Patients seen in Thrombosis Clinic

 

The Thrombosis Clinic sees patients with a variety of conditions including:

 

Thrombosis (Blood clots):

  • DVT (deep vein thrombosis) of leg or arm
  • Lung (PE = pulmonary embolism)
  • Brain
    • stroke in a young person
    • sinus vein thrombosis,
    • cerebral vein thrombosis
  • Superficial thrombophlebitis
  • Eye (retinal vein or artery thrombosis)
  • Abdominal blood clots
    • Budd-Chiari syndrome (hepatic vein thrombosis)
    • Mesenteric vein or artery thrombosis
    • Portal vein thrombosis
    • Splenic vein thrombosis
    • Renal vein or artery thrombosis
    • Ovarian and testicular vein or artery thrombosis
  • Heart attack (MI) in individuals without significant arteriosclerosis (hardening of the arteries)
  • Peripheral artery thrombosis (gangrene) without significant arteriosclerosis (hardening of the arteries)
  • Postthrombotic syndrome, postphlebitic syndrome, venous insufficiency
  • Non-diabetic, unexplained skin ulcers
  • "purple toe" syndrome

 

Clotting disorders

  • Thrombophilia (Clotting disorder) work-up
  • Factor V Leiden
  • Prothrombin mutation (factor II mutation)
  • Antiphospholipid antibody syndrome
    • Anticardiolipin antibodies
    • Lupus anticoagulant
    • Anti-beta-2-glycoprotein I antibodies
  • Homocysteine, MTHFR
  • Protein C deficiency
  • Protein S deficiency
  • Antithrombin III deficiency
  • Elevated factor 8
  • Myeloproliferative disorders
    • Essential Thrombocytosis
    • Polycythemia Vera

 

Pregnancy complications

  • Clotting disorder, planning pregnancy or now pregnant
  • Unexplained pregnancy loss (miscarriages) + clotting disorder
  • Intrauterine growth restriction (small for age baby) + clotting disorder
  • “Can I safely go on birth control pill, hormone replacement therapy?”

 

Family history

  • Blood clots
  • Inherited clotting tendency (thrombophilia)

 

Warfarin (Coumadin®)

  • Recommendations for staying on or coming off warfarin (coumadin®) if a history of blood clots
  • Difficult to control warfarin (coumadin®)
  • However: the Thrombosis Clinic is not a coumadin® or anticoagulation clinic for continuous warfarin (coumadin®) monitoring and management (there is the coumadin® clinic in the UNC ACC General Medicine, Dr. Betsy Bryant, tel: 966-6989 or 843-4170) and in Family Medicine (Sarah Ford, pharmD, tel: 919.843.8408)

 

Specific direct referrals to Dr. Moll or Dr. Ma

The UNC Hemophilia and Thrombosis Center has two physicians whose names are easily confused on the phone,  Dr. Moll and Dr. Ma.  Always make sure both you and the appointment scheduler understands which physician, Dr. Moll or Dr. Ma,  you are requesting to see in clinic.

 

Physicians who staff the Thrombosis Clinic

• Dr. Stephan Moll (adults)

• Dr. Nigel Key (adults)

• Dr. Raj Kasthuri (adults)

• Dr. Brent Weston (pediatrics)