702, 7th Floor, Solaris Kode, Near Khatu Shyam Temple, VIP Road, Vesu , Surat.
drjennygandhi98@gmail.com
+91 90033 03373
1. Access to Vascular
To reach a major artery, a little incision is usually made in the wrist or groin.
Mechanical Thrombectomy
Mechanical Thrombectomy
procedure steps
2. Navigation of Catheters
A catheter is inserted into the blood vessels up to the location of the brain artery blockage using real-time fluoroscopic (X-ray) guidance.
3. Getting Through the Clot
To place the device distal to the blockage, a microcatheter is inserted past the clot, frequently over a microwire.
4. Deployment of Devices
An aspiration catheter or stent retriever is placed across or close to the clot. Aspiration catheters can suction the clot while the stent expands to engage and capture it.
5. Removal of Clots
Blood flow is restored by carefully pulling the stent retriever and trapped clot (or clot aspirated) back through the catheter.
6. Supplementary Procedures
If there is vascular narrowing or dissection, balloon angioplasty or stenting may be necessary.
7. Hemostasis and Catheter Removal
To stop the bleeding, all catheters are taken out and the puncture site is compressed
8. Monitoring Following the Procedure
The patient's neurological alterations, problems, and progress toward recovery are continuously monitored
disease treated
Ischemic Stroke
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
May-thurner Syndrome
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Deep Vein Thrombosis
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Carotid Artery Stenosis
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Cerebral/venous Sinus Thrombosis
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
suitable for
Acute Ischemic Stroke Patients
Individuals who experience an acute ischemic stroke due to a large vascular obstruction (LVO) in the internal carotid artery (ICA), basilar artery, or middle cerebral artery (MCA).
Window of Time
Ideally, candidates should come up within six hours of the onset of symptoms, while some patients may be eligible up to twenty-four hours later if advanced imaging reveals brain tissue that can be saved.
Stroke Severity
Individuals with a National Institutes of Health Stroke Scale (NIHSS) score of six or higher are considered to have moderate to severe neurological impairments
Requirements for Imaging
A substantial salvageable penumbra and mild early ischemia abnormalities, such as an Alberta Stroke Program Early CT Score (ASPECTS) of 6 or above, are examples of favorable imaging profiles.
Pre-stroke Functionality
Patients who were functionally independent before the beginning of the stroke (modified Rankin Scale score 0–2) were selected to maximize recovery potential.
Posterior Circulation Strokes
For some people with basilar artery blockage, mechanical thrombectomy may also be helpful, depending on clinical and imaging assessments..
benefits
Quick Restoration of Blood Flow
Blocked brain arteries can be swiftly opened by mechanical thrombectomy, resulting in instant reperfusion and reducing additional brain tissue damage.
Better Functional Results
greatly improves the likelihood of regaining independent function at 90 days, particularly when compared to thrombolytic treatment alone. One more patient will experience a successful neurological recovery for every four to six that are treated.
Extended Window of Treatment
Even those who would not ordinarily be eligible for IV thrombolysis benefit from thrombectomy if they present up to 24 hours after the onset of a stroke and have favorable imaging revealing recoverable tissue.
Reduced Mortality and Disability
Meta-analyses reveal a significant decline in the rates of death and disability, even among older adults, people with more severe strokes, and people who present to the hospital later.
Efficient in Occlusions of Large Vessels
For big vascular blockages (MCA, ICA, basilar), where systemic medications are less successful, thrombectomy is especially beneficial.
Combination with Thrombolysis
Thrombectomy increases the likelihood of minor impairment and recanalization rates when used as bridging therapy following IV thrombolytics.
Positive Safety Profile
Research shows comparatively low incidence of major adverse events, with the majority of hazards effectively controlled in centers with experience.
post-treatment recovery
Immediate and Hospital Monitoring
For the first 24 to 48 hours, patients are often observed in an intensive care or stroke unit. In order to identify problems like bleeding or re-occlusion, this includes neurological evaluations and brain imaging.
Early Recovery
To help with movement, speech, and everyday functioning recovery, physical therapy, occupational therapy, and speech therapy usually begin within the first week following the treatment.
Continued Rehabilitation and Assistance
After hospitalization, rehabilitation continues for a few weeks to many months. In order to maximize rehabilitation and minimize handicap, multidisciplinary care that includes speech therapy, physical therapy, and psychosocial support is essential.
Secondary Prevention and Medication
Antithrombotic drugs are given to patients in order to stop clots from happening again. It emphasizes managing risk factors like diabetes, hypertension, and hyperlipidemia.
Changes in Lifestyle
To lower the risk of stroke recurrence, a healthy diet, quitting smoking, blood pressure management, and regular exercise are advised.
Long-Term Results and Follow-Up
