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Medicine General a94662f4

The treatment of choice in recurrent venous thrombosis leading to pulmonary embolism despite intensive anticoagulation is:

A
Fibrinolysis treatment with tissue plasminogen activator
B
Pulmonary embolectomy
C
Pulmonary thromboendaerectomy
D
Inferior vena caval filters
High-Yield Explanation
The two indications for inseion of an IVC filter are (1) active bleeding that precludes anticoagulation and (2) recurrent venous thrombosis despite intensive anticoagulation. Ref: Harrisons Principles of Internal Medicine, 18th Edition, Page 2176.

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