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CATHETER DIRECTED THROMBOLYSIS

Catheter-directed thrombolytic therapy is a nonsurgical treatment for acute deep vein thrombosis (DVT) that dissolves blood clots. These clots typically occur in your leg, thigh or pelvis but can travel. If a DVT travels to your lungs (referred to as a pulmonary embolism or PE), it can cause shortness of breath, chest pain and lead to death.

This therapy is performed in a catheterization lab or radiology suite. A team of doctors and nurses work together using a thin plastic tube (catheter) to deliver clot-dissolving medications called thrombolytics directly to the clot.

The Process

  • You will be given medication for relaxation.
  • Your vascular surgeon will numb the treatment area.
  • Through a puncture in your skin, a thin plastic tube is inserted into a vein, typically in your groin, neck or behind the knee.
  • Medicine is infused through the tube and into the clot.
  • If needed, a small machine is inserted through the tube to break up or suction the clot.
  • If needed, a small machine is inserted through the tube to break up or suction the clot.
  • An angioplasty is a treatment to widen the vein. After the blood clot is dissolved, a small device with an inflatable balloon is inserted and advanced through the tube. When the device reaches the spot where the vein has narrowed, the balloon is inflated and deflated several times, then removed.
  • If narrowing is severe, a stent may be placed inside the vein to keep it open. This usually takes an additional two to three hours. A stent is a small metal-mesh tube. It is inserted and advanced through the tube to the spot where the vein has narrowed. The stent acts as a scaffold to support inside wall of the vein. It remains in the vein after the procedure.
  • The catheter is removed and the puncture is closed with a sterile plug.

Risks

Bruising, Bleeding or Swelling

This can occur where the tube entered your body. This occurs infrequently, in 1-3% of cases.

Bleeding Elsewhere

This can occur in such locations as your intestines or brain. This is rare.

– Dr. Ashish Airen is the best vascular surgeon in Jaipur offering treatment for ‘Catheter-directed thrombolytic’ the condition should not be ignored and one should take immediate action.