I had a PE several years ago after surgery. Does it mean I will always get one?
Doctor Answers 5
Pulmonary Embolism risk?
In all likelihood you are more at risk because you already had one. Estrogen increases the risk, as well as other factors.
In addition if a surgery is done SCD's and early ambulation will help decrease the risk and sometimes early use of anticoagulants may be used.
Recurrent PE Risk After Surgery
Given the circumstances, you should have a complete evaluation by a hematologist to determine any potential clotting conditions that you may have which could have caused your previous PE. His/her recommendations should be followed to minimize the chance for further clots should you decide to have surgery.
Assuming there are no intrinsic causes that may have led to your previous PE, then there are protocols that your surgeon can follow to minimize your risk of a recurrent PE. These may include the use of compression stockings and/or sequential compression devices and/or the use of anticoagulants during and after surgery or possibly even a Greenfield filter.
Regardless of what measures are taken there is no guarantee to any patient with or without a previous PE, that will not develop clots and a subsequent PE. The good news is that with proper attention to reducing PE risk, the overwhelming majority of surgeries (cosmetic or otherwise) are performed without complications of a PE. It is a calculated risk - just as the risk of being in an accident while driving is not zero.
PE after surgery
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Need a full hematologic evaluation for a clotting disorder to stratify your risk
PE after last surgery
Peter Fisher M.D.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.