Louise, TX
A 44-year-old female asked:
History of dvt w/vinecava filter tightness above knee w/swelling in calf and ankle itching behind the knee and aching on lovenox (enoxaparin) 120 sub q2x day new clot?
4 doctor answers • 6 doctors weighed in
Dr. David Wonganswered
Emergency Medicine 23 years experience
Possible: Unfortunately, though rare, you can still develop a clot even on medication. The filter doesn't prevent clot it just prevents it from shooting up to the lung.
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Dr. William Harris commented
Family Medicine 35 years experience
Unfortunately, every drug and treatment has a failure rate...
Mar 15, 2013
Dr. Myra Skluthanswered
Internal Medicine 37 years experience
New clot is possible: Although you are anticoagulated with lovenox, (enoxaparin) it is still possible to have a another clot. The fact that you have a ivc filter should protect you from developing a pulmonary embolism. You may need to switch your anticoagulation agent to another low molecular weight Heparin or xarelto or warfarin.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
Dr. David Brouweranswered
Internal Medicine 32 years experience
Ultrasound: On Lovenox (enoxaparin) it would be unlikely to develop another blood clot, however if you have a hypercooagulable condition there is some risk for excess clotting. Have an evaluation with your doctor and you may need an ultrasound to look for progression of the clot.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
Dr. Jovita Anyanwuanswered
Internal Medicine 32 years experience
Likely: The vena cava filter will nöt prevent clot DVT but will decrease embolism to the lungs. The Lovenox (enoxaparin) should reduce your risk DVT . Based on your history it appears you have a hypercoagulable condition. This may be due to some factor like apac, c, s deficiency or malignancy. See a doctor as thrombophlbitis should be considered.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
Last updated Jan 14, 2018
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