I have bad pain and swelling in leg and notice blood clots on thigh?
I have bad pain and swelling in leg and notice blood clots on thigh.
Hello Doctor, Recently I noticed blood clots on leg near femoral artery. I went to ER and they prescribed Xarelto for clots (in the ER) . After a month my prescription ended, I went to see my primary care physician who took me off because my hemaglobin was low (8.7) and he said he believed I was in danger of a heart attack. I still have closts, should I stay on Xarelto or do like my doctor says and stop?
Thanks for your question.
Please let us know if the blood clot is in femoral artery or is it in the vein? Xarelto is usually prescribed for femoral vein clots. If it’s a femoral vein clot, Xarelto should be used for at least 3 months. And its use should be reevaluated after that initial period. Factor V leiden deficiency can make things more complex. If you inform us your blood clot is located in the femoral artery then please consult to determine if you can consider angioplasty or stent if factor V level is more than 25 %. This can be done under the cover of FFP and or platelets if needed. Another option you may have is Vascular surgery. But I believe Interventional Radiology is a much less invasive procedure considering the factor V deficiency. Don’t forget to let us know how you are doing.