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?
The most important thing is to wear strong thigh-high support hose after the procedure.
Published on Jul 11, 2012
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
It is difficult to make a prediction without an examination. You need to be re-evaluated.
Published on Jul 11, 2012
Normally not. You could discuss a thrombophilia work up with your doctor or a hematologist.
Published on Jul 11, 2012
Why were you taken off anticoagulation? You should be evaluated by a hematologist. Are you wearing compression hose?
Published on Jul 11, 2012
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
Unless you have an underlying clotting disorder (coagulapathy), then there is NO need for anticoagulation after sclerotherapy.
Published on Jul 11, 2012
Your history is very complex. I cannot advise you on this.
Published on Jul 11, 2012
Not usually.
Published on Jul 11, 2012
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