When is surgical care indicated in the treatment of antiphospholipid syndrome (APS)?

Updated: Nov 24, 2020
  • Author: Suneel Movva, MD; Chief Editor: Herbert S Diamond, MD  more...
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Placement of an inferior vena cava (IVC) filter may be considered in patients with APS who require cessation of anticoagulation or who continue to experience thrombotic complications despite maximal anticoagulation. Experts recommend avoiding IVC filters in the setting of acute APS, due to reports of adverse events including IVC thrombosis and pulmonary embolus. Baig et al evaluated the use of retrievable IVC filters in five patients with APS and concluded that retrievable IVC filters can be safely placed and removed in such patients, even during anticoagulation. [31]

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