What is Catheter Directed Thrombolysis and Thrombectomy?
Catheter-directed thrombolysis and thrombectomy is a minimally invasive treatment options that use medication directed into the clot using a medical device to break up and dissolve abnormal blood clots.
In a catheter-directed thrombolysis procedure, X-ray imaging is used to help guide a special medication to the site of blood clots to dissolve the blockage. During the procedure, an interventional radiologist will insert a catheter through the skin into a vessel (artery or vein) and maneuver it to the site of the thrombosis, or blockage. The blood clot will then be dissolved by delivering medication directly to the blood clot to break up the clot.
Likewise, in a pharmaco-directed Thrombectomy, once the blood clot is dissolved by delivering medication directly to the blood clot, a mechanical device at the site is used to break up the clot.
Why would you need Catheter-directed Thrombolysis and Thrombectomy?
Benefits of catheter-directed thrombolysis include improved blood flow, reduction and-or elimination of symptoms and effects without the need for more invasive surgery. Thrombolysis is a safe, highly effective way of re-establishing circulation blocked by a clot. In addition, it is less invasive than conventional open surgery. The procedure requires only a small nick in the skin as opposed to a traditional surgical incision. In addition, the hospital stay is relatively brief.
Recent medical publications on pharmaco-mechanical thrombectomy have reported the advantages of faster symptom relief, less procedure time, reduced time in the ICU, shorter hospital stays and subsequent cost savings.
Risks Involved
Our ability to use imaging guidance and cutting-edge technology minimizes patient risk. Prior to your procedure, your physician will discuss any potential risks with you.
Conditions to let us know about
Let your doctor know if you currently are pregnant or breast feeding, feeling ill, have a fever, or are taking any blood thinners.
Insurance coverage
Catheter-directed Thrombolysis and Thrombectomy are covered by most private insurance providers as well as Medicare. We will seek authorization from your insurance company prior to your procedure.
Preparing for your procedure
If you are on blood thinners your doctor will instruct you if you need to stop these medications prior to the procedure. If your procedure requires sedation, then you will need a responsible adult to give you a ride home.
Recovering from your procedure
You may possibly receive mild to moderate sedation during your procedure. You will stay in the recovery area until you are ready for discharge. You will be given written post procedure discharge instructions that will advise you about return to normal physical activity. If you have any questions after your procedure, please call the RIA Interventional Suite at 720-493-3406.