Subtitle of other. information. Management of Chronic DVT. Presenter name Title. Date. Sid Bhende, MD. Sentara Vascular Specialists April 26 th 2014

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Subtitle of other. information. Management of Chronic DVT. Presenter name Title. Date. Sid Bhende, MD. Sentara Vascular Specialists April 26 th 2014"

Transcription

1 Sid Bhende, MD Sentara Vascular Specialists April 26 th 2014 Management of Chronic DVT

2 Outline Chronic DVT Definition Diagnosis Complication of Chronic DVT Post Thrombotic Syndrome (PTS) Management of Chronic DVT Medical Surgical

3 Chronic DVT Definition DVT that has been present for > 4 weeks Diagnosis Ultrasound is the gold standard

4 Criteria for Ultrasound CHARACTERISTICS ACUTE DVT CHRONIC DVT Thrombus Echogenicity Hypoechoic Hyperechoic Vein Lumen Size Distended Narrow, Irregular Compressibility Spongy Rigid Collateral Veins Absent Present

5 Subtitle Normal Vein of other Acute Presenter DVT name

6 Chronic DVT

7 Complication of Chronic DVT Post Thrombotic Syndrome (PTS)

8 What is PTS? A complication from having a chronic DVT National Alliance for Thrombosis and Thrombophilia (NATT) 60% of patients in whom DVT develops will recover without further symptoms 40% will have some degree of post thrombotic syndrome (PTS)

9 What is PTS? The American Venous Forum (AVF) suggests that PTS will develop in up to two thirds of patients with DVT PTS is the most common complication after chronic DVT PTS can still occur even if the patient receives appropriate anticoagulant treatment

10 Why is PTS a problem? It is a chronic lifelong condition Symptoms of PTS can wax and wane over time - but there is no cure Severe PTS can cause painful venous ulcers or sores that are difficult to treat and tend to recur 5-10% of PTS patients develop venous ulcerations

11 Why does PTS occur? Clot (thrombus) in the vein Damage to valves inside the vein The damaged valves as well as residual clot create an obstruction Capillary leak, Fibrin Deposition, RBC & WBC sequestration Reduce skin and tissue oxygenation Venous Hypertension Post Thrombotic Syndrome Increased venous pressures

12

13 What are risk factors for PTS? Difficult to predict which patients with DVT will go on to develop PTS Extent of DVT Proximal DVT above knee Obesity Ipsilateral DVT recurrence Another DVT in a leg with a Presenter previous name DVT Inadequate anticoagulation - Subtherapeutic INR (mainly in first 3 months)

14 What are risk factors for PTS? Rate of recanalization Recent studies show that persistence of DVT symptoms and signs at one month after the blood clot are associated with a higher risk of developing PTS

15 What are symptoms of PTS? Worse after standing or walking and tend to improve with rest and leg elevation Leg pain (dull, aching, throbbing) Heaviness or Tiredness Swelling or Cramping New varicose Presenter veins popping name up

16 What are clinical signs of PTS? Leg edema Brownish skin pigmentation Bluish discoloration of the leg/foot/toes Formation of new varicose veins Hardening of the skin (lipodermatosclerosis) Leg ulceration

17

18 When does PTS occur? PTS usually develops within the first six months after DVT, but can occur up to two years after the clot

19 What are treatment options for Medical Management Surgical Management PTS?

20 Medical Management of PTS Prevention is the Goal Compression stockings (30 40 mm Hg) worn daily for 2 years from onset of DVT Shown in studies to reduce the risk of developing PTS American College of Chest Physicians (ACCP) Highly recommend compression Presenter stockings name

21 What can you do for the patient diagnosed with Subtitle PTS? of other Steps that may help patients who already have PTS include Leg elevation Use of compression stockings Analgesics (pain medication) for pain management Treatment of varicose veins If patient develops severe PTS (Leg ulcers) Require specific care (Unna Boot)

22 Surgical Management of PTS Endovascular interventions For Acute DVT venous thrombolysis Awaiting results from ATTRACT (Acute Venous Thrombosis: Thrombus Removal With Adjunctive Catheter-Directed Thrombolysis) Trial

23 Surgical Management of PTS What about CHRONIC DVT? Old Mentality has been that if clot hasn t resolved and is now old, then there is nothing to do aside from compression New Mentality is perhaps we can attempt endovascular recanalization of a chronic DVT to offer patients symptomatic Presenter relief name

24 Surgical Management of PTS First Chronic DVT intervention trial ACCESS PTS (Accelerated Thrombolysis Post Thrombotic Syndrome) Industry sponsored trial Prospective, Multicenter 30 centers Purpose: To evaluate efficacy of thrombolysis for PTS and chronic venous occlusion

25 Surgical Management of PTS ACCESS PTS Population: Pt with documented chronic DVT (confirmed by ultrasound for a minimum of 6 months) Failed 3 months of conservative therapy (anticoagulation & compression stockings) CEAP classification 3 Patients with Proximal DVT only

26 While we wait for the ACCESS PTS trial, what can we offer? Endovascular venous recanalization for Chronic DVT Iliocaval DVT Iliofemoral DVT Indications CEAP classification (C3-C6) Venous claudication Pain in the leg due to increase in venous pressure with exercise and outflow obstruction

27 CEAP Classification

28 CASE 52 yr man with h/o LLE DVT after spine surgery 4 years ago Treated with Coumadin, No stockings Complaining of Chronic LLE edema and stasis ulcer Exam LLE chronic edema, stasis Presenter changes, name medial malleolar ulcer, groin and suprapubic varices US No evidence of DVT in leg, Varicose veins

29 CT scan

30 Left Leg Venogram Volcano IVUS

31

32

33

34 Take Home Points PTS is the most common complication of chronic DVT Prevention of PTS is the goal Appropriate anticoagulation & Compression stockings (acute DVT) Medical management of PTS Leg elevation and compression stockings Endovascular intervention is possible for chronic DVT (Iliocaval & Iliofemoral) Follow results of the ACCESS PTS trial

35 THANK YOU

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Surgical Options for Venous Disease Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Chronic Venous Disease Approximately 23% of adults in the US have varicose veins Estimated 22 million women

More information

Post-thrombotic syndrome

Post-thrombotic syndrome Information for patients Post-thrombotic syndrome Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Post-Thrombotic Syndrome. This leaflet explains more about Post-

More information

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS DEEP VEIN THROMBOSIS James St.George, M.D., RPVI, RVT, RPhS Originally Published In Florida Times Union March 2014 James St.George, M.D., RPVI, RVT, RPhS Dr. St. George is the Medical Director of St Johns

More information

Treatment of Venous Disease

Treatment of Venous Disease Treatment of Venous Disease Tim Gardner MD, FACC Bryan Heart Boy, Have I missed The Boat These are NOT the legs I work with! 1 My World Venous Ulcer due to Chronic Venous Insufficency, CVI Venous Disease

More information

Venous Thromboembolism (VTE) How Ultrasonic Sound Waves Can Help Safely Dissolve Blood Clots

Venous Thromboembolism (VTE) How Ultrasonic Sound Waves Can Help Safely Dissolve Blood Clots A Patient s Guide To Advanced, Minimally-Invasive Treatment Of Venous Thromboembolism (VTE) How Ultrasonic Sound Waves Can Help Safely Dissolve Blood Clots Venous Thromboembolism (VTE) is a serious and

More information

Advances in Percutaneous Intervention William C. Dixon IV, MD, FACC, FSCAI

Advances in Percutaneous Intervention William C. Dixon IV, MD, FACC, FSCAI Acute and Chronic Venous Disease Advances in Percutaneous Intervention William C. Dixon IV, MD, FACC, FSCAI Outline Chronic venous insufficiency Acute DVT Intervention Chronic DVT Intervention Chronic

More information

This information is intended as a general guide only. Please ask if you have any questions relating to this information.

This information is intended as a general guide only. Please ask if you have any questions relating to this information. Foam Sclerotherapy (Varicose vein injections) Vascular Surgery This information is intended as a general guide only. Please ask if you have any questions relating to this information. Varicose Veins Veins

More information

THE ELITE LASER VEIN CENTER Los Angeles, California

THE ELITE LASER VEIN CENTER Los Angeles, California THE ELITE LASER VEIN CENTER Los Angeles, California WWW.ELITEVEIN.COM New Horizons in the Treatment of Varicose Veins Varicose Veins Bulging, twisted, blue or purple veins below the surface of the skin,

More information

A Patient s Guide to Antithrombotic and Thrombolytic Therapy

A Patient s Guide to Antithrombotic and Thrombolytic Therapy A Patient s Guide to Antithrombotic and Thrombolytic Therapy PATIENT EDUCATION GUIDE What is a blood clot? A blood clot is a solid mass consisting of blood cells and other material that forms inside a

More information

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral NHS Devon NHS Plymouth Torbay Care Trust Peninsula Commissioning Priorities Group Commissioning Policy Varicose Vein Referral Varicose Vein Referral Guidelines 1. Description of service/treatment Most

More information

Vascular Surgery. Varicose Veins

Vascular Surgery. Varicose Veins Vascular Surgery Varicose Veins The Department of Surgery sees patients for a wide range of surgical services. These include Colorectal, Endocrine, Breast, Upper GI, Bariatrics, Hepatobiliary, Plastics,

More information

Guidance. This guidance has been updated to take into account the NICE clinical guideline 167(1).

Guidance. This guidance has been updated to take into account the NICE clinical guideline 167(1). Bedfordshire and Hertfordshire Priorities Forum Statement Number: 9 Subject: Varicose Vein Surgery Date of decision: September 2014 Date of review: September 2017 Guidance This guidance has been updated

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Origination Date: June 1, 1993 Review Date: July 20, 2016 Next Review: July, 2018 Medicare C/D Medical Coverage Policy DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins of the

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

Causes of Leg Swelling. How good is CT for DVT? Direct CT Venography. Lower Extremity Venous Thrombosis and Leg Swelling: The Role of CT Venography

Causes of Leg Swelling. How good is CT for DVT? Direct CT Venography. Lower Extremity Venous Thrombosis and Leg Swelling: The Role of CT Venography Lower Extremity Venous Thrombosis and Leg Swelling: The Role of CT Venography Bart Dolmatch, MD Professor of Radiology UTSW Medical Center Dallas, TX Causes of Leg Swelling Venous thrombosis Venous stenosis

More information

Recurrent Varicose Veins

Recurrent Varicose Veins Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains

More information

Deep Vein Thrombosis

Deep Vein Thrombosis Deep Vein Thrombosis This article is also available in Spanish: Trombosis venosa profunda (Deep Vein Thrombosis) (topic.cfm? topic=a00758). Deep vein thrombosis, or DVT, occurs when a blood clot forms

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Are You at Risk? Leg problems are widespread throughout the world, but what most people don t know is that approximately

More information

Confirmed Deep Vein Thrombosis (DVT)

Confirmed Deep Vein Thrombosis (DVT) Confirmed Deep Vein Thrombosis (DVT) Information for patients What is deep vein thrombosis? Blood clotting provides us with essential protection against severe loss of blood from an injury to a vein or

More information

Endovenous Radiofrequency Ablation of the Saphenous Vein The VNUS Closure Procedure

Endovenous Radiofrequency Ablation of the Saphenous Vein The VNUS Closure Procedure Endovenous Radiofrequency Ablation of the Saphenous Vein The VNUS Closure Procedure VN20-86-E 4/09 25 Million people suffer from venous reflux disease, the underlying cause for most varicose veins VNUS

More information

Patient Information Understanding Varicose Veins

Patient Information Understanding Varicose Veins Patient Information Understanding Varicose Veins The Circulatory System Arteries carry oxygenated blood to your legs and the veins carry de-oxygenated blood away from your legs. The blood returns to the

More information

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Beaumont Hospital Varicose Veins and their TREATMENT Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Department of Surgery Beaumont Hospital and Royal College of Surgeons in Ireland

More information

Venous Disease Update VN20-52-A 12/04

Venous Disease Update VN20-52-A 12/04 Venous Disease Update VN20-52-A 12/04 Prevalence Abnormal venous anatomy: 15% of males and 30% of females Familial tendency Standing vocation Associated with pregnancy (varicose veins) Leg injury or surgery

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins.

Information for patients who require Foam Sclerotherapy for Varicose Veins. Information for patients who require Foam Sclerotherapy for Varicose Veins. Why do I need this procedure? Everybody has two sets of veins in the legs. These include the superficial and deep veins. Their

More information

Venous Thromboembolic Treatment Guidelines

Venous Thromboembolic Treatment Guidelines Venous Thromboembolic Treatment Guidelines About the NYU Venous Thromboembolic Center (VTEC) The center s mission is to deliver advanced screening, detection, care, and management services for patients

More information

Hospital Acquired Thrombosis (Blood Clot)

Hospital Acquired Thrombosis (Blood Clot) Hospital Acquired Thrombosis (Blood Clot) Thrombosis Committee Patient Information Hospital Acquired Thrombosis Introduction Any patient admitted to hospital is potentially at risk of developing a blood

More information

Patient & Family Guide. Venous Leg Ulcers.

Patient & Family Guide. Venous Leg Ulcers. Patient & Family Guide 2016 Venous Leg Ulcers www.nshealth.ca Venous Leg Ulcers What are venous leg ulcers? The words leg ulcer are used to describe a variety of open sores below the knee that are slow

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: September 16, 2015 Next Review: September, 2017 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins

More information

Deep Vein Thrombosis

Deep Vein Thrombosis Deep Vein Thrombosis Evaluation and Management Considerations Mark R. Gazall, D.O. Maryland Vascular Specialists Professor of Surgery Ohio University, Athens Ohio Deep Vein Thrombosis A Treatment Option

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

Treating varicose veins with foam injections using ultrasound guidance

Treating varicose veins with foam injections using ultrasound guidance Issue date February 2013 Information for the public NICE interventional procedures guidance advises the NHS on when and how new procedures can be used in clinical practice. Treating varicose veins with

More information

Appropriate Use Criteria (By Rating) Table 1. Venous Duplex of the Upper Extremities for Patency and Thrombosis

Appropriate Use Criteria (By Rating) Table 1. Venous Duplex of the Upper Extremities for Patency and Thrombosis ACCF 2013 Use Criteria for Peripheral Vascular Ultrasound and Physiological Testing Part II: Testing for Venous Disease and Evaluation of Hemodialysis Access Section 1: Upper Extremity Venous Evaluation

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins?

Tired, Aching Legs? Swollen Ankles? Varicose Veins? Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people

More information

PERIPHERAL ARTERY DISEASE

PERIPHERAL ARTERY DISEASE PERIPHERAL ARTERY DISEASE WHAT IS PERIPHERAL ARTERY DISEASE (PAD)? Your arteries carry oxygen-rich blood from your heart to all of your organs and tissues. When the arteries in your legs become narrowed

More information

Grade Complications Action by GP Referral?

Grade Complications Action by GP Referral? Varicose vein steps to be followed prior to referral Summary table Grade Complications Action by GP Referral? Class 1 Thread veins or reticular None Support stockings (FP10); British class 2 Activa or

More information

Post Thrombotic Syndrome

Post Thrombotic Syndrome Post Thrombotic Syndrome DVT Clinic Information for Patients i University Hospitals of Leicester NHS Trust What is Post Thrombotic Syndrome? Post thrombotic syndrome (PTS) is a condition which may occur

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES SCLEROTHERAPY TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LEGS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance

More information

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins THE VEIN CENTER State-of-the-Art Treatment for Varicose Veins and Spider Veins Vein Disorders Nearly 50 percent of the adult population suffers from undesirable, sometimes painful vein disease. The most

More information

Edema. Edema can also be caused by certain medical conditions or medications. It is also common in pregnant women.

Edema. Edema can also be caused by certain medical conditions or medications. It is also common in pregnant women. Edema Introduction Edema is swelling caused by extra fluid in the tissue of the body. It usually happens in the feet, ankles and legs, but it can involve your entire body. There are many causes of edema,

More information

AMERICAN VENOUS FORUM

AMERICAN VENOUS FORUM Revised Venous Clinical Severity Score AMERICAN VENOUS FORUM Pain : 0 Mild: 1 or other discomfort (ie, aching, heaviness, fatigue, soreness, burning) origin Occasional pain or other discomfort (ie, not

More information

Varicose veins and spider veins

Varicose veins and spider veins Varicose veins and spider veins Summary Varicose veins are knobbly, twisted and darkish-blue in appearance, and are most commonly found on people s legs. Varicose veins are caused by faulty valves within

More information

SCREENING COMPRESSION ULTRASOUND FOR LOWER EXTREMITY DVT

SCREENING COMPRESSION ULTRASOUND FOR LOWER EXTREMITY DVT SCREENING COMPRESSION ULTRASOUND FOR LOWER EXTREMITY DVT R. Eugene Zierler, M.D. The D. E. Strandness, Jr. Vascular Laboratory University of Washington Medical Center Division of Vascular Surgery University

More information

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency Spotlight Series: Interventional Radiology Varicose Veins and Venous Insufficiency What is venous insufficiency? Spectrum of Disease Spider veins and telangiectasias Small reddish and purple veins near

More information

ULTRASOUND VENOGRAPHY

ULTRASOUND VENOGRAPHY ULTRASOUND VENOGRAPHY SCAN PROTOCOL Linear array transducer for thigh and calf veins 5MHz-9MHz Curvilinear transducer for pelvic and abdominal veins 2MHz-6MHz SCAN PROTOCOL ILIO-FEMORAL SEGMENT Patient

More information

WHY DO MY LEGS HURT? Veins, arteries, and other stuff.

WHY DO MY LEGS HURT? Veins, arteries, and other stuff. WHY DO MY LEGS HURT? Veins, arteries, and other stuff. Karl A. Illig, MD Professor of Surgery Chief, Division of Vascular Surgery Mitzi Ekers, ARNP April 2013 Why do my legs hurt? CONFLICTS OF INTEREST

More information

VASCULAR SURGERY. 4. Assess the vascular system by appropriate skills in history-taking and in clinical examination.

VASCULAR SURGERY. 4. Assess the vascular system by appropriate skills in history-taking and in clinical examination. VASCULAR SURGERY PGY-1 Medical Knowledge 1. Describe human arterial and venous anatomy. 2. Describe basic arterial and venous hemodynamics. 3. Review the basic clinical manifestations of vascular disorders.

More information

MANAGEMENT OF ACUTE DEEP VEIN THROMBOSIS UPDATE? Mr Chew Loon Guan Head Dept of General & Vascular Surgery Serdang Hospital

MANAGEMENT OF ACUTE DEEP VEIN THROMBOSIS UPDATE? Mr Chew Loon Guan Head Dept of General & Vascular Surgery Serdang Hospital MANAGEMENT OF ACUTE DEEP VEIN THROMBOSIS UPDATE? Mr Chew Loon Guan Head Dept of General & Vascular Surgery Serdang Hospital Caveat The following deep vein thrombosis is in regards to the lower extremity

More information

Ulcer Management Workshop

Ulcer Management Workshop Ulcer Management Workshop David Ferrar, Vascular and Endovascular Surgeon GPCME meeting, Rotorua 2008 Ulcer management Workshop Diagnosis Management How and when to measure ABI How to apply compression

More information

X-Plain Varicose Veins Reference Summary

X-Plain Varicose Veins Reference Summary X-Plain Varicose Veins Reference Summary Introduction Varicose veins are very common, in both women and men. Varicose veins can be painful and unattractive. Vein doctors use non-invasive ultrasound imaging

More information

Endovenous Laser Therapy

Endovenous Laser Therapy Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about

More information

Leg Vein Health. Solutions to managing venous conditions

Leg Vein Health. Solutions to managing venous conditions Leg Vein Health Solutions to managing venous conditions Venous disorders: Affecting all walks of life Dear valued customer, Venous disorders are common just like high blood pressure, heart disease or diabetes

More information

VENOUS INSUFFICIENCY. The Vascular Group, PLLC

VENOUS INSUFFICIENCY. The Vascular Group, PLLC VENOUS INSUFFICIENCY The Vascular Group, PLLC TABLE OF CONTENTS Venous Disease p. 2-3 Diagnostic Tests..p. 3-4 Venous Abnormalities p. 3 Radio Frequency Ablation. p. 4-8 Ambulatory Phlebectomy..p. 9-10

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes

More information

OHTAC Recommendation: Endovascular Ablation for Varicose Veins Ontario Health Technology Advisory Committee

OHTAC Recommendation: Endovascular Ablation for Varicose Veins Ontario Health Technology Advisory Committee OHTAC Recommendation: Endovascular Ablation for Varicose Veins Ontario Health Technology Advisory Committee July 2013 Background Health Quality Ontario (HQO) reviewed Endovascular Laser Therapy for Varicose

More information

Preventing Venous Thromboembolism (VTE)

Preventing Venous Thromboembolism (VTE) Preventing Venous Thromboembolism (VTE) UHN Information about blood clots in veins, also known as Deep Vein Thrombosis and Pulmonary Embolism This brochure will help you to understand: Deep Vein Thrombosis

More information

Venous Leg Ulcer. Vascular services

Venous Leg Ulcer. Vascular services What is a venous leg ulcer? A venous leg ulcer is an area of broken skin on the lower leg caused by increased pressure in the veins in the leg. It can vary in colour and size and you may also have symptoms

More information

A Guide to Healthier Legs

A Guide to Healthier Legs A Guide to Healthier Legs Are You at Risk? Keeping Your Legs Healthy Leg problems are widespread throughout the world. According to the American College of Phlebology, more than 80 million Americans suffer

More information

Lower Extremity Venous Insufficiency Evaluation

Lower Extremity Venous Insufficiency Evaluation VASCULAR TECHNOLOGY PROFESSIONAL PERFORMANCE GUIDELINES Lower Extremity Venous Insufficiency Evaluation This Guideline was prepared by members of the Society for Vascular Ultrasound (SVU) as a template

More information

Yes when meets criteria below

Yes when meets criteria below Vein Disease Treatment MP9241 Covered Service: Prior Authorization Required: Additional Information: Medicare Policy: BadgerCare Plus Policy: Yes when meets criteria below Yes None Dean Health Plan covers

More information

Deep Vein Thrombosis (DVT) - Blood Clots

Deep Vein Thrombosis (DVT) - Blood Clots Patient information Deep Vein Thrombosis (DVT) - Blood Clots i Important information for all patients. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk

More information

Preventing Blood Clots in Adult Patients. Information For Patients

Preventing Blood Clots in Adult Patients. Information For Patients Preventing Blood Clots in Adult Patients Information For Patients 1 This leaflet will give you information on how to reduce the risk of developing blood clots during and after your stay in hospital. If

More information

Sores That Will Not Heal

Sores That Will Not Heal Sores That Will Not Heal Introduction Some sores have trouble healing on their own. Sores that will not heal are a common problem. Open sores that will not heal are also known as wounds or skin ulcers.

More information

Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities

Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities Description A variety of treatment modalities are available to treat varicose veins/venous insufficiency,

More information

Venous Reflux Disease and Current Treatments VN20-87-A 01/06

Venous Reflux Disease and Current Treatments VN20-87-A 01/06 Venous Reflux Disease and Current Treatments Leg Vein Anatomy Your legs are made up of a network of veins and vessels that carry blood back to the heart The venous system is comprised of: Deep veins Veins

More information

Treatment of Varicose Veins

Treatment of Varicose Veins Treatment of Varicose Veins Policy Number: Original Effective Date: MM.06.016 04/15/2005 Line(s) of Business: Current Effective Date: PPO; HMO 07/01/2012 Section: Surgery Place(s) of Service: Outpatient

More information

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more

More information

Varicose Veins: Causes, Symptoms and Management. Andrew C. Stanley MD Section of Vascular Surgery

Varicose Veins: Causes, Symptoms and Management. Andrew C. Stanley MD Section of Vascular Surgery Varicose Veins: Causes, Symptoms and Management Andrew C. Stanley MD Section of Vascular Surgery Circulation Heart (Pump)-MI, Sudden Death Arteries (Stroke, Aneurysms, Walking dysfunction, Limb loss) Veins

More information

Venous Disease: The Who, How, When and Why. Jacoby Stieler ARNP-C Iowa Heart Vein Center

Venous Disease: The Who, How, When and Why. Jacoby Stieler ARNP-C Iowa Heart Vein Center Venous Disease: The Who, How, When and Why Jacoby Stieler ARNP-C Iowa Heart Vein Center Objectives Patients to refer to the vein center Office procedures commonly performed in the vein center at Iowa Heart

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 13 COMPRESSION THERAPY FOR VENOUS DISORDERS AND VENOUS ULCERATION Original authors: Gregory L. Moneta and Hugo Partsch Abstracted by Teresa L. Carman Introduction: The first treatment used for

More information

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required.

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required. Page 1 of 5 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your

More information

Deep Vein Thrombosis. What is a deep vein thrombosis? Why do blood clots form in leg veins?

Deep Vein Thrombosis. What is a deep vein thrombosis? Why do blood clots form in leg veins? Page 1 of 5 Deep Vein Thrombosis A deep vein thrombosis (DVT) is a blood clot in a vein, usually a leg vein. The common cause is immobility. A complication can occur in some cases where part of the blood

More information

Injection treatment - Sclerotherapy

Injection treatment - Sclerotherapy Patient information Injection treatment - Sclerotherapy Vascular Surgery Surgical Division PIF 203/V5 You have been advised by your Consultant to have Sclerotherapy. About the treatment Injection treatment

More information

Deep vein thrombosis and being in hospital

Deep vein thrombosis and being in hospital Deep vein thrombosis and being in hospital Exceptional healthcare, personally delivered Deep vein thrombosis is a well defined medical condition that can develop when someone is ill or having an operation.

More information

Preventing Venous Thromboembolism

Preventing Venous Thromboembolism Preventing Venous Thromboembolism (VTE) Patient Information Thrombosis Patient Safety Committee What is VTE? VTE is the name given to either a deep vein thrombosis (DVT) or a pulmonary embolism (PE). A

More information

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Introduction CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Original authors: Niren Angle, John J. Bergan, Joshua I. Greenberg, and J. Leonel Villavicencio Abstracted by Teresa L. Carman New technology has

More information

Basic Emergency Vascular Ultrasound

Basic Emergency Vascular Ultrasound Basic Emergency Vascular Ultrasound Joel M. Schofer, MD, RDMS, FAAEM Lieutenant Commander, Medical Corps, United States Navy Emergency US Director, Emergency Department, Naval Medical Center Portsmouth

More information

Modern Varicose Vein Treatments: What Every Patient Should Know

Modern Varicose Vein Treatments: What Every Patient Should Know The Skin and Vein Center Oneonta Laser Derm & Day Spa Natural Good Looks and Leg Veins Our Specialty Dr Eric Dohner, MD 41-45 Dietz St Oneonta, NY 13820 607/431-2525 www.oneontalaserderm.com Modern Varicose

More information

Community Deep Vein Thrombosis (DVT)Service

Community Deep Vein Thrombosis (DVT)Service Community Deep Vein Thrombosis (DVT)Service Patient information guide Telephone: 01225 474273 Your scan will take place at: Combe down Branch Surgery Sulis Manor Rd Odd Down Bath BA2 2AL Date:. Time:.

More information

Importance and Advantages of Intermittent External Pneumatic Compression Therapy in Venous Stasis Ulceration

Importance and Advantages of Intermittent External Pneumatic Compression Therapy in Venous Stasis Ulceration Angiology Volume 56, Number 1, 2005 19 Importance and Advantages of Intermittent External Pneumatic Compression Therapy in Venous Stasis Ulceration Ufuk Alpagut, MD and Enver Dayioglu, MD, Istanbul, Turkey

More information

How to prevent blood clots whilst in hospital and after your return home

How to prevent blood clots whilst in hospital and after your return home How to prevent blood clots whilst in hospital and after your return home Patient information WHAT What IS is DEEP deep VEIN vein THROMBOSIS? thrombosis? Deep Vein Thrombosis DVT is a blood clot within

More information

Information for you Treatment of venous thrombosis in pregnancy and after birth. What are the symptoms of a DVT during pregnancy?

Information for you Treatment of venous thrombosis in pregnancy and after birth. What are the symptoms of a DVT during pregnancy? Information for you Treatment of venous thrombosis in pregnancy and after birth Published in September 2011 What is venous thrombosis? Thrombosis is a blood clot in a blood vessel (a vein or an artery).

More information

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Understanding Varicose veins and Treatment by LASER Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Orange city Hospital & Research Institute 19, Pandey Lay out, Veer Sawarkar Square, Nagpur 440015

More information

Key Words: Elastography, Venous Thrombus, Pulmonary Thromboembolism

Key Words: Elastography, Venous Thrombus, Pulmonary Thromboembolism 1)2) 3) 3) 3) 4) 4) 2) 2) 4) 2) 1) 2) 3) 4) With increasing age venous clots undergo an organization process during which they become adherent to the vessel wall. Therefore, one important factor influencing

More information

Peripheral Vascular Disease: What you need to know. Mr Dan Higman MBBS MS FRCS Consultant Vascular Surgeon

Peripheral Vascular Disease: What you need to know. Mr Dan Higman MBBS MS FRCS Consultant Vascular Surgeon Peripheral Vascular Disease: What you need to know Mr Dan Higman MBBS MS FRCS Consultant Vascular Surgeon What you need to know about peripheral vascular disease History of peripheral vascular disease

More information

Blood Clots and Deep Vein Thrombosis

Blood Clots and Deep Vein Thrombosis Blood Clots and Deep Vein Thrombosis Information for patients and service users Preface This leaflet is about the care and treatment of people who may have a blood clot (deep vein thrombosis or DVT). It

More information

Radiology Department Sclerotherapy for venous malformations Information for patients

Radiology Department Sclerotherapy for venous malformations Information for patients Radiology Department Sclerotherapy for venous malformations Information for patients What are venous malformations? Venous malformations are abnormally developed blood vessels with varying degrees of communication

More information

Peripheral Vascular Disease

Peripheral Vascular Disease Peripheral Vascular Disease Evaluation and Management Considerations Mark R. Gazall, D.O. Vascular/Thoracic Surgery Grandview/Southview Medical Centers Background Peripheral arterial occlusive disease

More information

Leg ulcers. What are leg ulcers? What causes leg ulcers? Soalas Dermatolgoy & Laser Clinic. Page 1

Leg ulcers. What are leg ulcers? What causes leg ulcers? Soalas Dermatolgoy & Laser Clinic. Page 1 Leg ulcers What are leg ulcers? Leg ulcers skin loss on the leg or foot due to any cause. They occur in association with a range of disease processes, most commonly with blood circulation diseases. Leg

More information

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.

More information

THE LEG ULCER CHARIT Y IS A UK REGISTERED CHARIT Y REGISTERED AT COMPANIES HOUSE - COMPANY NUMBER: REGISTERED WITH UK CHARITIES COMMISSION -

THE LEG ULCER CHARIT Y IS A UK REGISTERED CHARIT Y REGISTERED AT COMPANIES HOUSE - COMPANY NUMBER: REGISTERED WITH UK CHARITIES COMMISSION - THE LEG ULCER CHARIT Y IS A UK REGISTERED CHARIT Y REGISTERED AT COMPANIES HOUSE - COMPANY NUMBER: 08527120 REGISTERED WITH UK CHARITIES COMMISSION - REGISTRATION NUMBER: 1152113 ABOUT 500,000 PEOPLE IN

More information

Col league. SMMC Vascular Center Opens A PUBLICATION FOR SOUTHERN MAINE PHYSICIANS

Col league. SMMC Vascular Center Opens A PUBLICATION FOR SOUTHERN MAINE PHYSICIANS A PUBLICATION FOR SOUTHERN MAINE PHYSICIANS Col league 8 2012 SMMC Vascular Center Opens By Frank Lavoie, MD, Executive Vice President and Chief Operating Officer During the last year, Southern Maine Medical

More information

Varicose Veins Policy. Date Adopted: April 2016

Varicose Veins Policy. Date Adopted: April 2016 Varicose Veins Policy Date Adopted: April 2016 Version: 1516.v2c SCW CSU Varicose Veins Policy for SCCG V2c August 2015 Document Control Title of document Varicose Veins PA Authors job title(s) IFR Manager

More information

What Is an Arteriovenous Malformation (AVM)?

What Is an Arteriovenous Malformation (AVM)? What Is an Arteriovenous Malformation (AVM)? From the Cerebrovascular Imaging and Intervention Committee of the American Heart Association Cardiovascular Council Randall T. Higashida, M.D., Chair 1 What

More information

Facts About Peripheral Arterial Disease (P.A.D.)

Facts About Peripheral Arterial Disease (P.A.D.) Facts About Peripheral Arterial Disease (P.A.D.) One in every 20 Americans over the age of 50 has P.A.D., a condition that raises the risk for heart attack and stroke. Peripheral arterial disease, or P.A.D.,

More information

SEDICO Newsletter Issue 8. Varicose veins

SEDICO Newsletter Issue 8. Varicose veins SEDICO Newsletter Issue 8 Definition: Varicose veins Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere.

More information

Treatment of severe venous leg ulcer using unique bacteria-binding dressing Kazu Suzuki, DPM CWS

Treatment of severe venous leg ulcer using unique bacteria-binding dressing Kazu Suzuki, DPM CWS Cutimed Sorbact physical attraction Hands-on Case Report 10 Treatment of severe venous leg ulcer using unique bacteria-binding dressing Kazu Suzuki, DPM CWS 2 KAZU SUZUKI, DPM CWS TOWER WOUND CARE CENTER,

More information

Reducing the risk of getting a blood clot (DVT) while you are in hospital

Reducing the risk of getting a blood clot (DVT) while you are in hospital More information The organisations below can provide more information and support for people in hospital who may be at risk of DVT. Leicestershire Partnership NHS Trust is not responsible for the quality

More information

Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth

Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth 4 Recovering from a heart attack Recovering from a heart attack 4 If you are pregnant, or have just had a baby, you

More information

Understanding Vascular Disease. The Ohio State University Heart and Vascular Center

Understanding Vascular Disease. The Ohio State University Heart and Vascular Center Understanding Vascular Disease The Ohio State University Heart and Vascular Center What is Vascular Disease? The vascular system is the body s network of blood vessels. It includes the arteries, veins

More information

Central Venous Catheters and Upper Extremity DVT: Update, Diagnosis and Management

Central Venous Catheters and Upper Extremity DVT: Update, Diagnosis and Management Central Venous Catheters and Upper Extremity DVT: Update, Diagnosis and Management David Hahn, MD Interventional Radiology NorthShore University HealthSystem Objectives Discuss the epidemiology and clinical

More information