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DVT Treatment

Treatment of Deep Vein Thrombosis: Diagnosis, Surgery, and Recovery

If you experience severe leg pain and swelling, it could be a sign of deep vein thrombosis. Get advanced treatment for deep vein thrombosis (DVT) for relief from the painful symptoms. Krescent Healthcare offers the best vascular doctors in India to help you determine the most appropriate treatment for DVT. Book a consultation today.

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Dr. Rahul Sharma 

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MBBS, MS - General Surgery

DR. Falguni Rakesh Verma 

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Dr. Sanjeev Gupta

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Meerut

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What is Deep Vein Thrombosis (DVT)?

It is characterised by the formation of blood clots in deep veins, especially those in the legs and pelvis. Inflammation in the blood vessels, decreased blood flow, and an increased tendency to clot are all factors involved in the development of this condition. It can cause extreme pain, swelling, and discoloration in the affected areas when a blood clot forms in the vein and disrupts blood flow through it.


While deep vein thrombosis is usually not life-threatening, failing to seek treatment can result in severe complications like Pulmonary embolism (PE) or post-thrombotic syndrome. Therefore, prompt treatment for DVT is essential. The doctor will carefully assess the severity of the condition before recommending a personalised treatment approach. For more information on DVT and its treatment options, please contact Krescent Healthcare.

DVT Surgery

In DVT surgery, deep vein thrombosis surgery is performed. When DVT is severe, causing significant symptoms, and non-surgical options have failed to resolve the condition, surgical intervention may be required. Here are some surgical treatment options for DVT:


Angioplasty & Venous Stenting: The combination of angioplasty and stenting is usually performed when DVT has caused significant damage to veins or impaired blood flow. In most cases, balloon angioplasty expands narrowed or blocked vessels, and a stent is placed in the affected vein to maintain its openness and restore blood flow. The goal of this method is to maintain blood flow rather than remove clots.


Thrombectomy: In certain situations, specifically when serious symptoms are present due to a DVT or there is a heightened chance of a clot detaching, a procedure known as thrombectomy may be conducted. This procedure entails physically extracting the blood clot from the affected vein. Various methods, including catheter-directed thrombolysis, can be employed to dissolve and eliminate larger clots. Alternatively, an open or mechanical thrombectomy may be carried out using specialized tools such as rotating wires or ultrasound-assisted devices in order to break up and suction out the clot.


Vena Cava Filter Placement: Despite anticoagulant therapy, a vena cava filter can be inserted if there is a concern about clots breaking free and reaching the lungs. This filter is placed in the large vein (vena cava) that carries blood from the lower body to the heart. It acts as a barrier to catch any clots before they reach the lungs.

A vascular surgeon determines the most suitable method for treating DVT based on the patient's overall health, the location and severity of the clot, and potential risks.

Management & Treatment Options

According to the severity of the condition, patients can choose from the following treatment options for DVT:


1. Leg elevation and mobilisation- In order to improve blood flow.

2. Vena cava filter placement- In order to prevent the blood clot from reaching the heart or lungs.

3. Thrombectomy surgery- The removal of blood clots from vessels.

4. Angioplasty and stenting (Venous stenting)- Stents are used to open narrowed or blocked blood vessels.

5. Anticoagulation medications- In order to prevent blood from clotting spontaneously.

6. Compression stockings for DVT- Preventing blood pooling and alleviating symptoms.

Benefits of DVT Treatment

Treatment of deep vein thrombosis is primarily focused on preventing complications, improving symptoms, and reducing recurrence risk. Both surgical and nonsurgical treatments have the following benefits:


Enhanced Overall Well-Being: In addition to relieving pain, improving mobility, and reducing the risk of recurrence, properly managing DVT contributes to the patient's overall health.


Prevention of Pulmonary Embolism (PE): A blood clot can break loose from the vein and travel to the lungs, causing a pulmonary embolism. Effective treatment is crucial to preventing this life-threatening complication.


Minimised Health Risks: Treatment of DVT right away reduces the risk of complications and more invasive procedures.


Relief from Symptoms: A DVT treatment provides long-lasting relief from symptoms such as pain, swelling, tenderness, and discomfort in the affected leg, improving the patient's quality of life.


Prevention of Clot Formation: Besides dissolving existing blood clots, the treatment also prevents new ones from forming.


Reduced Risk of Complications: When DVT is treated, there is less risk of other complications, such as post-thrombotic syndrome (PTS), which is characterised by persistent symptoms of DVT.

Recovery After DVT Surgery

In addition to the severity of the DVT, the treatment approach chosen, and patient factors, the recovery timeline for Deep Vein Thrombosis can vary. In general, patients will need 4 to 5 weeks to recover from DVT surgery. The general recovery time for DVT surgery is as follows.


1. After 4-6 weeks, the patient can return to normal physical activities, and the residual effects of the surgery will also disappear.

2. After 1 week, swelling and bruising will subside gradually. The patient will need to continue wearing compression stockings and taking anticoagulants.

3. During the first few days following surgery, the patient may experience mild discomfort and need to take painkillers and other medications as directed. A physiotherapist may be recommended to help the patient regain strength and mobility.

4. It usually takes 2-3 weeks for the patient's pain, bruising, swelling, and redness in the treated area to subside.

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