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Mon Jan 15 09:52:58 GMT 2007

Ken

It is absolutely not a standard of care to use antiplatelet therapy with IVC
filters.

There are some vascular conditions that require placement of a filter for
patients experiencing recurrent PEs despite anticoagulation and these
patients will remain on anticoagulation to reduce the long-term risk of
filter occlusion.  But these patients would be given a Coumarin. not an
antiplatelet agent.  (Makes little sense for venous thrombosis)

Karim

On 15/01/07, Roy Danks <roydanks at hotmail.com> wrote:
>
> I'm with you all the way Dr. Mattox.  I've not seen this done, but it
> doesn't surprise me either.  We reserve the IVC filters for those in whom
> anticoagulation is contraindicated or otherwise not feasible.
>
> I routinely see orthopods put pts on ASA and "low dose" coumadin for DVT
> prophylaxis when the pt is sent home!  Hell, if they're at that big of risk,
> they deserve LMWH at home not to mention the fact that neither should
> prevent a DVT, from what I know of Virchow's triad.
>
> Interesting.
>
>
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IVC Filters, Coumadin, Plavix,ASA, Fragmin