Venous Thromboembolism

Medically reviewed by Drugs.com. Last updated on May 6, 2024.

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After treatment for a venous thromboembolism (VTE), it is important to go to follow-up appointments and to take blood thinners as directed. This will help prevent a pulmonary embolism (PE) and another VTE. This is especially important if you were discharged home from the emergency department.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

An IV

is a small tube placed in your vein that is used to give you medicine or liquids.

Medicines:

• Blood thinners help prevent the VTE from getting bigger and prevent new clots from forming. While you are taking warfarin or other blood thinners, you may bleed or bruise more easily.
• Clot busters are emergency medicines that work to dissolve blood clots.

Tests:

• A D-dimer blood test may be done to check for signs of a blood clot.
• An ultrasound uses sound waves to show pictures on a monitor. An ultrasound may be done to show a clot in your vein.
• A contrast venography is an x-ray of a vein. Contrast liquid is used to make the vein easier to see on the x-ray. Tell a healthcare provider if you have ever had an allergic reaction to contrast liquid.

Treatment:

• You may need extra oxygen if your blood oxygen level is lower than it should be. You may get oxygen through a mask placed over your nose and mouth or through small tubes placed in your nostrils. Ask your healthcare provider before you take off the mask or oxygen tubing.
• Pneumatic boots or pressure stockings may be needed. The boots have an air pump that tightens and loosens different areas of the boots. The stockings are tight and put pressure on your legs. This improves blood flow and helps prevent clots.
• A vena cava filter may be placed inside your vena cava to treat your VTE. The vena cava is a large vein that brings blood from your lower body up to your heart. The filter traps blood clots and prevents them from going into your lungs.
• Surgery called a thrombectomy may be done to remove the clot. A procedure called thrombolysis may instead be done to inject a clot buster that helps break the clot apart.

Treatment options

The following list of medications are related to or used in the treatment of this condition.

• Eliquis
• Fragmin
• Pradaxa
• Dextran 40
• apixaban

View more treatment options

RISKS:

Increased pressure and decreased blood flow can damage the tissues around the VTE. The valves in the deep veins that allow your blood to flow back to your heart can be damaged. This can cause long-term pain, swelling, or sores. A VTE may also cause a pulmonary embolism. A pulmonary embolism can become life-threatening.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

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