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)