Thrombectomy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A thrombectomy is the excision of an abnormal or dangerous thrombus (blood clot). It is performed intraluminally (meaning directly in the cavity of a vessel) using a balloon catheter. The thrombus is then either pressed against the walls in order to restore at least part of the natural lumen; or the balloon is 'opened' after the thrombus and then carefully moved retrogradely so that the clot can be drawn out of the vessel.

Thrombectomies usually occur as a result of thrombosis or a blood clot in a vein or artery. Thrombectomies can be used to clear a blockage in a fistula (AV fistulas used for dialysis kidney treatment).

Indications

• An unsuccessful treatment with fibrinolysis.
• The occurrence of a mobile thrombosis
• Phlegmasia coerulea dolens

Types

Catheter Thrombectomy: which is of further divided into

1. Balloon Thrombectomy
2. Aspiration Thrombectomy.

Surgical Thrombectomy

Video explaining Thrombectomy

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Related Chapters

• Phlegmasia cerulea dolens
• Deep vein thrombosis