I have a DVT in my left leg and have to wear a compression sock because the valve is broken. Is there a surgical treatment to fix this?

Compression Stockings . 9 answers . 4 years ago

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?

ANSWERS FROM DOCTORS


4 years ago by Innovative Vein

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.

4 years ago by Innovative Vein (View Profile)

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.


4 years ago by Bella MD Laser Vein and Aesthetic Center

Complex question. Need to see a vein specialist to sort through the anatomy.

4 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Complex question. Need to see a vein specialist to sort through the anatomy.


4 years ago by Laser Vein Center

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).

4 years ago by Laser Vein Center (View Profile)

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).


4 years ago by Angelo N. Makris MD

There is not a procedure to treat the procedure to treat incompetent deep venous valves.

4 years ago by Angelo N. Makris MD (View Profile)

There is not a procedure to treat the procedure to treat incompetent deep venous valves.


4 years ago by VeinCare Centers of Tennessee

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.

4 years ago by VeinCare Centers of Tennessee (View Profile)

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.


4 years ago by Miller Vein

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).

4 years ago by Miller Vein (View Profile)

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).


4 years ago by Vein Specialists

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.

4 years ago by Vein Specialists (View Profile)

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.


4 years ago by Vanish Vein and Laser Center

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.

4 years ago by Vanish Vein and Laser Center (View Profile)

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.


4 years ago by Vein and Vascular Diagnostic and Treatment Center, Cardiovascular Consultants of South Florida

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

4 years ago by Vein and Vascular Diagnostic and Treatment Center, Cardiovascular Consultants of South Florida (View Profile)

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


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