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What is Thrombolysis?

Thrombolysis Treatment in Kochi

It is the process of breaking down of the blood clots present in blood vessels using medication. This improves the blood flow and also prevents damage to the tissues and the organs of the body.

This type of therapy is usually used when symptoms of ST elevation myocardial infraction, stroke and large pulmonary embolisms set in, ideally within 1-2 hours, once a diagnosis is made.

The doctors usually use radiologic imaging to check if the blood clot is dissolving. The treatment for a small clot might take several hours while a major blockage might need several days.

Types of Thrombolysis

The different drugs that are used to bust the clots are known as thrombolytic agents and some of them are:

  • Eminase (anistreplase)
  • Retavase (reteplase)
  • Streptase (streptokinase,kabikinase)
  • T-PA (class of drugs that includes activase)
  • TNKase (tenecteplase)
  • Abbokinase,kilytic (rokinase)

The other method of thrombolysis is the mechanical Thrombectomy, where the clot is physically broken using a long catheter with a tiny suction cup attached to the tip, a rotating device, high-speed fluid jet or an ultrasound device.

Process of Thrombolysis

The clot busting medications are injected through an intravenous (IV) line or through a long catheter that will send the drugs directly to the blockage site. This might also involve a long catheter with a mechanical device at the tip that will remove the clot or physically breaks it up.

Risk of Thrombolysis

It is a safe procedure that will effectively improve the flow of blood and help the patient get rid of the symptoms without the need for an invasive surgery. Patients using blood-thinning medications, herbs or dietary supplements or those with increased risk of bleeding, like the following:

  • Severe high blood pressure
  • Sever blood loss or active bleeding
  • Bleeding in the brain that causes haemorrhagic stroke
  • Severe kidney disease

It is also not recommended for pregnant mothers, patients of advanced age and other medical conditions.

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