How do you manage a cervical cancer patient on anti-coagulation for pulmonary embolism requiring interstitial brachytherapy boost?

Have done with IVC filter and switch to heparin days prior to the procedure so that can hold anti coagulant for the procedure and epidural placement for analgesia.

Not a contraindication. We bridge with either heparin or more often lovenox in 2 days prior to the procedure if the patient is on DOAC.