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Thrombolysis, Mechanical Thrombectomy and Percutaneous Aspiration Therapy

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Vascular Interventional Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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9.6 Conclusion

Percutaneous therapy has an established role as an alternative to surgery in the treatment of intravascular thrombus. Thrombolysis and mechanical thrombectomy may be used on their own or in combination to achieve the best result. Patients with thrombus of less than 14 days in age who have co-morbidities making them high risk for surgery should be treated by percutaneous means. If available, mechanical thrombectomy should be used to restore blood flow, with thrombolysis reserved for cases of incomplete thrombus clearance. It is wrong to say that either surgery or percutaneous therapy is best for all patients. For example, where there is distal disease and no run-off, balloon embolectomy is unlikely to be successful. Lysis may open up the run-off vessels and so avoid amputation. Use of clinical judgment and team working is required in choosing the correct treatment modality for each patient.

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Authors and Affiliations

  1. St George’s Hospital, Blackshaw Road, London, SW17 0QT, UK

    Graham Munneke MRCP, FRCR (Interventional Radiology Fellow), Robert Morgan MRCP, FRCR (Consultant Interventional Radiologist) & Anna-Maria Belli FRCR (Consultant Interventional Radiologist)

Authors
  1. Graham Munneke MRCP, FRCR
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  2. Robert Morgan MRCP, FRCR
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  3. Anna-Maria Belli FRCR
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Editors and Affiliations

  1. Radiology Department, University Hospital of North Staffordshire, Rusell Building, City Central Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG, UK

    Mark G. Cowling MD

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Munneke, G., Morgan, R., Belli, AM. (2007). Thrombolysis, Mechanical Thrombectomy and Percutaneous Aspiration Therapy. In: Cowling, M.G. (eds) Vascular Interventional Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33255-8_9

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  • DOI: https://doi.org/10.1007/978-3-540-33255-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22259-0

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