Thrombolysis

Thrombolysis is an injection procedure that is performed to dissolve blood clots and restore normal blood flow. Special drugs are injected intravenously into the arm or leg. Sometimes they are delivered directly to the point of blood clot formation using a catheter. This procedure is combined with invasive angiography or X-ray control.

Thrombolysis is most effective within 3-4.5 hours from the moment of vessel occlusion, until irreversible changes in the tissues develop. It is most important to use the "therapeutic window" in ischemic stroke. In this case, the patient still has a chance to avoid the serious consequences of the disease.

At Oxford Medical, thrombolysis is performed by vascular surgeons with many years of experience. Thanks to the availability of expert-class equipment in the hospital, they continuously monitor the patient's condition and the effectiveness of therapy. If necessary, they can perform surgical thrombectomy, stenting or vascular bypass surgery. The clinic has all the conditions for accurate diagnosis, conservative and surgical treatment of vascular pathologies.

Thrombolysis is most often performed in acute occlusion of peripheral arteries, when a thrombus prevents blood flow to the extremities. Dissolving the thrombus helps improve blood circulation and avoids tissue ischemia.

In ischemic stroke, thrombolysis is performed to dissolve the thrombus that blocks the normal blood supply to the brain. The goal of therapy is to restore blood flow and minimize complications. Usually, thrombolysis is advisable within no more than 4.5 hours after the onset of symptoms. However, the time may vary depending on the specific criteria and individual characteristics of the patient.

It is important to note that thrombolysis cannot be performed for all types of stroke. In hemorrhagic stroke, which is accompanied by bleeding, it is contraindicated and may worsen the condition.

Thrombolytic therapy is also sometimes performed in acute myocardial infarction to dissolve the blood clot that caused the blockage of a coronary artery.

Sometimes thrombolysis is also used in patients with a high risk of thromboembolism and pulmonary embolism.

A comprehensive examination is mandatory before thrombolysis. The procedure has a number of contraindications, and if they are not taken into account, there is a high risk of complications.

During the day after the start of thrombolytic therapy, the patient's condition is carefully monitored. The next day, a repeat angiography or other examination may be performed to assess the effectiveness of the treatment.

In case of incomplete dissolution of the thrombus, the procedure may be repeated, thrombectomy or other surgery may be performed. Doctors at Oxford Medical draw up an individual treatment program for each patient.

Thrombolysis is associated with the risk of bleeding. The drugs used destroy blood clots and thin the blood, so before performing thrombolysis, vascular surgeons study the patient's medical history and the results of his examinations. The decision on the necessity and safety of the procedure is made individually.

Contraindications to thrombolysis may be:

• hemorrhagic stroke;
• aortic dissection;
• bleeding;
• hemorrhage;
• hypertension;
• malignant neoplasms;
• certain liver diseases;
• diabetes mellitus;
• recent surgeries;
• age over 75 years.

The price of thrombolysis may vary depending on the method of the procedure. The total cost of treatment may also be affected by the duration of hospitalization, the need for surgery or diagnostic examinations.

You can find out the prices of treatment at «Oxford Medical» here. A vascular surgeon will provide more detailed information on the cost after studying your medical history. Make an appointment for a consultation at a time convenient for you.

At «Oxford Medical» thrombolysis is performed in a modern, high-tech hospital. It is equipped with new diagnostic and surgical equipment that allows you to provide assistance to patients with acute conditions. Including intensive care units with equipment to monitor and support all vital body functions.

The clinic's vascular surgeons have many years of experience and have undergone training and internships with the best Ukrainian and foreign specialists. For each patient, they draw up an individual treatment plan, taking into account the medical history and severity of the condition. If necessary, they perform endovascular and open vascular surgeries, such as thrombectomy, stenting and bypass surgery.