Medical Services

Deep Vein Thrombosis (DVT) is the formation of a blood clot within the deep veins, most commonly affecting the lower limbs. While many cases are treated with anticoagulant medications, surgical or interventional procedures are required in severe, complicated, or limb-threatening situations. Surgical intervention becomes necessary when there is an extensive clot burden, failure of medical therapy, contraindication to anticoagulation, or risk of pulmonary embolism.

One common interventional procedure is catheter-directed thrombolysis, where clot-dissolving medication is delivered directly into the thrombus. Mechanical thrombectomy may also be performed to physically remove the clot using specialized devices. In selected patients, placement of an inferior vena cava (IVC) filter helps prevent clot migration to the lungs, especially when anticoagulation is not feasible. Open surgical thrombectomy is reserved for rare, life-threatening cases such as phlegmasia cerulea dolens, where rapid restoration of blood flow is essential to prevent tissue loss.

Post-procedure management includes anticoagulation therapy, compression therapy, and lifestyle modifications to prevent recurrence. Early diagnosis and timely intervention reduce complications such as pulmonary embolism and post-thrombotic syndrome. Surgical management plays a critical role in preserving limb function and improving patient outcomes in complex DVT cases.