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Deep Vein Thrombosis
DVT (Deep Vein Thrombosis) is a clot in one of the deep veins of your legs. If you are concerned you may have any symptoms or swelling, use our same day DVT Rule Out appointment to find out. You’ll feel better knowing if this potentially dangerous situation is present. We are here to give you peace of mind and alleviate anxiety.
Make an appointment. Once you arrive and are checked in, you can either wait in your car until we call your cell to let you know your exam room is ready or, wait in our lobby which is designed for distancing.
We use ultrasound to diagnose or rule-out a DVT and the exam which takes approximately 45 minutes. You will have a physical by one of our practitioners followed by an ultrasound of the leg.
Vascular Vein Centers has remained open and safe through the COVID-19 epidemic to provide your best option for evaluation and treatment of DVT; avoiding a visit to the emergency room.
You will be able to drive yourself home if you drove to the DVT evaluation. All 7 convenient Vascular Vein Centers locations are available.
Your safety is our priority at Vascular Vein Centers. Our Staff and doctors are taking strict safety precautions while we stay open and are doing our part to stop the spread of COVID-19.
Don’t ignore the symptoms and signs of Deep Vein Thrombosis, they could lead to serious complications.
Symptoms and signs include:
Your leg pain relief begins with a safe, comprehensive assessment of your overall health, and lifestyle needs. If needed, we use advanced technologies to provide safe, effective, noninvasive DVT treatments.
After diagnosis, we can provide treatment, follow-up and communication with your primary care physician.
Your health and safety are our primary concerns. While we remain open to protect you from the dangers of DVT, we have enhanced our facility cleaning measures to comply with the latest from the Center for Disease Control (CDC) and Florida Department of Health. We are taking the necessary precautions to keep you safe, including:
We not only care about protecting you from Deep Vein Thrombosis, but we also want to ensure your safety when it comes to COVID-19. Our strict safety measures will keep you and your legs healthy.
DVT stands for deep vein thrombosis. Usually the legs are the area of most concern for formation of a clot in a vein. Clots in the veins from the knee to the pelvis are the most significant and the most potentially dangerous.
While in rare cases factors in the blood predispose to blood clots (hypercoagulation), the majority are caused by an event; possibly a trip, operation or cancer, COVID 19 has been found recently to be a cause. Pregnancy, high estrogen content birth control and prolonged recovery also put one at risk. People who have an operation abdominal, pelvic orthopedic are particularly vulnerable either at the time of operation or during their recovery. It is unusual for a healthy person to develop a DVT without a precipitating event or cause.
This requires a sonogram of the leg by an experienced ultrasonographer. The diagnosis cannot be made without the sonogram or physical examination. A careful history to check for risk factors or an “event” and physical exam to check for swelling or other signs gives an index of suspicion but is not diagnostic.
A clot in the deep veins of the leg is dangerous if it occurs at the bend of the knee or in the veins of the upper leg or pelvis. The danger is that part of the clot could break off and pass to the lung- a pulmonary embolus.
When a clot passes from the leg or pelvis to the lung, it is called a pulmonary embolus. It can cause a person to have pain on inspiration and/or shortness of breath. If the clot is large enough to block all blood flow from the heart to the lung or if the person has underlying pulmonary disease (COPD/ emphysema- from smoking) they may die suddenly. The definitive diagnosis is generally made with a CT angiogram of the chest in the hospital. If there is a question of a pulmonary embolus the patient needs to go to an emergency room ASAP.
For all intents no — clots pass only to the lungs. If a person had a congenital hole in their heart, it would be possible but is very rare.
Yes, a clot in the veins of the leg destroys the valves in the vein it involves and predisposes a person to an accelerated course of venous disease — resulting in swelling, skin changes and possibly skin ulcers around the ankle.
Is someone experiences unexplained new or increased swelling and pain or in one leg, diagnosis should be sought within the next 24 to 48 hours. This situation should not be ignored but doesn’t warrant a visit to the E.R. unless there is also shortness of breath and/or chest pain with breathing. The best course of action is to be seen at one of our Vascular Vein Center clinics. Vascular Vein Centers has many years of experience in the diagnosis and treatment of DVT’s and our pledge is to see and ultrasound anyone with a concern within 24 hours. Monday through Friday and on call physicians are available to teleconference over the weekend.
2020 is a good time for the treatment of a DVT. Now a patient can, after an ultrasound diagnosis, be treated with an anticoagulant pill (“blood thinner”) and hopefully compression stockings and allowed to go home. Years ago, patients with a DVT were admitted to the hospital, put on bed rest, treated with IV heparin and started on a pill- Coumadin. Both required blood tests to determine the ideal level and the patient, after several days, was sent home on the pill- Coumadin. Coumadin therapy required weekly blood tests to regulate dosage. Another therapy was fractionated heparin (Lovenox) which consists of a small shot under the skin of the abdomen. This is still used in pregnant women who have a DVT or are thought to be high risk for a clot. Over the last few years, several oral medications have been developed (the most popular- Xarelto, and Eliquis) which can be started without the need for heparin and don’t require blood tests to regulate.
All the above medications inhibit the formation of new clot but don’t break down the existing clot. This is done by the body’s own “clot busters” (thrombinolysins) which are enhanced by wearing compression and staying active.
The exception to the above treatment of clots occurs when a person has a clot in the pelvic veins (iliac veins). In selected cases, the patient is taken to an Angio suite where a catheter is placed in the clot and it is eliminated using a chemical or mechanical disruption and suction. After the clot is eliminated, then the treatment with shots or an oral pill is started.
Using medicines, with the body’s “clot busters” (thrombinolysins) and using compression, 60% of clots resolve. Sometimes there is residual scaring in a vein which is referred to as Chronic DVT although it is not a clot. Even if the clot completely resolves, the valves in the affected vein are irreversibly damaged leading to progressive venous problems.
If you have a question whether you might have a DVT — don’t go to the E.R. Call Vascular Vein Centers and you will be evaluated within 24 to 48 hours. Your case will be discussed with your doctor and if a clot is found, therapy and follow-up will be initiated. We have many years of experience in diagnosing and treating DVT’s
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