Venous Blood Clots

Clots that block blood flow are the main causes of most heart attacks and strokes.

Understanding Venous Blood Clots

Thromboembolic disease, is also referred to as venous blood clots, and it is a condition in which a blood vessel is obstructed by an embolus carried in the bloodstream from the site of formation. Venous thromboembolism (VTE) is a part of the umbrella term thromboembolic disease. It refers to two conditions: deep vein thrombosis (DVT) and its potentially fatal acute complication, pulmonary embolism (PE).

Postoperative venous thromboembolism is a one of leading causes of mortality among hospitalized patients in hospital. Major orthopedic surgery (e.g., hip or knee replacement) is associated with a high risk for postoperative venous thromboembolism.

How do I know if I have a blood clot?

Thrombosis can be dangerous as it might block the flow of blood.  Also, part of the clot might break away and block a blood vessel further along, cutting off the blood supply to important organs.

Deep vein thrombosis (DVT) is the formation of a blood clot in one of the deep veins within the body, such as in the legs. This kind of thrombosis can occur after surgery and may cause redness, pain and swelling of the legs. Please speak to your physician if you experience these symptoms.

Pulmonary embolism (PE) is a serious condition, it can occur when a blood clot breaks away from its original location and travels to the lungs. Symptoms may include sharp chest pain, sudden shortness of breath and coughing up blood. If you experience any of these symptoms, please seek emergency medical care immediately.

Risk Factors

Numerous risk factors are associated with VTE, the most important of which are:

  • Increasing age
  • Immobility
  • General surgery
  • Orthopaedic surgery
  • Cancer

How is a diagnosis made?

The diagnosis of deep vein thrombosis is typically made by ultrasound. Occasionally, a more sophisticated x-ray procedure, called a venogram, is required.


How can blood clots be prevented?

There are a number of medicines and mechanical therapies that can be used in prevention of deep vein thrombosis and pulmonary embolism:

  • Anticoagulant (anti-clotting) medicines: these medicines make the blood less able to clot and are sometimes called ‘blood thinners’. They can block the formation of new clots and stop existing clots from getting bigger. They could be either injectable or oral.
  • Compression stockings or intermittent pneumatic compression (IPC) boots: these improve circulation and help to prevent DVT by increasing the blood flows through the veins in the legs.


References available upon request.