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Combination Of Therapies Can Be Used To Treat Common Vein Problem
CINCINNATI (WKRC) - Local doctors are now using a combination of therapies to treat a common vein problem.
For those with legs that have been achy or swollen throughout the day, or veins that don't look good, having them treated may help with more than just appearance.
"The bottom of my ankles, my feet were swelling so bad that if I wanted to walk or run, it was hurting so badly," Connie Leyendecker said.
That swelling and pain is exactly what led her to the office of Dr. Andy Hearn. He's a vascular surgeon at The Vein Center of Cincinnati and treats venous insufficiency.
"We divide patients into two groups. One that are symptomatic, they have some heaviness, swelling, aching, worse in the feet after standing for long periods of time. Then we'll do a doppler ultrasound and analyze the blood flow in the veins, below the surface," Dr. Hearn said.
If the blood flow is going the wrong way, he can reverse it by closing off some of the areas around it. He can then treat the surface veins, which is the second group of patients who may notice discomfort. It's called "sclerotherapy." Dr. Hearn demonstrated how it works on patient Lindsay Laine.
"That's a word that comes from sclerosis, which means to scar. We put a solution, a detergent-like medicine, into the veins of the tiny needle, and that gets the veins to fade," Dr. Hearn said.
Laine described it as a little pinch and burning. But, this combination has made a difference for her and Leyendecker.
"It was almost instant relief when I had the procedure done," Leyendecker said.
If you want more information you can call (513)-232-2400 or click here. Dr. Hearn will do a free online consult for those who think they might be a candidate for this treatment. In most cases, this therapy is covered by medical insurance plans. If not, therapy starts at about $300.
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Generated by cloudfront (CloudFront) Request ID: xQvadsG2vuL1G1vb-zU0dF0nGaMVhFo27rSxKCkpXOGt8mcEDVpknw==What To Know About Renal Vein Thrombosis
Renal vein thrombosis (RVT) is when a blood clot develops anywhere along the renal vein. This is the vein that drains blood from the kidneys. RVT is rare but can be life threatening.
People with renal vein thrombosis (RVT) have a blood clot, also known as a thrombus, in the vein that carries blood away from their kidneys.
If a thrombus grows so large that it completely blocks the renal vein, the kidneys swell and cannot function properly. The person may experience acute pain in their side. They may also notice a reduced need to urinate, and they may have blood in their urine.
The renal veins join the inferior vena cava, which is the main vein returning blood to the heart. If any part of a renal vein thrombosis breaks away from the main clot, it can travel to the lungs. Blood clots here can be fatal.
This article explains what RVT is and how doctors treat it. It also looks at ways of preventing it and reducing the risk factors.
People with RVT may have clots on just one side, but according to a 2023 paper, most people have clots on both sides.
Although anyone can develop RVT, most people with it have underlying kidney diseases or have had a kidney transplant. Some infections and injuries can also increase the risk of RVT.
Most people with RVT have nephrotic syndrome, where the kidneys leak protein into the urine.
Blood clots can also form if the veins are damaged. This can happen due to a back injury or trauma to the abdomen.
Very occasionally, infants develop RVT, particularly if they are severely dehydrated or have very low blood pressure.
Having nephrotic syndrome significantly increases a person's risk of developing RVT, according to a 2023 paper. Other risk factors include:
The Centers for Disease Control and Prevention (CDC) notes that the risk of developing a deep vein thrombosis (DVT), such as RVT, increases with age. They add that some people develop blood clots after having catheter treatment in a central vein.
Healthcare professionals know that people with severe COVID-19 infections, particularly those who require hospital treatment, have a higher chance of blood clots, including RVT and hypercoagulability disorders. In a 2022 case study, healthcare professionals recorded how they successfully treated a person with RVT, which was caused by COVID-19.
Many people with RVT do not have any symptoms, and healthcare professionals discover the blood clots during imaging tests for other purposes. However, when people do experience symptoms, they are often not immediately obvious. Symptoms include:
Healthcare professionals cannot diagnose RVT through a physical exam, but they may be able to feel if the kidneys are swollen. They may also test the person's urine for proteins and blood.
Researchers explain that healthcare professionals usually recommend imaging tests, including ultrasounds and CT scans. They state that although renal venography is the gold standard test for RVT, many healthcare professionals prefer to use less invasive tests. Renal venography is when a healthcare professional injects a dye into the person's veins and then takes an X-ray of the kidneys to see how the blood flows.
Doctors may recommend CT angiography, which is a similar test but produces a more detailed picture of the person's kidneys and blood supply. They may also recommend magnetic resonance angiography (MRA), which is similar to a CT scan but does not use X-rays.
Many people with RVT have an underlying kidney disease, so healthcare professionals tailor their treatments to take that into consideration.
They may prescribe anticoagulants to thin the person's blood. A 2023 case study records how doctors successfully treated a person's RVT with rivaroxaban (Xarelto). Healthcare professionals may also prescribe heparin and warfarin to stop other clots from forming.
People with untreated RVT have a risk of kidney damage, which can lead to chronic (long-term) kidney disease.
The CDC notes that if parts of the clot break away, they can travel to the person's lungs, causing a pulmonary embolism (PE).
PEs can be life threatening and need immediate medical treatment. If a person has difficulty breathing, chest pain that gets worse after coughing, or coughs up blood, they need to see a doctor as this is an emergency.
There is very little research on how to prevent RVT, as most people with it have underlying kidney problems. However, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) offers some tips for keeping kidneys healthy. These include:
Most people with RVT respond well to treatment. However, the outlook depends on the underlying cause, and a person may need additional treatment.
Healthcare professionals may continue to prescribe anticoagulants to prevent people from developing additional clots.
A notes in people who have RVT following a kidney transplant, their bodies have usually rejected the organ.
Renal vein thrombosis (RVT) is when a blood clot forms in a person's renal veins, which take blood away from the kidneys.
It can happen to anyone, but most people with RVT have underlying kidney problems, such as nephrotic syndrome. Other common causes include kidney cancers or having a kidney transplant.
Doctors treat RVT with anticoagulants and will also treat the underlying causes.
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