I have to wear a compression sock because I had a DVT and the valve in the vein that runs behind my knee is broken. I am still young and would like this fixed so I don't have to wear the sock. Is there a procedure to fix this?
I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).
Published on Jul 11, 2012
There are procedures to repair valves but these are fairly involved and usually reserved only for chronic severe cases. DVT from the knee down is usually not as severe as in the thigh or above the groin. I would recommend follow up ultrasound at 6 months and 1 year. There is a chance that the clot will resolve and the valve may not be destroyed. Wear the compression stocking until you can be reevaluated.
Published on Jul 11, 2012
I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).
Published on Jul 11, 2012
Acute DVT can be treated in selected patients with infusion of a medication through a catheter positioned within the clot in order to break down the clot (thrombolysis). This is most commonly used for extensive clot in the major deep vein of the thigh (femoral vein) or the iliac veins of the pelvis which drain the blood from the leg to the abdomen. Some physicians will also treat the popliteal vein behind the knee in very selected patients. The purpose of early clot lysis is to preserve as much valve funtion as possible by dissoving the clot before the valve is irreparably damaged.
Actual valve repair is performed in the deep veins of the leg for a small number of patients with very severe venous insufficiency and is not performed in patients with recent DVT.
In my opinion, everyone who has ever had DVT should be wearing medical grade elastic compression stockings as soon as the diagnosis is established and should do so lifelong unless there is a specific medical reason not to wear the hose.
Published on Jul 11, 2012
There is not a procedure to treat the procedure to treat incompetent deep venous valves.
Published on Jul 11, 2012
No this is deep venous insufficeincy and there is no good surgery for this. You need to wear compression hose daily for at least 2 years and probably longer
Published on Jul 11, 2012
There really are no procedures used to correct bad veins or fix broken valves. If a stocking is necessary to prevent swelling and also prevent DVTs, then this may be something that has to be worn long term. It is difficult to comment on directly without seeing an ultrasound or venogram.
Published on Jul 11, 2012
You should confirm that the deep system of veins and the superficial system of veins were examined, as many patients have more severe superficial insufficiency than deep insufficiency and this fact is often overlooked.
Published on Jul 11, 2012
Complex question. Need to see a vein specialist to sort through the anatomy.
Published on Jul 11, 2012