Complex IVC filter retrieval
Bleeding risk
Bleeding risk
HIGH bleeding risk
HIGH bleeding risk
INR ≤ 1.8
Plt ≥ 50,000
CBC, INR/PT routinely recommended
Anticoagulant/Antiplatelet Agent
Anticoagulants
Antiplatelets
Antibiotics
Antibiotics
Antibiotic therapy only required if filter strut is penetrating bowel
Severe beta-lactam allergy = hives, anaphylaxis, or DRESS/SJS/TEN to any beta-lactam
Bowel strut penetration = Ceftriaxone AND Metronidazole
Ceftriaxone IV
Adult = 2 g
Metronidazole PO
Adult = 500 mg
Bowel strut penetration with severe beta-lactam allergy = Levofloxacin AND Metronidazole
Levofloxacin IV
Adult = 500 mg
Metronidazole PO
Adult = 500 mg