A DVT persisting for 9 months would become chronic after the 4th or 5th month, even with treatment, if it was responding the way that you are describing. If you are having significant symptoms still in that affected leg, you need to talk to a vein physician or interventional radiologist about possibly doing a percutaneous mechanical thrombectomy by going into the bottom part of your knee or calf and coursing upward across her leg to see if they can get the clot of your thigh or pelvis in his there. Otherwise it is very difficult to treat chronic clot after blood thinner medication has failed. There is 1 option to change from 1 direct oral anticoagulant to another and see if that helps. But I think at this time, 9 months later, mechanical thrombectomy would probably be more effective if the clot can be reached to a large degree and a large bulk of it removed. if the clot has become chronic and fibrosed, or scarred as you say, the leg would compensate by creating venous outflow tracts around it to a lawyer leg to return to normal size and function without swelling, discoloration, or pain. If that was the case, you would not need to treat the chronic clot any further but I would recommend continuing on baby aspirin once a day from there and have it monitored over the next 2 years with repeat venous ultrasound scans of the area. You're quite young at 31 years old and would not want you to have to be on aspirin for the rest of your life at this point. Hope that helps.