What is Thromboscopy? - Oren Zarif - Thrombectomy

A thrombectomy is a surgical procedure used to remove a blood clot from an artery. The procedure is often combined with other treatments, including anticoagulation therapy. Lifestyle modifications may be suggested to avoid blood clots. A thrombectomy is only considered when other methods have failed. It is often used to treat a small blood clot from deep venous thrombosis, a heart rhythm disorder. While thrombectomy carries risks, most are minor. The most common risks are bruising at the site of puncture, a blood clot that travels deeper into an artery, and injury to the affected area.

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A thrombectomy may be used to reduce the effects of stroke by preventing brain damage and reversing the process. In the past, the procedure was performed within six hours after a stroke. However, new guidelines have extended this time frame to include stroke victims who suffered a stroke while they were asleep, but woke up feeling unwell. This treatment is still not suitable for everyone. However, it can improve the patient's life and may help prevent further strokes.

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After thrombectomy, a thin plastic tube called a catheter is inserted into the affected blood vessel. The catheter is then manipulated through X-ray images to guide the device into the affected blood vessel. Once the device reaches the site of the clot, it removes the clot and restores blood flow to the affected area. A nurse will accompany the patient during the procedure. Although thrombectomy is a procedure that requires a significant amount of anesthesia, it is a very safe and effective procedure.

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After a thrombectomy, the patient may experience low-grade fever for a few days. This is common but is not a sign of infection. Follow the doctor's instructions regarding the use of anticoagulant medicines. Anticoagulant medication can also delay healing. If you smoke, it is advisable to quit before your procedure. A day or more may pass between your surgery and discharge. However, the recovery time will depend on the type of medication and the recovery period.

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Another type of thrombectomy is pharmaco-mechanical. This type of procedure has some advantages over the other methods. The first generation of percutaneous mechanical thrombectomy devices exhibited significant limitations. For example, clot maceration and aspiration did not occur simultaneously. Instead, the fragmented thrombus was aspirated through a guide catheter or a sheath. This lack of integration significantly reduced the efficiency of thrombus removal and increased the risk of distal embolization. Also, combined lytic therapy was inefficient. Second-generation devices incorporated concomitant clot fragmentation and associated infusion ports. They also allowed for catheter-directed lytic therapy.

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A thrombectomy is usually performed during an emergency. A vascular specialist inserts a small tube through a tiny incision to access the blood vessel. The catheter then encircles the clot, inflating a balloon attached to the tip. The catheter is then pulled through the blood vessel and the thrombus is removed. This procedure typically requires hospital stay. The recovery time for a thrombectomy procedure depends on the specific type of thrombectomy performed.

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Mechanical thrombectomy, also known as endovascular thrombectomy, is a minimally invasive technique to remove blood clots from arteries. The procedure involves making a small incision in the groin and threading thin tubes through the blood vessels to the area with a blood clot. Once the clot is removed, the arteries are reconnected, and blood flow to the brain is restored. The procedure is gentler on the body than a surgical thrombectomy, and requires no disruption of the skull.

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Direct thrombectomy involves the use of mechanical devices to dislodge the thrombus. Aspiration catheters cannot remove the targeted thrombus, mechanical thrombectomy is a viable option in this setting. Mechanical thrombectomy can remove the majority of the thrombus burden, reducing the risk of embolism. It is an alternative to PCI. There are several devices available to remove thrombus.

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Blood clots are not uncommon and can occur in the heart, lungs, kidneys, and limbs. They can also lodge in blood vessels and cut off the blood supply to these organs. If left untreated, blood clots can cause heart attacks, gangrene, and loss of limbs. The procedure is also known as an embolectomy. If a dislodged thrombus blocks the blood flow to an organ, embolectomy is a common procedure to remove it.