DVT

SYMPTOMS


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What Is Deep Vein Thrombosis?

Varicose Vein Laser Ablation India, Gujarat, Ahmedabad, Anand, Jamnagar, Mehsana, Himmatnagar, Baroda Deep vein thrombosis (DVT) is a blood clot that develops in the deep and larger veins in one or both legs, usually in the lower leg (figure shows DVT in the left thigh). DVTs can be dangerous because the clot may become large, break apart, and go through the blood vessels and lodge in the lungs, resulting in decreased or no blood flow to the lungs. This situation may lead to rapid organ damage and even death.Varicose Vein Clinic For CDT, Dvt And EVLT In Africa, UK, USA, India, Ahmedabad, Gujarat.


Deep Vein Thrombosis Symptoms

Varicose Vein Treatment In Africa, UK, USA, India, Gujarat, Ahmedabad, Rajkot, Surat, Bhavnagar, Baroda, Amreli, Surendranagar Deep vein thrombosis (DVT) is a blood clot that develops in the deep and larger veins in one or both legs, usually in the lower leg (figure shows DVT in the left thigh). DVTs can be dangerous because the clot may become large, break apart, and go through the blood vessels and lodge in the lungs, resulting in decreased or no blood flow to the lungs. This situation may lead to rapid organ damage and even death.


DVT Dangers: Pulmonary Embolism

Varicose Vein Treatment Laser Ablation In Africa, UK, USA, India, Gujarat, Ahmedabad, Rajkot, Surat, Bhavnagar, Baroda, Amreli, Surendranagar Many DVTs are not detected by patients or their doctors; about half have no warning signs. Symptoms, when present, may include one or more of the following:


  • Edema in the affected leg (most specific symptom), with possible skin blanching
  • Leg tenderness, sometimes with a palpable bump or mass
  • Leg pain
  • Leg warmth and/or leg skin redness over the DVT
  • Lung symptoms of pulmonary edema (PE), a complication of a DVT
  • A positive Homan’s sign (calf pain when foot is flexed upwards)

Causes


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What Are the Causes of DVT?

Varicose Vein Laser Ablation India, Gujarat, Ahmedabad, Anand, Jamnagar, Mehsana, Himmatnagar, Baroda There are many things that can contribute to causing a DVT. For example, venous damage, increased blood viscosity, surgery, infectious diseases, age 75 and older, cancer, genetic disorders, hormonal changes, certain drugs, previous DVT, and even the lack of leg movement or sitting in a way that decreases leg blood circulation may contribute to DVT (or PE) formation.


Who Is at Risk for DVT?

Laser Ablation In Varicose Vein In Baroda, Anand, Jamnagar, Mehsana, Himmatnagar, Amreli, Surendranagar Risk factors are similar to those causes listed in the previous slide and include:


  • Previous DVT (or PE)
  • Age 75 or older
  • Immobilization (3 or more days)
  • Long car or plane trips (especially if sitting is constant without breaks for walking)
  • Any major medical or surgical problems (for example, cancer, stroke, heart attack, congestive heart failure, burns, spinal cord injuries, multiple trauma, leg fractures, and many others)
  • IV drug abuse
  • Certain drugs (oral contraceptives, estrogens, heparin-induced thrombocytopenia)
  • Genetic causes
  • Pregnancy


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DVT and Pregnancy

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DVT and Hormonal Birth Control

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DVT and Travel

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DVT Diagnosis

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Complication (Dvt Danger)


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DVT Dangers: Pulmonary Embolism

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  • Edema in the affected leg (most specific symptom), with possible skin blanching
  • Leg tenderness, sometimes with a palpable bump or mass
  • Leg pain
  • Leg warmth and/or leg skin redness over the DVT
  • Lung symptoms of pulmonary edema (PE), a complication of a DVT
  • A positive Homan’s sign (calf pain when foot is flexed upwards)

DVT Prevention


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DVT Prevention: Exercise

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DVT Prevention: Travel Tips

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Treatment


What Effects If Dvt Not Treated?


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Long-Term Complications of DVT (POST THROMBOTIC SYNDROME)

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Post thrombotic sysndrome(chronic venous insufficiency). This occurs due to damage of deep venous valves . Pt. have daily pain, edema, fatigue, heaviness & venous claudication . In more severe cases patients develop changes in skin colour, difficulties in walking, inability to work or conduct daily activities and open sores in led (called leg ulcers). When PTS develop in patient, it reduces pt’s quality of life. Dvt In India




Venous Ulcers in pts of post thrombotic syndrome


Treatment


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Compression Stockings

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DVT: Home Care

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Advanced Treatment Of Dvt Are


1. Advanced catheter directed thrombolysis(CDT) treatment:

In catheter directed thrombolysis, we directly inject a clot bursting agent(thrombolytic agent like streptokinase, urokinase, RTPA etc) into the blood clot through a specially designed catheter(small plastic tube) that is placed into pt’s leg vein. We do aspiration of thrombus simultaneously. These thrombolytic agents are given for 12-36 hrs of time slowly & it is monitored in cath-lab periodically.

This thrombolytic medicine will reduce clot burden & clear the passage of vein. It will reduced edema & pain immediately. It will also prevent damage of deep venous valve , so it will prevent post thrombotic syndrome.

CDT is usefull when pt presented in acute stage(i.e. within 14-21 days of DVT formation). If clot age is less, CDT is very effective. Once clot is organize, thrombolytic agents can not lyse thrombus.


2. Percutaneous meachanical thrombectomy + CDT:

In this method, along with CDT, MECHANICAL ASPIRATION DIVISE ARE USED TO aspirate the clot. Cdt In UK, Combining CDT and percutaneous mechanical thrombectomy (PMT) devices has been attempted to try to improve early mechanical thrombus removal and promote lysis of remaining clot.Several different devises are available, but two main devises which are widely used are trellis & angiojet. Cdt In India


3. TRELLIS:

In trellis, balloons are inflated at proximal & distal end of thrombus, than rotating wire will crush thrombus inbetween this balloon. These thrombus will be aspirated & thrombus burden will be reduced.


Results


Treatment results

1) Iliac vein thrombus, catheter directed thrombolysis done. After 12 hrs iliac vein partially opened up & followed by iliac vein stenting.


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2) Iliac vein thrombus, after 24 hrs of CDT, iliac veins opened up & restore patency.


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