Deep Vein Disease and Chronic DVT

What is Deep Vein Disease?

Deep vein diseases encompass conditions that affect the deep veins, particularly in the pelvis and legs. Two notable conditions include:

May-Thurner Syndrome (MTS), also known as iliac vein compression syndrome, occurs when the right iliac artery compresses the left iliac vein, disrupting normal blood flow and increasing the risk of deep vein thrombosis (DVT) in the left leg.

Chronic DVT refers to a long-standing blood clot in a deep vein, which can lead to persistent symptoms and complications. Both MTS and chronic DVT can result in significant discomfort and health issues if not properly addressed.

Symptoms

Individuals with iliac vein compression or chronic DVT may experience:

• Swelling in the affected leg
• Leg pain or tenderness
• Skin discoloration or ulcers
• A sensation of heaviness in the leg

Risk Factors

• Smoking — damages blood vessels and increases clot risk
• Obesity — excess weight puts pressure on veins
• Sedentary lifestyle — prolonged sitting during travel or bed rest
• Surgery or injury — can affect blood flow and increase clot risk
• Family history of blood clots
• Pregnancy and hormonal medications

Diagnostic Imaging

Intravascular Ultrasound (IVUS)

IVUS involves inserting a specialized catheter with an ultrasound probe into the vein, providing detailed images of the vein’s interior. This allows for a precise assessment of the extent and location of compression or obstruction.

Treatment Options

Angioplasty & Vein Stenting

To restore proper blood flow, the following minimally invasive treatments may be considered:

• Angioplasty — A balloon-tipped catheter is inserted into the narrowed section of the vein and inflated to widen it, improving blood flow
• Vein Stenting — Following angioplasty, a stent (a small mesh tube) may be placed in the vein to keep it open and prevent re-narrowing

These procedures aim to alleviate symptoms, reduce the risk of complications, and enhance quality of life.

Why Choose VIS?

• Minimally invasive — no incisions or stitches required
• Faster recovery — return to normal activities sooner than traditional surgery
• Effective results — targets and dissolves blood clots quickly
• Prevents complications — reduces risk of pulmonary embolism or chronic venous insufficiency

Preventative Measures

Preventing deep vein thrombosis involves lifestyle changes and awareness:

• Stay active and avoid prolonged sitting
• Maintain a healthy weight
• Stay hydrated during travel
• Wear compression stockings if recommended
• Follow your doctor’s guidance after surgery

If you’re experiencing symptoms suggestive of deep vein disease, consult with a vascular specialist. Early diagnosis and intervention can significantly improve outcomes and prevent serious complications.

Frequently Asked Questions About Deep Vein Disease

What is deep vein disease?

Deep vein diseases encompass conditions that affect the deep veins, particularly in the pelvis and legs. Two notable conditions are May-Thurner Syndrome (iliac vein compression syndrome), where the right iliac artery compresses the left iliac vein and disrupts blood flow, and chronic DVT, a long-standing blood clot in a deep vein that can lead to persistent symptoms and complications.

What are the symptoms of deep vein disease?

Individuals with iliac vein compression or chronic DVT may experience swelling in the affected leg, leg pain or tenderness, skin discoloration or ulcers, and a sensation of heaviness in the leg.

What are the risk factors?

Risk factors include smoking, obesity, a sedentary lifestyle (such as prolonged sitting during travel or bed rest), surgery or injury, family history of blood clots, and pregnancy or hormonal medications.

How is deep vein disease diagnosed?

Intravascular ultrasound (IVUS) involves inserting a specialized catheter with an ultrasound probe into the vein, providing detailed images of the vein’s interior. This allows for a precise assessment of the extent and location of compression or obstruction.

How is deep vein disease treated?

Treatment options include angioplasty (a balloon-tipped catheter is inserted into the narrowed section of the vein and inflated to widen it) and vein stenting (a small mesh tube placed in the vein following angioplasty to keep it open and prevent re-narrowing). These procedures aim to alleviate symptoms, reduce the risk of complications, and enhance quality of life.

How can I help prevent deep vein thrombosis?

Stay active and avoid prolonged sitting, maintain a healthy weight, stay hydrated during travel, wear compression stockings if recommended, and follow your doctor’s guidance after surgery.

Schedule a consultation or call (605) 217-5617.