Prescription-strength compression stockings help prevent swelling and reduce the chances of complications of DVT. The medication alteplase (Activase) is used to dissolve blood clots in people with extensive DVT, including those who have a blood clot in the lungs (pulmonary embolism). Treatment with a clot-dissolving drug is called thrombolysis. Always follow your doctor's instructions carefully. Blood thinners can cause excessive bleeding. After the first treatment, you'll likely be told to take warfarin (Jantoven) or rivaroxaban (Xarelto) for several months to keep preventing clot growth. If you have deep vein thrombosis, injection of a blood-thinning (anticoagulant) medication, such as low molecular weight heparin, fondaparinux (Arixtra) or apixaban (Eliquis), can help prevent clots from growing bigger. Your doctor might also recommend these treatments for both types of thrombophlebitis: It's also useful for ruling out deep vein thrombosis (DVT) and for identifying people at risk of developing thrombophlebitis repeatedly. So a test for D dimer isn't conclusive, but can indicate the need for further testing. But D dimer levels can be elevated in other conditions. Almost everyone with a blood clot has an elevated blood level of a naturally occurring, clot-dissolving substance called D dimer. This test can confirm the diagnosis and distinguish between superficial and deep vein thrombosis.īlood test. ![]() As the sound waves travel through your leg tissue and reflect back, a computer transforms the waves into a moving image on a video screen. A wandlike device (transducer) moved over the affected area of your leg sends sound waves into your leg. To determine whether you have superficial thrombophlebitis or deep vein thrombosis, your doctor might choose one of these tests: To diagnose thrombophlebitis, your doctor will ask you about your discomfort and look for affected veins near your skin's surface.
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