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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pulmonary Embolism. Ultrasound Showed Saphenous Vein Clot In Thigh, No DVT Noted. On Coumadin. Could I Still Develop Clots?

I have been on coumadin (4mg) for 3 months after pulmonary embolism. 1 month prior to pulmonary embolism ,R leg ultrasound showed saphenous vein clot in upper thigh, no DVT noted. Both legs had ultrasound at hospital admittance with no saphenous vein clot or DVT. I ve noticed the re-curring symptoms developing in my R leg: heaviness and swelling. Could I still develop blood clots while on coumadin? Extremely compliant on coumadin and obesity is only other indicator (no cancer, clotting factors, no birth control pill, etc..) I suspect saphenous vein is involved. I had lympoma removed from same leg 4yrs (upper thigh in the crook of the leg and trunk). Could this cause a blood clot?
Sat, 9 Nov 2013
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General & Family Physician 's  Response
You need to monitor your PT/PTTT/INR uf INR is 2-2.5 the vhances are very remote...you hav another option of IVC filters also...
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Pulmonary Embolism. Ultrasound Showed Saphenous Vein Clot In Thigh, No DVT Noted. On Coumadin. Could I Still Develop Clots?

You need to monitor your PT/PTTT/INR uf INR is 2-2.5 the vhances are very remote...you hav another option of IVC filters also...