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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Deep Vein Thrombosis In The Calf

My daughter had her first PE at 13 years old and her 2nd PE at 16 years old. We initially were told she had a DVT on her left calf and now we are told she also has May Thurner Syndrome. They are planning to stent the May Thurner Syndrome next month. Will this solve our problems of a possible clot again in the future or should we fix the DVT? and other that Coumadin is there another way to fix this DVT?
Mon, 14 Aug 2017
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Coumadin does not fix a DVT. What it does is prevent the DVT from propagating (getting larger) and prevents these clots from traveling and going up to her lung. Usually, the clots will scar down and become part of the vessel wall. Sometimes, the clot will dissolve, but usually scarring is more likely. This can lead to leg swelling, but usually younger people will form collaterals and not be symptomatic from the DVT's ( think of collaterals as meaning that if one road is blocked, the blood will take the side streets).
Stenting will prevent future clots, but nothing is 100%. There is always a risk of her developing further clots, but stenting should lower that risk. If she has had multiple PE's, I would recommend she continue coumadin. There are other anticoagulants now on the market which don't require monitoring such as Pradaxa. I hope this is helpful.
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Suggest Treatment For Deep Vein Thrombosis In The Calf

Coumadin does not fix a DVT. What it does is prevent the DVT from propagating (getting larger) and prevents these clots from traveling and going up to her lung. Usually, the clots will scar down and become part of the vessel wall. Sometimes, the clot will dissolve, but usually scarring is more likely. This can lead to leg swelling, but usually younger people will form collaterals and not be symptomatic from the DVT s ( think of collaterals as meaning that if one road is blocked, the blood will take the side streets). Stenting will prevent future clots, but nothing is 100%. There is always a risk of her developing further clots, but stenting should lower that risk. If she has had multiple PE s, I would recommend she continue coumadin. There are other anticoagulants now on the market which don t require monitoring such as Pradaxa. I hope this is helpful.