Treatment for DVT usually involves taking anticoagulant medicines. These reduce the blood's ability to clot and stop existing clots getting bigger. Heparin and warfarin are 2 types of anticoagulant often used to treat DVT. Heparin is usually prescribed first because it works immediately to prevent further clotting.
If the clot is very large or life threatening, you may need to be hospitalized to receive clot-dissolving medication or to get a clot removal. Blood thinners are usually prescribed for three months, or until the health issue that caused the clot is gone.
The standard of care for the treatment of acute DVT is blood thinning medication (anticoagulation) such as heparin and warfarin (Coumadin). Blood thinning medications work by allowing blood to flow around a trapped clot while at the same time preventing clot from travelling to the lungs.
It is important to start treatment right away for DVT. It takes about 3 to 6 months for a blood clot to go away. During this time, there are things you can do to relieve symptoms. Elevate your leg to reduce swelling.
In a thrombectomy, your doctor injects a contrast dye, which helps locate the clot using X-ray guidance. The clot can usually then be removed using a thin tube called a catheter, which is a long, flexible, hollow tube that is inserted through a vein in the groin or arm and threaded to the location of the blood clot.
If you think you have a blood clot, see a doctor right away. Blood clots in the legs can be very dangerous because they can break free and travel to other parts of the body, including the brain and heart. When a blood clot enters the lung, it can trigger a potentially fatal event called a pulmonary embolism (PE).
The risks of surgical thrombectomy include: Excess bleeding that can be severe enough to cause death. Infection. Damage to the blood vessel at the site of the blood clot.
Following a DVT, your leg may be swollen, tender, red, or hot to the touch. These symptoms should improve over time, and exercise often helps. Walking and exercise are safe to do, but be sure to listen to your body to avoid overexertion.
Will you be admitted to the hospital or sent home? If a DVT is confirmed, you may be discharged and sent home with injectable or oral anticoagulant medication (sometimes called a blood thinner). That said, every patient is different, and you may be admitted to the hospital if the ER doctor believes it's necessary.
Thrombolytic therapy.
During the treatment, your provider will use imaging like CT or MRI scans to make sure the clot is dissolving correctly. You'll usually need to stay in the hospital for at least 1 day after the procedure.
1) Constriction of the blood vessel. 2) Formation of a temporary “platelet plug." 3) Activation of the coagulation cascade.
How long is hospitalization? The time a person spends in the hospital depends on how severe the clot is and whether the person's body is dissolving the clot on its own. Some people may not need to stay in the hospital at all, while others may require 1 week or more.
Your doctor might advise surgical thrombectomy if you have a very large clot. Or, he or she may advise surgery if your blood clot is causing severe tissue injury. Surgery is not the only kind of treatment for a blood clot. Most people with blood clots are treated with medicines called blood thinners.
Causes of Deep Vein Thrombosis
Blood clots may form when blood flow in your veins slows down or becomes blocked. DVT becomes more likely if you have one or more of these risk factors: Being sedentary due to bed rest or sitting too long without moving, such as during travel. Family history of blood clots.
Small blood clots in the calf can sometimes go undetected for several days or weeks, especially if they don't show any symptoms. If left untreated, however, DVT can travel up the veins in the leg to the lungs or other major organs in the body, leading to a potentially fatal pulmonary embolism or similar complication.
DON'T stand or sit in one spot for a long time. DON'T wear clothing that restricts blood flow in your legs. DON'T smoke. DON'T participate in contact sports when taking blood thinners because you're at risk of bleeding from trauma.
Elevate your legs above the level of your heart.
Elevate your legs when you sit or lie down, as often as you can. This will help decrease swelling and pain. Prop your legs on pillows or blankets to keep them elevated comfortably.
If you are currently being treated for DVT, do not massage your legs. Massage could cause the clot to break loose. If you are scheduled for surgery, ask your surgeon what you can do to help prevent blood clots after surgery. Stop smoking.
A large clot can cause the lungs to collapse, resulting in heart failure, which can be fatal. About one in 10 people with an untreated DVT develops a severe pulmonary embolism.
You might need a thrombectomy if you have a blood clot that healthcare providers can't treat with medications like anticoagulants (blood thinners) or thrombolytics (clot-busting drugs). The procedure may help you if the clot blocks blood flow to a part of your body, putting you at risk for: Death.
While a pulmonary embolism can be life-threatening, most patients survive DVT and need to learn how to live with the risk of recurrence. Your healthcare provider will probably prescribe anticoagulants, or blood thinners, which may be needed for as little as three months but can be lifelong treatment.
If left untreated, the clot may become larger and cause significant swelling or pain in your arm or legs. An embolism can also break off and travel to your lungs, causing breathing difficulty, chest pain, and putting stress on your heart. We call this condition pulmonary embolism (PE).