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What Is Thrombectomy? Oren Zarif - Thrombectomy

Writer's picture: Oren ZarifOren Zarif

A thrombectomy is a procedure to remove a blood clot from an artery. It is usually combined with other treatments, such as thrombolysis. After thrombectomy, patients are typically closely monitored for 24 hours. Often, thrombectomy is performed in conjunction with treatment for an underlying condition, such as a heart rhythm disorder. A thrombectomy is a common procedure to treat small blood clots that develop due to deep venous thrombosis. There are several risks associated with thrombectomy, including bruising at the site of puncture and the possibility that the clot travels deeper into the artery and damaging the area.

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Thrombectomy is a surgical procedure that removes a blood clot from a vein or artery. Normally, blood flow freely through the blood vessels, such as the arteries and veins. Arteries carry oxygen to the body and veins return waste products to the heart. However, if a blood clot forms in one of these blood vessels, it can obstruct blood flow and damage tissues nearby.

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Thrombectomy can help prevent or even reverse a stroke. If performed as soon as possible after a stroke has occurred, thrombectomy can prevent brain damage. Traditionally, thrombectomy was only recommended for patients within six hours of onset of symptoms, but recent guidelines have expanded this time frame. Patients who suffered a stroke while sleeping may also undergo a thrombectomy even if they do not awaken with symptoms.

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Thrombectomy is usually performed under general anesthesia, which is a mixture of gases and IV medications. This puts the patient into a deep sleep and prevents pain during the procedure. The surgeon then carefully removes the blood clot from the vein. Afterward, the patient will be monitored for several hours to make sure that everything went well. The patient will need to wear loose-fitting clothing and a hospital gown. The nurse will assist them with dressing and ensure they are comfortable.

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The procedure can result in a low-grade fever for a few days, but this is not a sign of an infection. Follow your doctor's instructions for the next few days. Anticoagulants, such as warfarin, should be taken according to prescription. If possible, avoid eating or drinking after midnight on the night before the surgery. In some cases, the doctor may recommend a different medication to reduce the risk of infection.

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Mechanical thrombectomy involves removal of blood clots using catheters. A decade ago, this technique was the standard of care for patients with ST-elevation myocardial infarction. However, after large trials showed no benefit, its use fell significantly. Nowadays, however, it is increasingly used in new therapeutic areas. It is sometimes referred to as embolectomy. Using catheter-directed high-frequency ultrasound, this treatment can effectively penetrate thrombus and fibrinolytic drugs.

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An endovascular approach is a more invasive procedure that requires an invasive procedure. During the procedure, a vascular specialist inserts a catheter into a vein. Once inside, the catheter will move past the clot. Then, a wire mesh is attached to the tip of the catheter. This wire mesh breaks up the clot and restores normal blood flow to the area. The procedure takes about 30 minutes, and the patient may return to normal activities immediately.

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In addition to using catheters, doctors may also use other techniques to remove thrombuses. A vena cava filter may be placed before or after a thrombectomy, and a pulmonary embolism can develop from a thrombus in the pulmonary vein. However, the effectiveness of a catheter may vary greatly. If the thrombus is too large, it may lead to pulmonary embolism and may require surgery.

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Patients should have a complete understanding of the risks and benefits of the procedure. An informed consent form should be signed to give permission for the surgery. It should state that the patient understands the risks and has had all of their questions answered. Patients may also need to take blood clot medicines for a short period. A patient should consult a medical professional if they are pregnant or breast-feeding. Those who are smoking should quit before their thrombectomy.

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