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Deep Venous Thrombosis

The Vascular Surgery team at the University of Michigan consists of world class surgeons and clinicians dedicated to providing exceptional patient care for Deep Venous Thrombosis. Treatment for this condition is available in our state-of-the-art University of Michigan Cardiovascular Center (CVC).

What is Deep Venous Thrombosis?

Thrombophlebitis and deep venous thrombosis include the formation of a blood clot that partially or totally blocks flow. Thrombosis can occur in the superficial venous system called thrombophlebitis or the deep venous system (called DVT). It is more serious when it occurs in the deep venous system because of the risk of a piece of thrombus breaking loose and traveling to the lungs (called pulmonary embolus, PE). This can impair breathing and can even cause death.

People with deep venous thrombophlebitis (DVT) may have:

  • No signs or symptoms;
  • Sudden swelling of the limb;
  • Pain or aching of the limb;
  • Fever; and/or
  • Skin discoloration in severe cases.

Deep Venous Thrombosis Treatment

Deep venous thrombosis (DVT) requires anticoagulation. This helps to prevent further clotting from occurring while the body attempts to dissolve the clot and/or builds new channels for flow around the clot. When a person is found to have DVT, walking or activity after anticoagulation is initiated and becomes therapeutic has been shown to lead to a decreased incidence of long-term swelling and pain. The anticoagulant heparin or LMWH (now preferred) by injection for several days can be changed to the oral anticoagulant coumadin. The heparin or LMWH works rapidly, but it takes several days to get a persons blood anticoagulanted with coumadin. The use of coumadin requires regular blood testing and a stable diet in order to maintain anticoagulantion within a safe margin. It is generally given for 3-6 months. Elastic bandages or prescribed compression stockings should be worn before getting out of bed until going to bed at night. They can be taken off while sleeping and of course when bathing.

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