ivc filters for thromboembolic disease

my colleague and i spent about 30mins debating this case yesterday70 year old manpreviously fit and healthydvt and pe post flight to us last may6 months warfarin very breathless - echo mild rv dilatation, right heart cath 3 months in normal pa pressureswarfarin stopped at 6 months and then further dvt and pe 8 days later - now on lifelong warfarinhad episode about 6 weeks ago with further leg swelling and chest pain for 1 day, didn't seek medical advice and no inr recordedwould you recommend an ivc filter in his case? We both had different ideas so I'm keen to hear what others think?sadian
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Source Type: forums