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February 10, 2010
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Deep Vein Thrombosis (cont.)

What are the complications of deep vein thrombosis?

Pulmonary embolism is the major complication of deep vein thrombosis. It can present with chest pain and shortness of breath and is a life-threatening condition. More than 90% of pulmonary emboli arise from the legs.

Post-phlebitic syndrome can occur after a deep vein thrombosis. The affected leg can become chronically swollen and painful with skin color changes and ulcer formation around the foot and ankle.

Can deep vein thrombosis be prevented?

As is the case with most medical illnesses, prevention is of prime importance. Minimizing risk factors is key to deep vein thrombosis prevention.

In the hospital setting, the staff works hard to minimize the potential for clot formation in immobilized patients. Compression stockings are routinely used. Surgery patients are out of bed walking (ambulatory) earlier and low dose heparin or enoxaparin is being used for deep vein thrombosis prophylaxis (measures taken to prevent DVT).

For those who travel, it is recommended that they get up and walk every couple of hours during a long trip.

Compression stockings may be helpful in preventing future deep vein thrombosis formation in patients with a previous history of a clot.

Fauci, Anthony S., et al. Harrison's Principles of Internal Medicine. 17th ed. United States: McGraw-Hill Professional, 2008.


Last Editorial Review: 2/1/2010


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