Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
I have a permanent filter, and I too forget that it's even there. I have also clotted multiple times, though, and as we can't identify any thrombophilia or other medical reason for my propensity to clot, some doctors have considered the filter to be at least a contributing factor. There is a study which shows a correlation between filters and repeated incidence of clotting, but they weren't sure if the reason was just because people with filters were already more likely to clot again, or if the filter could be culpable in some way. In the past couple of years I have seen a change in doctors' attitudes where they seem to be favoring the idea that the filter is somehow responsible, at least some of the time, for repeated clotting in patients who have them.