Anticoagulation is often used to prevent clots from forming, decreasing the chance of serious DVT complications like pulmonary embolism. However, anticoagulation alone cannot fully dissolve a clot. In some cases, Dr. Malekmehr might use other methods, including a retrievable IVC filter or thrombolysis for DVT treatment.
Thrombolysis is the breakdown of blood clots by pharmacological means – commonly called clot busting. It is performed to improve blood flow, prevent damage to tissues and organs. To perform the treatment, Dr. Malekmehr injects clot-dissolving medications into a blood vessel through an IV line or a long catheter that delivers drugs directly to the site of the blockage. It also may involve the use of a long catheter with a mechanical device attached to the tip that either removes the clot or breaks it up physically.
As a board-certified cardiovascular surgeon, Dr. Farshad Malekmehr brings meticulous skill and world-class experience to every patient he treats. The esteemed surgeon and his team will diagnose and treat patients through pharmaceutical medication, non-drug treatments or surgery when necessary. Beyond thrombolysis treatments include anticoagulation, inferior vena cava filter and compression stockings among others.
How Does Thrombolysis Work?
When a blood clot forms, the correct bodily respons is the formation of fibrinolytics that are secreted by the veins, dissolving the clot. Unfortunately, in the cases of large DVTs involving the veins such as the iliac and femoral veins, the burden of the clot is so large that it overwhelms the fibrinolytic capacity of the body’s veins. If the clot is not dissolved in a timely fashion, it can destroy the delicate valves, leading to debilitating postphlebitic syndrome. By performing thrombolysis, Dr. Malekmehr can preserve the valves in the veins and decrease the chance of postphlebitic syndrome.
Though thrombolysis is generally a safe and effective way of improving blood flow and relieving or eliminating symptoms in patients without the need for invasive surgery, it is not without risks. The treatment might not be the right choice for patients who suffer from severe high blood pressure, active bleeding or severe blood loss, hemorrhagic stroke from bleeding in the brain or kidney disease. That's why it's important to consult Dr. Malekmehr prior to treatment for thrombolysis for DVT treatment.
Dr. Malekmehr expert surgeon can provide exceptional advice on whether or not thrombolysis is the right procedure for you. To schedule an appointment with our expert surgeon, contact The California Institute for Deep Venous Thrombosis today.