Should I have been given anticoagulants after sclerotherapy?

I was treated for a large vein that was pressing on the ankle region and causing a chronic ulcer. I have a history of bilateral deep vein thrombosis (DVT), post-thrombotic syndrome (PTS) 80% occlusion in thighs, open deep veins with no valves in calves. A week after the procedure, I developed DVT. Should I have been given anticoagulants after sclerotherapy?

Answers from doctors (10)


Tulane Heart & Vascular Institute

Published on Apr 05, 2013

The most important thing is to wear strong thigh-high support hose after the procedure.

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Answered by Tulane Heart & Vascular Institute

The most important thing is to wear strong thigh-high support hose after the procedure.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on Mar 29, 2013

Whether you should have been treated with anticoagulation prior to treatment depends on the etiology of your first DVT. If your past medical history suggests that there was a reasonable cause for your initial DVT (i.e. post-surgery, OCP use, etc.), then my answer to that would be no. However, if there is a level of suspicion for a clotting disorder (a condition where your body tends to clot easily), then the doc should have done one of two things: 1. work on your clotting disorder first and then decide on whether to anticoagulate you prior to treatment, or 2. empirically anticoagulate you. Which one the doc does will vary from doc to doc and will be impacted by what your overall medical condition dictates.

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Answered by The Sheen Vein Institute

Whether you should have been treated with anticoagulation prior to treatment depends on the etiology of your first DVT. If your past medical history suggests that there was a reasonable cause for your initial DVT (i.e. post-surgery, OCP use, etc.), then my answer to that would be no. However, if there is a level of suspicion for a clotting disorder (a condition where your body tends to clot easily), then the doc should have done one of two things: 1. work on your clotting disorder first and then decide on whether to anticoagulate you prior to treatment, or 2. empirically anticoagulate you. Which one the doc does will vary from doc to doc and will be impacted by what your overall medical condition dictates.

Published on Jul 11, 2012


Americas Vein Centers - Southborough

Published on Mar 21, 2013

It is difficult to make a prediction without an examination. You need to be re-evaluated.

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Answered by Americas Vein Centers - Southborough

It is difficult to make a prediction without an examination. You need to be re-evaluated.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 19, 2013

Normally not. You could discuss a thrombophilia work up with your doctor or a hematologist.

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Answered by Advanced Vein Center

Normally not. You could discuss a thrombophilia work up with your doctor or a hematologist.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 19, 2013

Why were you taken off anticoagulation? You should be evaluated by a hematologist. Are you wearing compression hose?

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Answered by Vein Specialties of St. Louis

Why were you taken off anticoagulation? You should be evaluated by a hematologist. Are you wearing compression hose?

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Mar 18, 2013

In retrospect, you have answered your own question. A better question is why your doctor treated you that way. I do not know if you have a history of pulmonary embolism, nor do I know other facts like age, sex, activity level, weight, etc. Only your doctor can answer to you, so ask him or her.

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Answered by Arizona Vein Specialists

In retrospect, you have answered your own question. A better question is why your doctor treated you that way. I do not know if you have a history of pulmonary embolism, nor do I know other facts like age, sex, activity level, weight, etc. Only your doctor can answer to you, so ask him or her.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 18, 2013

Unless you have an underlying clotting disorder (coagulapathy), then there is NO need for anticoagulation after sclerotherapy.

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Answered by Vanish Vein and Laser Center

Unless you have an underlying clotting disorder (coagulapathy), then there is NO need for anticoagulation after sclerotherapy.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Mar 18, 2013

Your history is very complex. I cannot advise you on this.

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Answered by Vein Clinic of North Carolina

Your history is very complex. I cannot advise you on this.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Mar 18, 2013

Not usually.

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Answered by Bella MD Laser Vein and Aesthetic Center

Not usually.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Mar 18, 2013

It is not typical but since you have had a history of DVT, then some physicians might have prescribed something for you. With the deep vein problems already present, it might not have been prevented.

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Answered by Intermountain Vein Center

It is not typical but since you have had a history of DVT, then some physicians might have prescribed something for you. With the deep vein problems already present, it might not have been prevented.

Published on Jul 11, 2012


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