By Paul D. Stein, MD, and Fadi Matta, MD
Read or Download Acute Pulmonary Embolism - Current Problems in Cardiology-Vol.35, July 2010 No. 7, p307 PDF
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Extra resources for Acute Pulmonary Embolism - Current Problems in Cardiology-Vol.35, July 2010 No. 7, p307
157 If the risk of bleeding resolves after an IVC filter is inserted, a conventional course of anticoagulant therapy is recommended. 362 Curr Probl Cardiol, July 2010 J. E. Dalen: Many clinicians would prefer to treat acute PE patients with a high risk of bleeding with an IVC filter. 206 Anticoagulants generally were not used routinely. 206 Surgery was necessary to remove the filter from 1 patient (1%), and, in 14 patients (9%), filters could not be removed because of large trapped thrombi. Retrievable filters have been successfully removed after 1 year, but typically, successful retrieval was within 1-3 months.
173,174 Subsequent investigations supported the outpatient approach to the treatment of DVT. Patients with PE were excluded from most investigations of outpatient treatment of DVT or treatment of DVT after early discharge. PE is a more ominous and potentially fatal form of Curr Probl Cardiol, July 2010 355 FIG 25. Length of hospital stay for patients with PE according to whether discharged in 1-4 days, 5-6 days, or Ͼ7 days. 0001). 0001). 172) VTE than DVT. 177 All investigations included only low-risk patients or patients with small- or medium-sized PE.
Postmortem arteriographic studies of the human lung in pulmonary embolization. J Am Med Assoc 1964;188:143-51. 17. Morrell MT, Dunnill MS. The post-mortem incidence of pulmonary embolism in a hospital population. Br J Surg 1968;55:347-52. 18. Coon WW. The spectrum of pulmonary embolism: twenty years later. Arch Surg 1976;111:398-402. 19. Byrne JJ. Phlebitis: a study of 748 cases at the Boston City Hospital. N Engl J Med 1955;253:579-86. 20. Hermann RE, Davis JH, Holden WD. Pulmonary embolism: a clinical and pathologic study with emphasis on the effect of prophylactic therapywith anticoagulants.