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Deep Vein Thrombosis – Sammy Eghbalieh, MD Video

Opening screen with title “American Health Journal” and swirling graphics in motion over blurred images of physicians.

[Serious music]

Announcer (V.O.): Deep vein thrombosis occurs usually in your legs. DVT is a serious condition because blood clots in your veins can break loose, travel through your blood stream and lodge in your lungs blocking blood flow. At Valley Presbyterian Hospital, vascular surgeon Sammy Eghbalieh discusses deep vein thrombosis and its symptoms.

V.O. visuals: Motion graphic of a clot mass inside a vein with very little room for the blood to flow (image below);

(V.O. visuals continued) elderly female patient sitting on bed in examination room; close-up of swollen and discolored ankles and feet; close- up of doctor’s hands gently squeezing patient’s legs; graphic with arrow showing direction of blood flow camera pan of exterior of hospital.

Sammy Eghbalieh,MD: Deep vein thrombosis is essentially clots that develop in the deep veins of the leg. It could be different segments of the leg. It could be in the lower leg, meaning from the knee down. It could be in the thigh or it can be in the…

Visual: Eghbalieh, wearing a suit, is being interviewed in a studio with a dark blue background; he is introduced with the title “Sammy Eghbalieh, MD – Valley Presbyterian Hospital” in lower-third.

Eghbalieh (V.O.): …pelvic area. Symptoms that patients come with to my office, they usually complain of numbness and tingling in the lower leg. They also complain of calf swelling or thigh swelling. They also have difficulty walking, which is very worrisome because that may prescribe the degree of amount of clot that’s in the deep veins.

V.O. visual: Several angles of Eghbalieh talking with middle-aged male patient who is sitting on bed in examination room.

Eghbalieh: Other findings that are more troublesome and more worrisome, is that patients have difficulty breathing in association with the leg pain. And that is really where we as physicians…

Eghbalieh (V.O.): …need to have our cue on. That is, if a patient presents that way, they need to be immediately hospitalized.

V.O. visuals: Eghbalieh and an assistant sitting behind the front desk of the hospital unit looking at clot scans on a computer monitor.

Announcer (V.O.): Dr. Ehhbalieh outlines who is more at risk for this condition.

V.O. visuals: Eghbalieh and the assistant continue looking at the scans.

Eghbalieh: The people that are usually at risk for these types of findings are individuals that fall into three different categories.

Eghbalieh (V.O.): Number one, which is the most likely to occur, is in hospitalized patients.

V.O. visuals: A male doctor visits with patient hooked up to monitors; while a male nurse views monitor screen the female nurse talks with the doctor.

Eghbalieh: The other group of patients that fall in this category are people that we refer to as thrombophilia or hypercoagulable patients. These are patients that either through genetic factors or have a high likelihood of developing blood clots. The third group are patients that had some sort of injury to their extremity or to the deep vein. These patients fall into the category such as trauma…

Eghbalieh (V.O.): …spinal cord procedures or spinal cord injury or orthopedic related procedures such as hip replacements or knee replacements.

V.O. visuals: Male in an electric wheelchair going up bus ramp; surgical team at work in an operating room.

Announcer (V.O.): As one gets older the risks of DVT go up.

V.O. visual: A doctor looking at vein scans on computer monitor.

Eghbalieh (V.O.): At the age of fifty to sixties is usually the hallmark where you become an increased…

V.O. visual: Close-up of vein scans on computer monitor.

Eghbalieh: …risk factor for developing deep vein thrombosis. It could be related to many things - disease, decrease of activity, change of lifestyle. We just do know in medical literature that age plays a part as a direct or indirect affect as risk factors. The other group of patients fall into a younger age. These are patients that we have described as hypercoagulable or as having thrombophilia. These patients tend to…

Eghbalieh (V.O.): …present earlier anywhere from the ages of twenty to forty, where genetic factors play a part in them developing deep vein thrombosis.

V.O. visuals: Another angle of Eghbalieh and an assistant sitting behind the front desk of the hospital unit looking at a computer monitor.

Announcer (V.O.): Dr. Eghbalieh discusses treatment and the complications if not treated.

V.O. visuals: Egbalieh points to clots on the scans.

Eghbalieh: The treatment for patients that develop deep vein thrombosis, or as we call it DVT, these patients are placed on anticoagulation. What that means is that we…

Eghbalieh (V.O.): …give the patients blood thinners in order to prevent the propagation of further clotting. In America annually…

V.O. visual: Another angle of Eghbalieh and an assistant sitting behind the front desk of the hospital unit looking at a computer monitor.

Eghbalieh: …we have about 200,000 patients that die from what we call pulmonary embolism or what we refer to as PE, as a result of deep vein thrombosis.

Announcer (V.O.): How important is early detection and treatment for DVT?

V.O. visuals: Eghbalieh walking toward camera up hospital hallway.

Eghbalieh: When patients that develop deep vein thrombosis, we know that five to ten years down the line, they develop what we call post thrombotic syndrome. These are patients that essentially develop swelling, on and off tingling and numbness, develop…

Eghbalieh (V.O.): …in whichever extremity had the deep vein thrombosis, pain that either comes and goes, or they are at higher risk for developing another onset of DV thrombosis. The way that we would like to intervene is being able to use our new devices, the minimally invasive procedures to go in, remove as much of the clot as possible, break down the clots.

V.O. visual: Motion graphic of 3D skeleton with veins in torso, leg, and knee joint (images below);

(V.O. visuals continued) close-up scan of clot; motion graphic demonstrating procedure that removes and breaks down the clot from inside the vein, followed by insertion of a stent (images below).

Eghbalieh: And also be able to increase the quality of life for the patients five, ten years down the line.

Announcer (V.O.): Dr. Eghbalieh gives some important advice to reduce your risk for deep vein thrombosis.

V.O. visual: Senior man driving a car.

Eghbalieh (V.O.): So I encourage all my patients and healthy individuals, when you’re on a flight or you’re on a long drive, take a break.

V.O. visual: Commercial jet taking off from airport.

Eghbalieh: Stand, walk, if anything unusual occurs, meaning that after the flight you have difficulty breathing. After a long drive, you feel like, this leg got a little bit swollen, don’t blame it on the drive. Don’t say, ‘oh, it’ll get better.’ You should seek medical attention. It’s very important.