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Doctor insights on: Embolectomy Vs Thrombectomy

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What are thrombectomies and embolectomies?

What are thrombectomies and embolectomies?

Blood clot removal: Emboli and thrombi are blood clots, an embolus is one that has traveled and lodged an a vessel and a thrombus is a blood clot that has formed in a vessel. Removal of the blood clot is performed, usually surgically, to restore blood flow. In the case of a thrombectomy, in addition to removing the clot, one needs to treat the cause of the vessel thrombosis...by removing blockage that caused thrombosis

Dr. Dennis Zhu
434 Doctors shared insights

Thrombectomy (Definition)

Thrombectomy is the process of removing occluding material from blood vessels. It is usually clot but foreign bodies and plaque can block vessels as well. Usually is a surgical procedure but in some instances can be ...Read more


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What is the meaning of embolectomy?

What is the meaning of embolectomy?

Removal of a clot: An embolus is something (usually clot) that originates somewhere else and gets lodged in a distant artery.

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What is the meaning of embolectomy?

What is the meaning of embolectomy?

Removal of a clot: Removal of a thrombus (clot) which has traveled from one location to another. An example of embolectomy would be removal of a leg artery thrombus that traveled from the heart.

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Why would clots be forming after a thrombectomy?

Same as original.: For the same reason they formed prior to removal of the clot. A thrombectomy is just a removal of clot. If the underlying disorder that caused the clot is not treated, it is likely the clot will recur.

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What causes clots to keep forming after a thrombectomy?

What causes clots to keep forming after a thrombectomy?

Some Possibilities: Some possible causes are: unrecognized and thus untreated arterial blockage that results in: *poor arterial inflow into artery that is thrombosed *poor runoff from artery that is thrombosed. *poor flow through the bypass (if patient has a bypass) hyper-coagulable state allergy to the blood thinner heparin...This can cause a syndrome called hit that results in thrombosis.

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What would cause clots to keep forming after a thrombectomy?

What would cause clots to keep forming after a thrombectomy?

Same as original.: For the same reason they formed prior to removal of the clot. A thrombectomy is just a removal of clot. If the underlying disorder that caused the clot is not treated, it is likely the clot will recur.

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Please explain why would clots keep forming after a thrombectomy?

Where are clots?: Either 1) disease in the blood vessel, 2) a clotting disorder or 3) clot in the heart or other location which is traveling and lodging at site of thrombectomy (embolus).

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What is the definition or description of: thrombectomy?

Removal of clot: Thrombectomy is the process of removing occluding material from blood vessels. It is usually clot but foreign bodies and plaque can block vessels as well. Usually is a surgical procedure but in some instances can be done via a catheter.

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What is fogarty embolectomy? Do they have to cut you open?

What is fogarty embolectomy? Do they have to cut you open?

Incision and balloon: It is a procedure to remove thrombus from a blood vessel. A fogarty balloon catheter is inserted into the artery through a small incision, passed beyond the thrombus and then inflated and used to drag the thrombus back and out of the vessel.

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What are reasons why thrombi are removed with an embolectomy catheter?

What are reasons why thrombi are removed with an embolectomy catheter?

Easiest way: This is theclassic surgical method of removing fresh clot from a blood vessel. Why? To restore circulation and remove the obstruction caused by the blood clot.

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What is the normal range of aptt after plmonary embolectomy with the heparin infusion?

What is the normal range of aptt after plmonary embolectomy with the heparin infusion?

Long answer: 'normal therapeutic values vs normal, are two different numbers. After an embolectomy and Heparin infusionyou usually aim for a aptt of 1.5-2 times normal, non-anticoagulated range. Around 55-80 seconds.

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After pulmonary embolectomy, a patient needs to be taking anticoagulants for how long? Forever?

After pulmonary embolectomy, a patient needs to be taking anticoagulants for how long? Forever?

Often: Recommendations change for how long on Coumadin (warfarin) after blood clots. If only in the leg, it can e for 3-6 months. Once it goes to the ling (pulmonary embolus) the minimum therapy is usually a year, but lifelong is becoming a more common recommendation.

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What does "pulmonary embolectomy with cardiac arrest and ROSC", mean? They did use CPB during procedure

What does "pulmonary embolectomy with cardiac arrest and ROSC", mean? They did use CPB during procedure

Complicated.: Here is the breakdown. There was a blood clot in the lungs that was removed surgically. During the procedure, the heart stopped. With CPR, the heart restarted and starting pumping normally (ROSC = return on spontaneous circulation). The use of CPB (cardiopulmonary bypass) is not indicated in a situation like this. Hope this helped.

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An abscess develops after a femoral artery embolectomy. Incision and drainage is done. How long should it drain before debridement?

An abscess develops after a femoral artery embolectomy. Incision and drainage is done. How long should it drain before debridement?

Already occurring: If a drainage procedure was done the wound should have been left partially open. The dressing changes will do the debridement. Make sure to change daily. Follow-up with surgeon who did drainage procedure.

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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window? " Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here.

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Occlusion of abdominal aorta and other lower limb arteries treated by embolectomy, what are all the food item we have to take for life saving and limb?

Occlusion of abdominal aorta and other lower limb arteries treated by embolectomy, what are all the food item we have to take for life saving and limb?

Forks over knives: Complete vegan diets as described in a book/ video "forks over knives" shows the best dietary practices to reverse blockages in general. Study performed by dr caldwell esseylstein shows documented improvement in heart blockages with this diet. Medications such as crestor, (rosuvastatin) stopping smoking, exercise will also be important.