AW: [HSF] Pulmonary embolism-RV dysfunction

Thu Aug 2 17:00:18 EDT 2007

Why not lysis?
How big was the hernia operation?
Keep her controlled, may be you need to operate...
Keep us informed. We have the trend to operate earlier than after
decompensation, based on CT´s, but again, this is not evidence based.
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Hgrmd at aol.com
Gesendet: Donnerstag, 2. August 2007 12:14
An: OpenHeart-L at lists.hsforum.com
Betreff: Re: [HSF] Pulmonary embolism-RV dysfunction

Justin,
  There's nothing wrong with deploying an IVC filter from the IJ in  this 
situation. As to whether or not to operate, that's a tough call.  My
experience 
with the Trendelenberg procedure in these cases is not very  positive.  As 
long as she doesn't have hemodynamic compromise, I would vote  for heparin
and an 
IVC filter as the first line of therapy.

Hal

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