Thrombolysis and Thrombectomy – Venous

For Venous blood clots, thrombolysis is more commonly used than thrombectomy – or if thrombectomy is used, it is used in conjunction with thrombolysis. for venous blood clots. Thrombolysis of Deep Vein Thrombosis or Pulmary Embolis is generally performed in a hospital settling. It is a catheter-based procedure whereby ultrasound guidance is used to obtain access to a vein in the groin, neck, or other appropriate access site. Using angiographic imaging, the catheter is then advanced through the vein to the location of the clot where the thrombolytic medication is delivered directly to the clot. The medication needs time to dissolve the clot. Typically, an overnight stay in the hospital is required before the clot is reassessed and, if necessary, further lytic treatment is provided.

In some emergency scenarios, open surgery may be required to remove the blockage. Because open surgery thrombectomy involves a larger incision, a longer recovery time can be expected as compared to catheter-based procedures.

While some catheter-directed thrombolysis procedures can be performed in an outpatient setting like Allegheny Vein and Vascular, some may require a hospital stay.  However, thrombectomy procedures are usually performed in a hospital setting. Once Dr. Tahara determines the type of procedure you need, he will provide you with detailed instructions about how to prepare for the procedure during your evaluation. Dr. Tahara carefully explores your medical history during pre-op evaluation, including recent illnesses, existing medical conditions, and any allergies you have or medications you’re taking. He will also carefully explain how you should manage your regular medications, food, and drink just prior to the procedure. As a typical example, you may be told not to eat or drink anything several hours before arrival. You may also be asked to wear loose and comfortable clothing and refrain from wearing jewelry.

The Allegheny Vein and Vascular nursing staff will call you about 24 hours after your procedure to check up on you. Typically, the patient will also come in for a followup visit with Dr. Tahara about a week after the procedure is completed.  From there on out, you will be scheduled for office visits and duplex ultrasound appointments as necessary.

IMPORTANT: It is vital that patients keep their followup appointments.  The reason for this is that vascular disease is not something that just goes away.  It is a process that continues, even after any necessary procedures have been performed.  Regular monitoring of your condition will be required in order to help you realize your best possible outcome for the long term.