By vgreene, 12 March, 2021 If thrombolytics anticoagulants contraindicated may consider IVC filter 2 per ASH use retrievable IVC filter remove as soon as the pt is able to receive anticoagulation
By vgreene, 12 March, 2021 If hemodynamically stable w PE but signs of RV dysfxn via echo biomarkers Consider anticoagulation alone w o thrombolysis monitor closely for decompensation 5 start thrombolytic if hypotension develops2 6
By vgreene, 12 March, 2021 May consider thrombolysis for pts w limb threatening DVT phlegmasia cerulea dolens per ASH consider cath directed tx CDT over systemic thrombolysis
By vgreene, 12 March, 2021 If hemodynamically unstable w PE not high risk for bleeding 1 2 Give initial thrombolytic tx followed by anticoagulation systemic thrombolytic preferred little data for cath directed thrombolysis CDT 3 4
