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DVT and Vericose Vein and it causes and treatment
1. DVT & VARICOSE VEINS
Dr. Shair Muhammad Hazara
PhD Public Health (Fellow), MSPH, MSBE, BSN
2.
3.
4. Deep Vein Thrombosis (DVT)
It is the most common venous disorders
result from incompetent valves in the veins and
obstruction of venous return to the heart, usually
as a result of thrombus.
6. RISK FACTORS
β’ Older age
β’ Major surgery and orthopedic surgery
β’ Cancers
β’ Immobilization
β’ Pregnancy and the postpartum period
7. Contβ¦
β’ Trauma and minor leg injury
β’ Previous VTE
β’ Oral contraceptives
β’ Hormonal replacement therapy Central venous
catheters
β’ Obesity
β’ Infection
8.
9. PATTERNS OF DEEP VEIN
THROMBOSIS
Popliteal thrombosis
Femoral thrombosis
Iliac thrombosis
10. Clot formation
Clot can enlarged and extend
Venous valves are damaged(Inflammatory
response)
Postphlebitic syndrome
11. Contβ¦
Muscle spasm and changes in intravascular
pressure
Developing thrombus to dislodge & moves
towards heart and lungs
Obstruct perfusion to the lung segments
12. Contβ¦
Pulmonary arteries partially or totally obstructed
by embolus
Circulation of the lung segment affected
Lung may undergo severe infarction with massive
tissue destruction
19. Treatment
Goals
ο§ To prevent propagation of the clot
ο§ Prevent the development of new thrombi
ο§ Prevent pulmonary emboli
ο§ Limit venous valvular damage
32. Pathophysiology
Generally blood flow from the superficial veins to
the deep veins
To the large veins to the heart
Venous blood flow work against gravity
This is assisted by unidirectional intraluminal
valves in the veins
35. Clinical manifestations
β’ Aching ,heavy legs
β’ Appearance of spider veins
β’ Ankle swelling
β’ Brownish blue shiny skin discolouration
β’ Redness, dryness, itching of the affected area
36. Contβ¦
β’ Cramps while standing
β’ Bleeding during minor injuries
β’ Hard swollon area
β’ Whitened irregular scar like patches in the
ankles.
39. Contβ¦.
Active
Stripping - Removal of all or part of the
saphenous vein .
Endovascular laser surgery β uses a laser to
destroy the veins.
Radiofrequency ablation β heat to destroy the
affected veins.
40. Contβ¦
Ligation β it is usually involved in an incision at
the groin .here they tied saphenous vein to the
femoral vein just at the entrance of the
incision.
44. Non surgical
Sclerotherapy - Injecting the chemical inside the
vein .
Sclerosant agent-polidocanal, sclerodex.
Lasers β it is used in case of small veins with
vacosity.