Enhanced Verifiable CPD from the
University of Birmingham

Anticoagulants and dentistry
Deep Vein Thrombosis


Swelling and redness of the leg caused by a DVT


A DVT is a blood clot in a vein, usually the leg, but sometimes the abdomen or arm. It is often unexpected, so preventive anticoagulants have not been prescribed. The trigger is not always known.

They are more likely in people who

  • are over 60
  • are overweight
  • smoke
  • have had DVT before
  • take the contraceptive pill or HRT
  • have cancer or heart failure
  • have varicose veins

Treatment of DVT

An anticoagulant injection of heparin is initially given, while waiting for ultrasound scan results.

After DVT is diagnosed, the main treatment is oral anticoagulant tablets for at least 3 months, to help dissolve the clot.

A newer treatment involves breaking up and sucking out the clot through a small tube in the affected vein. The patient usually needs to take anticoagulants for several months after this treatment.

If anticoagulant medicines are not suitable, a filter may be placed in the vena cava (the vein that returns blood to the heart). The filter traps and stops clots travelling to the heart and lungs.

DVT in pregnancy is treated differently. It is treated with anticoagulant injections for the rest of the pregnancy and until the baby is 6 weeks old.

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Excellent content clearly explained.
SJ

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