A Blood clot or thrombosis forms in one or more of the deep veins in your body, usually in your legs. Deep vein thrombosis (DVT) can occur without any symptoms.
Leg pain and swelling are commonly seen. Medical conditions and inactivity after going through physical injuries, confinement to the bed are few major causes of DVT.
Blood clots in your veins can break loose, travel through your bloodstream, and lodge in your lungs, blocking blood flow. This condition is called pulmonary embolism.
PE is a very serious condition. It can damage the lungs and other organs in the body and cause death. This makes DVT a serious condition that needs medical attention.
Physical examination by a doctor is required to diagnose deep vein thrombosis. Post examination, Depending on how likely you are to have a blood clot, your doctor might suggest tests, including:
Deep vein thrombosis can form if you have certain medical conditions that affect the way your blood circulates or clots.
Being immobile for a very long time can also cause DVTs, such as after surgery or an accident, or when you're confined to bed.
Based on the observations of the doctor and results from the diagnostic tests, the doctor will decide to use a medical line of treatment or a surgical line of treatment to treat DVT.
Blood thinners: Anticoagulants, also called blood thinners, decrease your blood’s ability to clot.
This however will not get rid of the existing clot but will prevent the clot from becoming bigger and reduce the risk of forming new clots.
Clot busters: These are used in more severe cases of deep vein thrombosis or pulmonary embolism. The doctor administers medication that will break the clot.
The clot busters are administered through an IV line or directly at the clot through a catheter.
Filters: If you are unable to take blood thinners, then a filter is used to prevent the clot from reaching the lungs if it does get dislodged.
The filter is placed in a big vein called the vena cava in your abdomen through which the clot would otherwise pass to get to the lungs. Once placed, the filter will block the clot at this point and not let it pass.
Compression stockings: This helps reduces the swelling associated with deep vein thrombosis.
Surgical treatment options for deep vein thrombosis:
If the medical line of treatment fails, then the doctor will have to depend on the surgical line of treatment.
Venous thrombectomy: This is a type of procedure used to remove a clot that has formed inside an artery or veins.
The surgeon performs this procedure to restore the blood flow through a blocked blood vessel and repair the blood vessel.
In some cases, a stent may be placed to keep the vessel open enabling blood to flow smoothly.
Symptoms of deep vein thrombosis (DVT) might be related to DVT itself or pulmonary embolism (PE). Only about half of the people who have DVT have signs and symptoms.
Some people aren't aware of a deep vein clot until they have signs and symptoms of PE. These signs and symptoms occur in the leg affected by the deep vein clot. They include:
Signs and symptoms of PE include:
If DVT is left untreated it can lead to many serious complications that could even be life-threatening. There are two main complications of deep vein thrombosis. These are:
A few measures to prevent deep vein thrombosis are:
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Vascular surgeons are highly trained to treat diseases of the vascular system. A vascular surgeon not only performs surgeries but will also prescribe medications and exercises to patients who do not need surgery.
Vascular diseases are those medical conditions that affect the blood vessel of the body which consist of veins and arteries. When arteries carrying oxygen-rich blood and veins carrying blood back to the heart malfunction, it can affect various other parts of the body. Conditions such as hardening or blockage of the arteries can obstruct the flow of blood to any part of the body. Other vascular problems may be congenital or develop after pregnancy or a health issue.
We provide surgery, endovascular surgery and non-surgical procedures for an array of vascular conditions. To learn more about the treatments we offer, please see our Vascular Conditions page.
At Medfin, we are partnered with diagnostic centers that have state-of-the-art non-invasive vascular laboratories which are available for comprehensive diagnostic testing of all arteries and veins in the body (with the exception of the brain and heart). Our partner technologists are all highly trained, very experienced, and experts in the testing they perform.
You may have to consult with your doctor as it depends on the severity of your disease and the progress of your treatment.
Mechanical Thrombectomy provides an alternative in which a catheter with a tiny suction at the tip/rotating device, or an ultrasound device is used to break up the clot. Discuss with your doctor for more details on the best option suited for you.
Thrombolytic agents such as Streptase (streptokinase), Eminase (anistreplase), t-PA (class of drugs), Retavase (reteplase) etc. are used to break the clot.
Based on the patient, the doctor will choose the most suited option and deliver these via a longer catheter into the blood vessel to guide it directly to the clot.
Thrombolysis is an effective, minimally invasive and safe procedure which helps to improve blood flow and reduce the potential complications. It helps to prevent any more invasive surgery.
Thrombolysis requires a lesser hospital stay, shows less bleeding and scarring after the procedure as compared to conventional surgery.
People who are at an advanced age, those with pre-existing medical conditions like diabetes or kidney disease, and pregnant women are at higher risk to develop complications.
It can help to bust the clot present but cannot repair the tissues damaged due to the faulty blood circulation. Further treatment is needed to repair the damaged tissues as well as to identify the cause and eliminate it to prevent a recurrence.
It usually takes between 2 to 3 hours.
You may have to consult with your doctor as it depends on the severity of your disease and the status after your surgery.
Every surgery comes with certain risks and potential complications and one must lookout for any signs of excessive bleeding such as:
Blood from the nose or on coughing
Unusual bruising or bleeding from cuts or wounds
Abnormally heavy menstrual bleeding
Blood in urine or stools
Stomach pain or swelling
Deep Vein Thrombosis can be treated using Thrombolysis, Angioplasty and stenting, oral anticoagulants and vena cava filter placement. Sometimes one or more of these are performed in combination with venous thrombectomy to treat the disease.
Those who are at an advanced age (older than 60), allergic to contrast dye, and have underlying conditions like hypertension, heart or kidney disease are more at higher risk for developing complications.
Compression bandages applied to the leg help to reduce swelling. The patient may be advised 6 hours after the procedure, to walk for 15 minutes; rest for 45 minutes, and repeat to improve blood flow to the operated area.
Compression stockings are advised after the leg swelling has subsided (if any). Intravenous heparin is given to prevent blood clots and recover. Physical therapy must be followed as advised by the surgeon.
Our team will give you a detailed picture of the costs that you will incur as part of your surgery.
Our team will assist you in processing of your insurance.
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