COMPLEX VENOUS SURGERY & IVUS

Deep vein thrombosis (DVT) is clot formation within the deep veins which generally affects the legs. Thousands of Australians suffer from DVT every year. The vast majority are successfully treated with only blood thinning medication with excellent outcomes. Unfortunately some patients suffer with very extensive clot formation involving the veins in the chest and abdomen. Most of these patients develop long term problems with blocked veins leading to leg swelling, chronic pain, skin changes, and even ulcers in severe cases.

 

Thanks to the latest technology, we can help some of these patients with recent acute (usually less than 4 weeks) DVTs (iliofemoral) by removing the clot using minimally invasive techniques. This shortens the recovery period, reduces the severity of their symptoms and can reduce the risk of developing long term problems. 

Patients who have had extensive DVT in the past may have persistent obstruction of the central veins and now suffer from 'post thrombotic syndrome' (PTS). PTS symptoms include leg swelling, pain in the legs, skin pigmentation and ulceration. In the last decade significant advances have been made in both how we investigate these patients and how we can potentially treat these 'blocked veins'. We can now look inside these veins using intravascular ultrasound (IVUS) and gain valuable information about the content and calibre of these veins. We also have access to the latest in stents designed specifically for veins. With these advances and the skills that we have developed in treating these obstructed veins - we are now able to help many patients with post thrombotic syndrome.