Thrombectomy

A thrombectomy is a minimally invasive procedure used to remove a blood clot (thrombus) that is blocking blood flow in an artery or vein. During the procedure, a small catheter is inserted into a blood vessel and guided to the site of the clot using real-time imaging. Specialized devices at the tip of the catheter are then used to break up, suction out, or physically remove the clot from the vessel.

Restoring normal blood flow quickly is crucial, as blood clots can cause severe pain, tissue damage, or other complications if left untreated. In some cases, medication to dissolve clots (called thrombolytics) may be used in combination with mechanical removal to enhance the effectiveness of the procedure and reduce the risk of recurrence.

Preparation: Thrombectomy is typically performed on an outpatient basis under local anesthesia. The skin where the catheter will be inserted  is sterilized and numbed.

Catheter Insertion: Using real-time X-ray imaging (fluoroscopy), a tiny puncture is created where a thin, flexible tube called a catheter is inserted into an artery. The catheter is gently guided through the vascular system to the location of the clot.

Thrombectomy (Removing Blood Clots): If a blood clot is causing the blockage, a thrombectomy device is used to suction, break up, or mechanically extract the clot. In some cases, a clot-dissolving medication (thrombolytic agent) may also be delivered directly to the site to enhance removal.

Restoring Circulation: Once the clot is cleared, blood flow is immediately restored. Sometimes, additional treatments — such as angioplasty or stent placement — are performed at the same time to keep the vessel open and prevent future blockages.

Completion and Recovery: After the procedure, the catheter is removed, and a small bandage is applied. No stitches are necessary, and most patients are able to go home the same day.

Recovery and Results: Recovery from thrombectomy is typically quick, with most patients resuming light activities within 24–48 hours. Many notice an immediate improvement in symptoms such as leg pain, cramping, or numbness as blood flow returns to normal. Because the procedure directly removes the cause of the blockage, it is often highly effective in preventing complications like tissue damage, limb loss, or recurrent clotting.