A member asked:

I have a blood clot sitting at saphenous junction and my dr. chose not to medicate as i am nursing. i recently had laser therapy on my vericose veins?

14 doctors weighed in across 7 answers
Dr. Amin Ashrafzadeh answered

Specializes in Ophthalmology

Serious: How was the blood clot diagnosed? By ultrasound? I am concerned about the blood clot getting loose and setting in your lungs what is called a pulmonary embolus! i would revisit with the doctor with our concerns and get some reassurance.

Answered 3/21/2017

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Probably ok: The risk of propogation of the clot into the deep system is less than de novo clot. I would follow this closely with dopplers done a couple of days after diagnosed, then likely weekly until it shows stability.

Answered 3/21/2017

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Dr. Robert WorthingtonKirsch answered

Specializes in Phlebology

Most likely no prob: Shortly after the gsv is treated by laser a small clot sitting at the 'top' of the lasered segment will almost certainly resolve without treatment. This situation does need to be monitored with repeat ultrasounds until it has resolved.

Answered 3/21/2017

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Dr. Ted King answered

Follow up needed: I agree with dr. W-k. As long as you are getting ultrasound follow up and there is no evidence of the clot getting bigger, then i wouldn't worry. If the clot does get bigger though, treatment would be appropriate, even if you are nursing.

Answered 3/21/2017

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Dr. Tracy Berg answered

Specializes in General Surgery

Laser vein procedure: Check with your laser vein doc. Both docs can reassure you about monitoring this clot (not a DVT at this point) and advise you on next ultrasound, what symptoms to watch for, when to call in. The laser vein procedures do have a small but serious risk for deep vein thrombosis/dvt and pulmonary embolism.

Answered 3/21/2017

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Dr. John Landi answered

Specializes in Phlebology

Needs to be watched.: There is a term called heat induced thrombosis which is a clot that forms at the saphenofemoral junction following laser ablation. This usually occurs within 1 week of the procedure and should spontaneously resolve within 3 weeks of the lasering. If the clot is of a certain size or doesn't resolve in this time period, it may require blood thinners. You at least need follow up ultrasounds.

Answered 3/21/2017

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Blood clot: This may not be a true blood clot but residual from laser therapy which will appear as a blood clot

Answered 3/21/2017

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