How long after starting anticoagulation would you remove an IVC filter in a patient with a DVT presenting with stroke and PFO which is now closed?
1 Answer
Mednet MemberInvited Expert
Hematology · Mayo Clinic
Answered on
This can be a complex scenario. The first question to ponder: if the patient could receive anticoagulation (a/c), why was the filter placed? Let us assume that there was a short period of time from the initial presentation of stroke, during which anticoagulation was contraindicated and there was a large visible thrombus in the venous system that put the patient at risk for embolization. Eventually, anticoagulation was initiated. In this scenario, there are no good guidelines on the exact timing ...
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