Self–care steps are recommended – leg elevation. Compression stockings and non-steriodal anti-inflammatory drugs. There is no hospitalization needed and the condition normally improves in 3-4 weeks.
Heparin of Low Molecular Weight Heparin (LMWH) are given. They prevent clot from enlarging. This is followed by oral anticoagulants like warfarin or Acetrome or Xoralto for several months to years. They are stopped only when colour Doppler study shows the vein clear of DVT.
This is thrombolysis (Urokinase, streptokinase or altepace. They dissolve the clot and are used for extensive DVT or when there is a high probability of developing clots in the lung – pulmonary embolism (PE).
These prevent swelling and reduce the chances of DVT. These stockings may need to be worn for 2 years or more.
If there is failed medical treatment or the anticoagulation is contraindicated due to other medical conditions then an IVC filter is inserted. This is done under local anesthesia via the vein in the groin and the filter is placed in the main vein (IVC) just below the level of the kidneys. This prevents clots from the legs reaching the lungs.
This is recommended to prevent the above complications as the incidence of the above complications rises with varicose veins. Varicose veins surgery is done by pin-hole technique using Radio-Frequency Ablation along with sclerotherapy. Once the superficial veins are ablated the blood returns via the deep venous system.
Content Reviewed by – Dr. Jaisom Chopra