How risky is removal of the IVC filter when the IJV is clotted?
I would explain as follows:
Welcome and thank you for asking on HCM!
I carefully passed through your question and would agree with your radiologists advice to hold these filters forever.
I would explain that these filters offer to you a more potent protection than xarelto, especially when there is a potential risk for recurrent thrombotic events.
So, using both filters and xarelto, you increase your protection from possible dangerous embolic events.
Hope to have been helpful!
My answer as follows:
Regarding your concern, I would explain that anticoagulation therapy and filters are used for your protection from possible embolic events.
You should not worry about that!
From the other hand blood clots in the venous system are treated differently from the arterial systems (which are treated with surgery or endovascular procedures). They tend to recreate. Anticoagulation therapy not only prevents this, but also helps regulate the blood balances in order to destroy the present blood clots. For this purpose a period of some months is needed.
The only thing, I would try to explore is the cause of all these blood clots. Have you performed any coagulation tests? What about inflammation or a systemic disorder like antiphospholipid antibody syndrome, lupus, etc..?
Have you ever performed any tests to exclude these possibilities?
You should know that it is quite abnormal at your age to have recurrent blood clots in your veins. Further investigations should be done to find the possible causes:
-PCR, sedimentation rate
-anticardiolipine antibodies, etc.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Wishing all the best,
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