Thanks for your input with regards to IVC filter decision making.
You ask a few more questions and establish that the patient has declined any further investigation for her likely metatataic malignancy and the oncology team advise her prognosis is weeks to months.
Knowing the patients wishes for no further intervention and her poor prognosis it isn’t felt she is an appropriate candidate for an IVC filter.
She has also developed right arm weakness presumably secondary to her haemorrhaging brain metastasis. You agree to stop anticoagulation given her neurology. The patient is informed of the difficult situation with regards to PE and brain haemorrhage and is also in agreement with this plan.
Many Thanks for your help with the two short cases this week. A summary of important issues to consider in cancer associated thrombosis will follow this weekend.