extremities. I also find that I do not struggle as much with decision-making surrounding "new" versus "old" clot in the evaluation of a recurrent pulmonary embolism in the same way that I struggle with "new" versus "old" ...
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