Deep vein thrombosis or DVT is a clot that forms within the deep veins. DVT most commonly occurs in the lower limbs and presents with swelling, redness and pain in the affected leg. The most common predisposing factors to the development of DVT include:
- Period of immobility (eg. long haul flight/car ride, significant periods of bed rest from injury or surgical procedure)
- Recent major surgery (surgery in itself is a significant risk factor for the development of DVT over and above the post operative bed rest after major surgery itself)
- Increasing age
- Active cancer
- Hereditary clotting disorders (Factor V Leiden, Antiphospholipid syndrome, prothrombotic disorders or thrombophilia)
- Medications (including oral contraceptive pill)
Thousands of Australians suffer from DVT every year. The vast majority are successfully treated primarily with blood thinning medication with good clinical outcomes. Unfortunately, a small proportion of patients will suffer with very extensive clot formation that can involve the veins of the legs, pelvis, abdomen and chest. In the most severe cases, this can be life threatening with a massive clot that travels to the lung.
Massive clots that are confined to the legs, pelvis and abdomen can result in a blockage of the major veins draining the leg that can cause debilitating leg swelling, pain on walking (venous claudication), skin discolouration and even the development of ulcers and skin breaks. If the massive extensive clot is not cleared and remains, patients may have persistent blockage of these veins and now suffer from 'post thrombotic syndrome' or PTS. PTS symptoms include leg swelling, pain in the legs, skin pigmentation, venous claudication and ulcers.
Patients with recent acute extensive DVT (usually less than 3 weeks) in the leg and pelvis can be can be treated with minimally invasive surgery to remove the clot. This uses a ‘clot busting’ medication in combination with mechanical disruption and suction of the clot to remove the blockage and restore patency of the deep vein. This significantly shortens the recovery period and reduces the severity of their short term and long term symptoms.
At Yarra Vascular Surgeons, we have incorporated into our practice recent significant advances made in both how we investigate and treat these 'blocked veins'. We can now 'look' inside these veins using intravascular ultrasound (IVUS) and gain vital information about the content and calibre of these veins. We also have access to the latest in stents designed specifically for veins. With these advances and the skills that we have developed in treating these obstructed veins - we are now able to help many patients with PTS.
What Makes Us Different
First group Vascular practice in Melbourne which means that you will always receive 24/7 care.
Full range of minimally
invasive and surgical options.
Complimentary vein screening assessment for new patients.
Experience dealing with
complex cases with a multi-team approach.
Options for both insured and non-insured patients.
Payment plan options
Experts in the very latest in minimal invasive endovascular techniques.
Wide range of consulting locations in Victoria.
Book your initial consultation to receive a thorough assessment of your condition
- Yarra Vascular Surgeons consult at various locations across Victoria.
- We offer initial consultations and review appointments, and we can see patients who would like a second opinion.
- At Yarra Vascular Surgeons we aim to see all referrals within two weeks or less, depending on the urgency of the condition.
- We are focussed on providing accessible and timely care to our patients, eliminating waiting times and providing an after hours service.