Deep Vein thrombosis specialists Doctor in Delhi, Manipal Hospital Dwarka. DVT also called (venous thrombosis) is a condition where a blood clot due to injured veins or any other reason develops in a vein deep in the body. This may lead to partially or fully block blood inflow to heart. The most common site of DVT is Lower Leg or pelvis, but may occur in the arm, brain, bowel, or liver
A deep veins thrombosis may lead to threat of pulmonary embolism (PE) if not treated in time. In this the clot breaks and transit to Lungs from inside the vein. This causes a serious illness and is potentially life-threatening may lead to death in some cases.
A DVT most commonly develops in one leg (mainly Calf) or one arm. There is usually no symptoms in most of the patients .The most typical symptoms are:
Blood normally flows quickly through veins and does not become solid (clot). Leg movement help the blood flow in leg veins because muscle action squeezes the veins.
The following conditions can increase your risk of a DVT:
Sometimes it is difficult for a doctor to be sure of the diagnosis from just your symptoms, as there are other causes of a painful and swollen calf. As they may be similar to Muscle strain or skin infections.
If you have a suspected DVT, you will normally be advised to have tests done urgently to confirm or rule out the diagnosis. Two commonly used tests are:D Dimer :
To help detect blood clots . If the value is high there may be chances of DVT but not the sure shot test as higher values may be of many different diseases.
Doppler Ultrasound :
used to show blood flow in the leg veins and any blockage to blood flow. Ultrasound is useful because it is an easy, non-invasive test.
Many other tests are also to be done for confirmation
Medicine Anticoagulants or Blood Thinners
Medicine Anticoagulants or Blood Thinners are the most common medicines used to for treatment of DVT . These drugs used to reduce the ability of Blood to clot and dissolve the alredy present clots and prevent embolism. Usually these medications are to be taken for 6 months but in case of recurrent DVT patients may used to take Life time.Thrombolytics
Thrombolytics In some cases usually severe DVT where immediate attention is required, your doctor may recommend using thrombolytic Medicines. These medications are injected via a catheter directly into the blood clot and are used only when there is an extremely high risk for pulmonary embolism.Compression Stokings
Compression Stokings A special type of socks which compresses the ankle and loosen up at calf /Knee . This helps in reduction of Pooling of Blood and prevent clots also it reduces Pain , Swelling and give some relief to patient .Surgical Intervention
Surgical Intervention If anticoagulants and other available not give result or may be due to some health condition it is not advisable to give anticoagulants then the other option is Surgical Treatments as follows –Inferior Vena Cava Filter
Inferior Vena Cava Filter A small device call Inferior Vena Cava Filter is inserted to the main Vein Vena Cava ,the largest vein leading to Heart. A cone shaped device stops /filter the big clots reaching to heart or lungs to prevent the Pulmonary embolism while allowing blood to free flow .Mechanical thrombectomy
Mechanical thrombectomy To treat DVT or PE a relatively new technique used by surgeons these days to treat Blood Clots.Recent studes shows that it is safe and effecting treatment with less risk of recurrence In this technique a catheter is used and inserted to clot location and a Clot removing device (May be aspiration Catheter ,a retrival stent or pump) is directed to remove the clot and again reestablish the blood flow.