Treatments for Thrombosis

Thrombolytic Therapy (rare)

Thrombolytic Therapy is the administration of drugs called Lytics or “Clot Busters” to dissolve blood clots that have acutely (suddenly) blocked your major arteries or veins and pose potentially serious or life-threatening implications.

Endovascular Clot Removal

DVT can cause pain and swelling of the affected leg. Over time, the clot may either continue to block the vein or cause dysfunction of the critical anti-reflux Venous Valves. This can develop into problematic ulceration of the leg (Venous Ulcers).

For most patients, treatment with a blood thinner and compression stockings is sufficient to treat the acute symptoms associated with DVT. However, patients with ongoing pain and swelling may benefit from removal of the clot. This is particularly true for patients where the clot extends up the leg into the veins in the abdomen (Iliac Veins).

Endovascular Clot Retrieval procedures offered in our Clinic include Mechanical and Pharmacomechanical devices to remove the clot. These may be combined with intravenous blood thinners and clot busting medications to further support retrieval of the clot.

Endovascular Clot Retrieval Procedure

During the procedure, a balloon and wires are placed into the veins of the leg. The procedure is performed in the operating room with the patient under General or Local Anaesthesia with mild sedation.

Your doctor will make a tiny incision over the groin and insert a small tube called a catheter into the Femoral Vein.

With the help of Ultrasound, the catheter is guided to the site of the clot. Wires are then used to cross the blocked vein, and retrieval devices are then deployed over the wire to remove the clot.

After the procedure an Ultrasound scan is taken to ensure the vein is open and flowing into the wound. The catheter is then removed and the incision, in the groin, is closed.

After Endovascular Clot Retrieval Surgery

After the surgery, you will be kept in hospital or the clinic facilities for observation. You will be given blood thinning medications to prevent blood clot formation. It is important to take the blood thinners as prescribed to prevent re-blockage of the vein. An Ultrasound will be performed 1-2 days after the procedure to confirm the vein is still patent.

Risks with Endovascular Clot Retrieval

The possible complications of Endovascular Repair include:

 
  • Bleeding in the groin that requires surgery
  • Re-blockage of the vein
  • Allergic reaction to anaesthetic agents/contrast agents, etc.