Thread by @DharSaty

Q: 50 y M, lung ca diagnosed 2 months ago, work up in process fit possible resection, presents with pain and swelling in LLE. Of note- Covid in Jan. Duplex: Ac DVT popliteal and tibial. Is IVC filter indicated? @SocietyHospMed @SatyaPatelMD @tony_breu @grepmeded @drmiketodorovic

An IVC filter is a small device that is placed in your inferior vena cava to prevent blood clots from moving through your blood into your lungs .

Prophylactic use: patients undergoing bariatric surgery, multi-trauma & with spinal cord injury. Note that despite the widespread use of IVCF for prophylaxis, there is a growing body of evidence pointing to lack of benefit & actual harm.

acc.org/latest-in-card…

IVCF placement for primary VTE prophylaxis is controversial but accounts for >1/2 of IVCFs placed in US. The rationale is to offer mechanical protection against PE during the limited high-risk period when pharmacologic prophylaxis may be contraindicated.

ashpublications.org/hematology/art…

In this survey, only 21 (38%) of the physicians surveyed opted to insert an IVCF, reflecting the lack of consensus.

journals.sagepub.com/doi/10.1177/20…

I personally thought, no IVC filer and anti coagulation with therapeutic doses of lovenox. What do you guys think???

Please read: Work up FOR resection in process