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About Lauri Ordway
Expertise
I can answer your questions related to peripheral vacular disorders. This includes all arteries and veins except those inside the head and inside the heart. IE: neck (carotid), arms (carotid subclavian bypases to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wound treatments. Also, Raynauds, Buerger`s disease, Thoracic Outlet and other miscellaneous vascular disorders. I CANNOT answer questions about your heart disease, blood pressure, brain aneurysm, although I can help with questions about the arteries that go to and from those organs.

Experience
I am a nurse, I have worked for 14 years with two terrific peripheral vascular surgeons, one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage our clinic website and field questions from patients all over the world.

You are here: Experts > Health/Fitness > Surgery > Vascular Surgery > Blood Clot in Greater Saphenous Vein Close to Sapheno-Femoral Junction

Vascular Surgery - Blood Clot in Greater Saphenous Vein Close to Sapheno-Femoral Junction

Expert: Lauri Ordway - 10/27/2009

Question
My brother was just diagnosed as having a 12 inch blood clot in his greater saphenous vein a few centimeters away from the sapheno-femoral junction. His doctors think this was caused when he went on an 11 hour bike race (cycling). They feel that he did not have the proper muscle built up to keep that vein from being closed off by the bike seat during the race. He is a 37 year old non-smoker and occassional drinker. He does not take medications and his weight is around 185. He has had an ultrasound and MRI and is awaiting results today.
Interestingly enough, my father has had what is thought to be a blood clot in his leg for the past 10 years. His doctors did not completely rule out the possibility of the clot actually being scar tissue from sports injuries. He was originally put on cumadin (sp?), but took himself off it long ago due to personal opinions about it. He has since been on a combination of aspirin and folic acid.
My questions are regarding my brother's current issue. How common is it for a clot like this to move to the deeper vein? How do doctors decide whether or not to do ligation? In ligation, is the vein reopened after clot absorption is complete? Would you recommend a test be done for predisposed clotting issues?

Answer
sorry it took so long to write back, asked an ultrasounographer the question
the chance of it moving to deep system is miniscule
it will take time to absorb the clot
ligation is not usually reversed after clot absorbed
hypercoaguability blood test might be reasonalbe with family history
best of luck lauri

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