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Medicine Podcast || Inspiring curiosity & critical thinking || 5 Pearls || Mind the Gap || Hoofbeats || At the Bedside || Gray Matters || Biweekly Wed.

Feb 23, 2022, 5 tweets

1/🚨New Episode & Segment Alert🚨

Grey Matters: Because medicine is rarely black and white!

Hosts: Alison Trainor, @FreedoBaggins
Discussants: @PishkoMD, Brett Carroll MD, Jeff Weinstein MD
Graphic: @samwoodworthmd

🎶 bit.ly/35hN1Fd
ACP: bit.ly/3oVhwbI

2/ Let's review some deep dives 👇

Where does the *strong rec* to anticoagulate for PE at least 1 month (if not the full 3 months) come from?!

We have natural history data tells us:

3/ How long do you hold DOACs for peri-procedure?

Let’s see what we can extrapolate from the PAUSE trial

4/ What do we know about IVC filters in preventing further embolization of DVTs?

PREPIC1 and PREPIC2 compared anticoagulation alone vs. anticoagulation plus IVC filter

❌ No difference in mortality
❌ No difference in symptomatic PE

5/ When to perform a liver biopsy in a patient with an active clot AND has failed outpt interruption of anticoagulation?

Look to the IR Consensus Guidelines! They can help estimate patient/procedure bleeding risk and guide your clinical decision making bit.ly/3haU0m0

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