Deep Vein Thrombosis DVT | Dallas Fort Worth TX

Deep Vein Thrombosis

Introduction

Veins of the leg
A deep vein thrombosis (DVT) is a blood clot that forms in the deep large veins of the pelvis, legs, thighs, or arms. A DVT can reduce or block the flow of blood in a vein. It may dislodge and travel in the bloodstream, causing a stroke, pulmonary embolism, heart attack, or death. DVT is a potentially life-threatening condition and requires immediate medical attention. DVTs may be treated with medications or surgery.


Anatomy

The heart has several large arteries and veins connected to it that branch out and become smaller as they travel throughout your body.  Your arteries and veins are blood vessels that deliver blood throughout your body in a process called circulation. Arteries carry oxygenated blood away from your heart. Veins carry deoxygenated blood from your body and lungs back to your heart.

leg veins

Causes

DVTs can occur in the deep large veins of the pelvis, legs, thighs, or arms.  They may develop after prolonged bed rest or immobility, such as after long plane or car trips. Risk factors may increase the likelihood of DVT development.

Normal Blood Flow Diagram | Detached Blood Clot Diagram | DVT Causes

Symptoms

A DVT can cause pain or tenderness, redness, warmth, and swelling. A DVT in the leg may cause the one leg to swell, discolor, and cramp like a “charlie horse.”  A DVT in the arm may cause upper arm or neck swelling.

DVT: may cause the one leg to swell, discolor, and cramp like a “charlie horse.”

Diagnosis

You should contact your doctor immediately if you suspect that you have a DVT.  Your doctor will examine you and conduct some tests to determine if a clot is present.  If a clot is present, your doctor will determine the severity of the clot.  Blood tests and imaging tests are commonly conducted.  A Doppler ultrasound of the legs may identify a blood clot by using sound waves to create an image when a device is gently placed on your skin.  A venography is used to identify blood clots in a procedure that uses X-rays and dye administered through a catheter that is inserted into a vein. You may receive a general or local anesthesia for the procedure. An impedance plethysmography is a non-invasive blood circulation test used to detect the presence of a blood clot.  It may be used as an alternative to a venography.
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Treatment

DVTs may be treated with blood thinning medications called anticoagulants or clot busting medications termed thrombolytic therapy.  In some cases, clots are removed with a catheter or surgery.  People that cannot tolerate or do not respond to anticoagulation may have a permanent filter inserted in their vein.  The filter prevents large embolisms from entering the lungs but it does not stop blood clots from developing.
Catheter is inserted in vein through blood clot.

Am I at Risk?

Risk factors may increase your likelihood of developing DVT, although some people that develop the condition do not have any risk factors.  People with all of the risk factors may never develop DVT; however, the chance of developing the condition increases with the more risk factors you have.  You should tell your doctor about your risk factors and discuss your concerns.

A Solution For Blood Clots

Minimally invasive therapy to remove or dissolve blood clots in the body, especially in the legs.Precision specializes in the diagnosis and treatment of blood clots within both the deep and superficial venous system. Blood clots often cause pain and swelling of the affected limb and can be a life-threatening condition.  Blood clots rarely dissolve completely on their own and can often lead to permanent damage of the veins and possible life-long side effects called post-thrombotic syndrome (PTS).

Although many doctors treat patients for Deep Vein Thrombosis or (DVT) and blood clots, we specialize in comprehensive DVT and blood clot care by offering minimally invasive therapy to potentially remove or dissolve blood clots in the body, especially in the legs. By undergoing an evaluation with one of our experts, you can ensure that your Deep Vein Thrombosis is being treated with the most advanced therapies and techniques available.

Ultrasound tests to check for blood clots within the legs or the arms.Our office has a vascular ultrasound lab capable of performing the important ultrasound tests to check for blood clots within the legs or the arms. Our experts are experienced in the most advanced, state-of-the-art treatments for Deep Vein Thrombosis, including outpatient procedures used to dissolve and remove the clot within the legs.

The American Heart Association has made strong recommendations that any patient with certain types of blood clots (iliofemoral) should undergo the Thrombolysis procedure. Therefore, any patient diagnosed with a blood clot should be seen by a vascular specialist trained in the full range of treatment options.

Important Points To Consider When Choosing A DVT Specialist:

  • Our office provides comprehensive care for DVTs, including: diagnosis, treatment, and follow-up.
  • We are one of the few groups in Dallas who can perform the thrombolysis procedure, which can dissolve newly diagnosed blood clots within the body. The thrombolysis procedure has been strongly recommended by the American Heart Association.
  • Time is important! The best results arise from blood clots that are treated immediately or within a few weeks after diagnosis.
  • Even patients who are suffering from chronic swelling or PTS can often be helped by proper treatment.
  • Most insurances cover all diagnostic tests and therapeutic procedures for DVT care.
  • Getting expert care for DVTs today can prevent long-term complications such as post-thrombotic syndrome caused by inadequate treatment of a DVT.
  • Many patients have significant reduction in the swelling of their legs or arms immediately after getting proper treatment.
Meet Our Expert Doctors

At Precision VIR, Excellent Patient Care Is Our Passion

Our specialists will take the time to answer your questions about Deep Vein Thrombosis and our advanced procedures. If your veins need treatment, request an appointment for an evaluation with the experts at Precision VIR. We will create an individualized plan to help you get the best results.

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F.A.Q.

 

How Can I Prevent DVT?
Proactive protection, also called prophylaxis, for DVT is far easier than treating it after it has occurred. Patients are evaluated for risk of DVT and are treated with appropriate prophylaxis while in the hospital. Prophylaxis may include:

  • Frequent ambulation and simple leg exercises to help keep blood moving.
  • Medications such as blood thinners. Some patients may be at high risk for using blood thinners. If so, compression stockings and / or a compression sleeve / pump will be placed on the patient’s legs or feet to help squeeze blood out and prevent clots from forming.
  • Mechanical devices such as a compression pump. It is important for the patient to keep the compression sleeve / pump on at all times, except when walking.
What Causes DVT?

Blood clots may form in veins due to immobility, for example after surgery or if you sit for a long flight or car trip. Other risk factors for developing deep vein thrombosis include:

  • Injuries from an accident
  • Prior history of DVT
  • Family history of DVT
  • Having a central venous catheter
  • Cancer
  • Being overweight
  • Taking birth control pills or hormone therapy
  • Pregnancy
  • Smoking
Is It OK To Travel After Having A DVT?
Yes. Stop every hour, get out of your car, and walk for several minutes.  If you are on a plane, train, or bus, try to sit where you can stretch your legs (aisle seat, exit aisle).  Get up and walk the aisle(s) whenever it is safe.  If you cannot get out into the aisle, do heel toe exercises and foot circles while seated to keep your blood flowing.  It is also a good idea to wear compression stockings consistently if you have had a DVT, and this includes while traveling. Wear loose fitted clothing, and drink a lot of water.  Sometimes your doctor will suggest a dose of a low molecular weight heparin prior to lengthy travel.
What is the likelihood of developing another deep vein thrombosis (DVT or blood clot in the leg)?
A person who had a DVT is at higher risk to develop another one than someone who never had one. The degree of increased risk depends upon individual medical history, and includes factors such as family history of a blood clot, location of the clot, whether there was a previous clot or a clotting disorder, and certain “triggers.” Notable “triggers” are hospitalization for more than 3 days, surgery, knee or hip replacement, and trauma.
What are the signs and symptoms of a DVT?
  • Swelling, usually in one leg
  • Leg pain or tenderness
  • Reddish or bluish skin discoloration
  • Leg warm to touch
Will my swelling go away?
It is common for swelling to remain in the leg for awhile.  Your compression stockings help increase blood flow in your legs to reduce swelling and to prevent any complications from the DVT.
What are the warning signs of a pulmonary embolism (PE or blood clot in the lung)?
  • Sudden shortness of breath
  • Chest pain that is sharp or stabbing and may get worse with each breath
  • Rapid heart rate
  • Unexplained cough, sometimes with bloody mucus
  • A PE is a medical emergency and you should seek medical attention right away!
What should I expect after a pulmonary embolism (PE)?
Shortness of breath and mild pain or pressure in the lungs are common. You are likely to notice pain when you exert yourself or during physical activity or whenever you take a deep breath.  Shortness of breath gets better in time, and exercise helps you use your breath more efficiently.
Whom should I tell that I am taking blood thinners?
Tell all of your doctors, nurses, dentist, or healthcare providers.
Taking Coumadin® (warfarin) helped me feel safe from having another clot. Now that I don’t have to continue blood thinners, I feel uneasy.
This is a common feeling, and you should discuss your feeling of uneasiness with your doctor. The most worrisome side effect is bleeding, but if you take your blood thinner and follow your INR level as directed, you and your doctor can make taking an oral blood thinner as safe as possible.
If I’m ever hospitalized, should I tell the doctors that I had a DVT or PE?
Absolutely. Tell this to any doctor or healthcare professional who takes care of you, in or out of the hospital.
Is it OK to exercise?
The amount and type of exercise that is safe is a decision to make with your doctor, and depends on your physical condition. Walking or swimming are usually considered good choices as exercise.
How helpful is exercise after a DVT or PE?
Exercise increases circulation, reduces swelling, and helps you feel invigorated. Aerobic exercise may increase lung function after a PE.
Is crossing my legs a problem after a DVT?
Crossing your legs limits free flow of blood through your legs.  Good circulation is important to prevent clots.
How long should I sit at one time?
You should do heel toe exercises and circle your feet whenever you are sitting.  Try to get up and walk around at least every 2 hours.
Is it OK to travel after having a blood clot?
Yes. Stop every hour, get out of your car, and walk for several minutes.  If you are on a plane, train, or bus, try to sit where you can stretch your legs (aisle seat, exit aisle).  Get up and walk the aisle(s) whenever it is safe.  If you cannot get out into the aisle, do heel toe exercises and foot circles while seated to keep your blood flowing.  It is also a good idea to wear compression stockings consistently if you have had a DVT, and this includes while traveling. Wear loose fitted clothing, and drink a lot of water.  Sometimes your doctor will suggest a dose of a low molecular weight heparin prior to lengthy travel.
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