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Topics:
Medical Oncology • Internal Medicine • Hematology • Benign Hematology • Hemostasis/Thrombosis • Pulmonology • Pulmonary Vascular Disease
Are there patients who can forgo anticoagulation with asymptomatic, incidentally discovered subsegmental pulmonary embolism?
If there are a low-risk patients who can be monitored, how would you do so?
If unprovoked, would you consider stopping anticoagulation?
Answer from: at Academic Institution
Of note, there are two ongoing clinical trials that should hopefully provide further data on the definitive management of SSPE (NCT01455818, NCT04263038).
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Answer from: Medical Oncologist at Community Practice
The majority of isolated SSPE are likely not "real" pulmonary emboli but are simply artifacts (Hutchinson et al., PMID 26204274). The ACCP recommends observation for low to intermediate risk patients. These small clots should not cause symptoms, so the misstep that I have seen occur is that too much...
Comments
Medical Oncologist at Sweetwater Regional Medical Center
I look at this answer and agree in my brain, but I...
I look at this answer and agree in my brain, but I...
Medical Oncologist at Locum Tenens
Honestly, for a reasonably healthy outpatient who ...
Honestly, for a reasonably healthy outpatient who ...