What can I do about a DVT after endovenous surgery?

Endovenous Laser Ablation . 11 answers . 2 years ago

My surgery was one month ago. I now have a large clinging DVT. I went yesterday for another ultrasound and it is larger and moving. I am taking aspirin as instructed. Too early for blood thinners. When can I expect to get rid of it?

ANSWERS FROM DOCTORS


2 years ago by Advanced Vein Center

I can't provide an answer for you, as there is not enough information. Where is the clot? If it is at the saphenofemoral or popliteal junction it is a heat induced thrombus and no treatment is needed. If it is truly in your deep veins and worsening, then you should be anticoagulated.

2 years ago by Advanced Vein Center (View Profile)

I can't provide an answer for you, as there is not enough information. Where is the clot? If it is at the saphenofemoral or popliteal junction it is a heat induced thrombus and no treatment is needed. If it is truly in your deep veins and worsening, then you should be anticoagulated.


2 years ago by General Vascular Surgery Group

If it is a true DVT, you need full anti-coagulation, not just aspirin.

2 years ago by General Vascular Surgery Group (View Profile)

If it is a true DVT, you need full anti-coagulation, not just aspirin.


2 years ago by Intermountain Vein Center

This question depends on the size of clot and if those deep veins are completely occlusive or not. Frequent follow up appointments are necessary and your primary care provider will be able to better address that question in your case. Everyone is different and healing times can vary drastically from patient to patient.

2 years ago by Intermountain Vein Center (View Profile)

This question depends on the size of clot and if those deep veins are completely occlusive or not. Frequent follow up appointments are necessary and your primary care provider will be able to better address that question in your case. Everyone is different and healing times can vary drastically from patient to patient.


1 year ago by The Vascular Institute at Teton Radiology

Your doctor needs to continue to watch the clot with ultrasound. Pain, swelling, and other symptoms should be monitored as well. Blood thinners like Coumadin or Lovenox might be warranted. It can take weeks to months for a clot to resolve.

1 year ago by The Vascular Institute at Teton Radiology (View Profile)

Your doctor needs to continue to watch the clot with ultrasound. Pain, swelling, and other symptoms should be monitored as well. Blood thinners like Coumadin or Lovenox might be warranted. It can take weeks to months for a clot to resolve.


2 years ago by Austin Vein Specialists

It is NOT too early to start on blood thinners. You should be put on a blood thinner like Lovenox and Coumadin immediately.

2 years ago by Austin Vein Specialists (View Profile)

It is NOT too early to start on blood thinners. You should be put on a blood thinner like Lovenox and Coumadin immediately.


2 years ago by Cosmetic Vein Centers of Texas

Usually you should be put on a blood thinners in this situation. Please follow up with your physician.

2 years ago by Cosmetic Vein Centers of Texas (View Profile)

Usually you should be put on a blood thinners in this situation. Please follow up with your physician.


2 years ago by Vein Specialties of St. Louis

Depending upon where the DVT is located, you should be thoroughly evaluated by a vascular surgeon and possible be put on some sort of blood thinner such as Coumadin or Lovenox injections. When you describe "clinging," it is hard to know where this is. If it is at the sapheno-femoral junctions, it should be treated as an emergency, just to be safe. If it is in a superficial vein (varicose, long or short saphenous) and not near a junction), it could be treated conservatively with aspirin or ibuprofen and heat.
The fact that you say it is "moving" would make me very concerned and want to have you seen as soon as possible. If your surgeon who did the ablation isn't concerned, I would try the ER. You can never be too certain or too careful.

2 years ago by Vein Specialties of St. Louis (View Profile)

Depending upon where the DVT is located, you should be thoroughly evaluated by a vascular surgeon and possible be put on some sort of blood thinner such as Coumadin or Lovenox injections. When you describe "clinging," it is hard to know where this is. If it is at the sapheno-femoral junctions, it should be treated as an emergency, just to be safe. If it is in a superficial vein (varicose, long or short saphenous) and not near a junction), it could be treated conservatively with aspirin or ibuprofen and heat.
The fact that you say it is "moving" would make me very concerned and want to have you seen as soon as possible. If your surgeon who did the ablation isn't concerned, I would try the ER. You can never be too certain or too careful.


2 years ago by The Sheen Vein Institute

The DVT seems to be getting larger and actually extending based on your description. This is concerning and depending on where it is and how large the clot actually is, I would be compelled to treat you with anticoagulation medications, provided that you do not have any other contraindications to taking such medications since blood thinners are not benign. The DVT probably will not go away until you go on the blood thinners. And since you have already been on aspirin, which does not seem to be working, some form of anticoagulation is called for. The goal of the blood thinner, however, is not to necessarily get rid of the clot, but in fact to prevent it from getting bigger and possibly breaking off and going to your lungs resulting in a pulmonary embolus. When large enough, these pulmonary emboli can actually be fatal or do irreversible harm to your lungs.

2 years ago by The Sheen Vein Institute (View Profile)

The DVT seems to be getting larger and actually extending based on your description. This is concerning and depending on where it is and how large the clot actually is, I would be compelled to treat you with anticoagulation medications, provided that you do not have any other contraindications to taking such medications since blood thinners are not benign. The DVT probably will not go away until you go on the blood thinners. And since you have already been on aspirin, which does not seem to be working, some form of anticoagulation is called for. The goal of the blood thinner, however, is not to necessarily get rid of the clot, but in fact to prevent it from getting bigger and possibly breaking off and going to your lungs resulting in a pulmonary embolus. When large enough, these pulmonary emboli can actually be fatal or do irreversible harm to your lungs.


2 years ago by Heart and Vein Center

If you have DVT after EVLT you should be on blood thinners now before gets serious. Please follow up with your doctor.

2 years ago by Heart and Vein Center (View Profile)

If you have DVT after EVLT you should be on blood thinners now before gets serious. Please follow up with your doctor.


2 years ago by Vein Specialists

My routine post ablation is to check with an ultrasound one week post procedure. If something resembling a filling defect or "clot" is noted on that scan then I will start the patient on Lovenox and Coumadin to prevent the
progression of a small and early DVT to a larger and more difficult to resolve DVT. If the clot extends to the common femoral vein it should be treated as a DVT.

2 years ago by Vein Specialists (View Profile)

My routine post ablation is to check with an ultrasound one week post procedure. If something resembling a filling defect or "clot" is noted on that scan then I will start the patient on Lovenox and Coumadin to prevent the
progression of a small and early DVT to a larger and more difficult to resolve DVT. If the clot extends to the common femoral vein it should be treated as a DVT.


2 years ago by Vanish Vein and Laser Center

Your question is difficult to answer based on the info given. Sometimes a clot can form just above the saphenofemoral junction within one week of the closure procedure but this usually resolves within 2 weeks. There are criteria for treating this with anticoagulation. DVT forming in any other deep vein is usually treated with anticoagulation. From what you describe I would recommend that you ensure that ASA is sufficient treatment and not full anticoagulation.

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

Your question is difficult to answer based on the info given. Sometimes a clot can form just above the saphenofemoral junction within one week of the closure procedure but this usually resolves within 2 weeks. There are criteria for treating this with anticoagulation. DVT forming in any other deep vein is usually treated with anticoagulation. From what you describe I would recommend that you ensure that ASA is sufficient treatment and not full anticoagulation.


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation - 4 years ago
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation - 3 years ago
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation - 5 years ago
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation - 4 years ago
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation - 2 years ago
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation - 2 years ago
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation - 1 year ago
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation - 5 years ago
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation - 5 years ago
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation - 4 years ago
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation - 2 years ago
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation - 5 years ago
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Endovenous Laser Ablation - 3 years ago
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation - 4 years ago
Does this procedure hurt?
See More
Endovenous Laser Ablation - 4 years ago
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Endovenous Laser Ablation - 3 years ago
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Suggested Doctors

Related Articles