Deep Venous Thrombosis
Deep venous thrombosis occurs when clot forms in one of the big veins in the body usually in the lower leg, thigh, or the pelvic veins. once the clots is established in the vein it can block blood flow back to the heart . This can cause pain and swelling of the lower extremities. Clot can also break away and go to the heart and the lungs and cause significant damage to the lungs or even death. This is called pulmonary embolism which occurs in 300,000 patient’s every year in the United States.
Pulmonary emboli are responsible for more deaths than a AIDS, breast cancer and all car accidents combined.
If a DVT is not treated early with a early thrombectomy and the blood clot stays in the vein for a prolonged period of time, it can damage the delicate one-way valves in the veins which can cause chronic venous insufficiency This would carry a life long disability with swelling of the leg pain and ulcerations
Risk factors for DVT include
- Sitting down with the legs crossed for prolonged period airplane travel
- History of surgery, especially knee or hip surgery
- Advanced age
- Genetic diseases and inherited clotting disorders called thrombophilias.
- Fracture of the leg bones
Symptoms of DVT
These include swelling of the leg pain warmth redness and decreasing sensation unfortunately many times deep venous thromboses are silent and had minimum symptoms
Diagnosis of DVT can easily be diagnosed with an ultrasound which is a noninvasive test that can be done in the office.
Symptoms of DVT
It is very important to treat proximal DVTs early enough to save the delicate one-way valve in the veins and prevents chronic venous insufficiency. this can be done with minimally invasive procedures that removes clot with mechanical thrombectomy and chemical thrombolysis. During these procedures a small needle is inserted into the vein. subsequently thrombolytic medicines are injected into the clot that would dissolve the clot. Mechanical thrombectomy devices are then used to remove clot. This allows the patient to have normal flow in the veins and more importantly it prevents the damage to the delicate valves in the veins, preventing long long-term disability associated with chronic venous stasis. This treatment should only be done by a medical professional or vein clinic in Los Angeles, CA.
Patients are also treated with long-term anticoagulation that prevents blood clots from propagation of blood clots to the heart and the lung, causing pulmonary embolism which can have severe consequences such as pulmonary disability and death.
In cases where the blood clot is very extensive or patients cannot tolerate blood thinners a filter can be inserted into the vena cava with prevents the clot from going to the lungs, causing a fatal pulmonary embolism. These filters are removable can be removed in the future when the clot has resolved.
At Encino surgical Institute we can diagnose DVTs, place and remove inferior vena cava filters and perform DVT thrombectomies.
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