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 22 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.
5.2k viewsReviewed >2 years ago
Dr. William Harris commented
Family Medicine 34 years experience
Unfortunately, every drug and treatment has a failure rate...
Mar 15, 2013
Dr. Myra Skluthanswered
Internal Medicine 36 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.
5.2k viewsAnswered >2 years ago
Dr. David Brouweranswered
Internal Medicine 31 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.
5.2k viewsReviewed >2 years ago
Dr. Jovita Anyanwuanswered
Internal Medicine 31 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.
5.2k viewsReviewed >2 years ago
Last updated Jan 14, 2018
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