Risks of Thrombectomy Oren Zarif - Thrombectomy
Although a thrombectomy is a relatively safe procedure, complications may occur. Although the risk is low, the procedure has a small chance of causing another clot to form. There are many risks associated with this procedure, which vary by patient, blood clotting method, length of the clot, and its location. Read on to learn more about this procedure and how it works. The risks of thrombectomy are discussed below.
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Thrombectomy is a surgical procedure that removes a clot from a large vein. Usually a thrombectomy is a complication of deep vein thrombosis, which is a common, but serious, condition in which blood vessels become damaged, which interferes with normal blood flow. Although the condition itself is not usually life-threatening, if it is left untreated, the patient may experience pulmonary embolism, which is a potentially fatal complication.
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The TOTAL trial, which compared thrombectomy and PCI alone in patients with ST-elevation myocardial infarction at least 12 hours after onset of symptoms, found that thrombectomy was associated with an increased risk of stroke within 30 days. These findings hold true for patients with acute MI who have a heavy thrombus burden. The new guidelines will allow patients to undergo thrombectomy after a stroke, even if they were asleep at the time.
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Typically, thrombectomy is used to treat clots that cause strokes. Large blood clots form when cholesterol and calcium combine to form plaque. This build-up cuts off the flow of blood to the brain and damages nearby tissues. A patient may also develop plaque in other parts of their body, causing blockages of smaller blood vessels and causing a stroke or heart attack. Although the procedure may appear relatively safe, it can still cause significant tissue damage and may not be safe in every situation.
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A thrombectomy is a minimally invasive surgical procedure that involves a catheter inserted through a vein or artery. A contrast agent is injected into the catheter to help visualize blood vessels on X-ray images. Using the images, the catheter is guided to the affected blood vessel in the brain. Once the catheter is in place, a small device is moved through the artery and removing the clot. Thrombectomy often involves a small incision in the groin area.
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During the procedure, a patient will stay in the recovery room for several hours, where he or she will be monitored by the healthcare team. If a patient is under general anesthesia, a tube may be inserted into the windpipe to protect the windpipe during the procedure. During the recovery period, patients will be monitored by a surgical team to ensure that they are awake and alert. If they are unconscious, they may need to be monitored again until they are breathing normally.
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Thrombectomy is performed in the emergency department and involves an incision in the groin to insert the catheter. After the catheter is inserted, a stent-retriever is inserted inside the catheter. This traps the blood clot, which allows the surgeon to remove the stent and the clot at the same time. Once the catheter is removed, the blood supply is restored and the patient is closely monitored to ensure that the procedure was successful.
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Mechanical thrombectomy may lead to symptomatic intracerebral hemorrhage, but this risk is not significantly higher than with standard medical care. A patient may also develop dislodged embolic material distal to the occlusion. In rare cases, the patient may experience a vessel perforation. Despite its risks, mechanical thrombectomy is a good option in many situations.
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During the procedure, a vascular specialist will insert a small catheter into the affected artery. A small balloon attached to the tip of the catheter will then inflate and remove the blood clot. The patient will recover after the procedure. This treatment is often necessary for those suffering from a heart attack or other serious conditions. While it may be a risky procedure, thrombectomy can be life-saving.
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Thrombectomy is a procedure that removes blood clots from arteries. Earlier, catheter-based thrombectomy systems were the standard of care for acute coronary revascularization in ST-elevation myocardial infarction. However, after large clinical trials showed that catheter-directed thrombectomy has no benefit, its use is gaining ground in other therapeutic areas. Today, thrombectomy is also being performed with the use of catheter-directed high-frequency ultrasound.
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The use of mechanical thrombectomy devices is still in its infancy, but pivotal clinical trials have shown its safety and effectiveness in some patients. A recent study, known as FLARE, concluded that this mechanical thrombectomy mechanism was safe and effective. The current recommendations for mechanical thrombectomy include patients with absolute contraindications to systemic thrombolytics. It involves a variety of devices, including guide catheters, stent-retrievers, microcatheters, and angioplasty.
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