Embolectomy: Difference between revisions

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'''Embolectomy''' is a surgical procedure performed to remove an [[embolus]], a blood clot that has been carried through the blood stream and lodged within a blood vessel. This procedure is often necessary to prevent damage to tissues and organs that can occur due to blocked blood flow.
{{Short description|Surgical removal of an embolus}}
{{Use dmy dates|date=October 2023}}


== Indications ==
==Embolectomy==
[[File:Blausen_0024_Angiojet.png|thumb|right|Illustration of an embolectomy procedure using an AngioJet device.]]
An '''embolectomy''' is a surgical procedure aimed at removing an [[embolus]] that is blocking blood flow in an [[artery]]. This procedure is critical in restoring circulation and preventing tissue damage or [[necrosis]] due to lack of blood supply.


An embolectomy may be performed in cases of severe [[pulmonary embolism]], where a blood clot has blocked a major artery in the lungs, or in cases of [[arterial embolism]], where a clot has blocked blood flow to an organ or limb.  
==Indications==
Embolectomy is typically indicated in cases where an embolus has caused a sudden blockage in a major artery, leading to acute [[ischemia]]. Common sites for embolectomy include the [[pulmonary artery]], [[femoral artery]], and [[brachial artery]].


== Procedure ==
==Procedure==
The procedure involves making an incision over the affected artery and using specialized instruments to extract the embolus. The most common technique is the use of a [[Fogarty catheter]], which is inserted past the embolus, inflated, and then withdrawn, pulling the embolus with it. In some cases, more advanced devices like the AngioJet, depicted in the image, are used to break up and remove the embolus.


The procedure is typically performed under general anesthesia. The surgeon makes an incision in the skin over the blocked artery and uses a special instrument called an embolectomy catheter to remove the clot. The catheter is inserted into the artery and guided to the location of the clot. The clot is then removed, and the catheter is withdrawn. The incision is then closed with sutures.
==Complications==
Potential complications of embolectomy include [[bleeding]], [[infection]], and damage to the artery. There is also a risk of [[re-embolization]] if the source of the embolus is not addressed.


== Risks and Complications ==
==Recovery==
 
Post-operative care involves monitoring for signs of [[reperfusion injury]] and ensuring adequate blood flow is restored. Patients may require [[anticoagulation therapy]] to prevent further embolic events.
As with any surgical procedure, there are risks associated with an embolectomy. These can include infection, bleeding, damage to the blood vessel, and complications related to anesthesia. There is also a risk that the clot could break apart during the procedure and travel to the lungs, causing a pulmonary embolism.
 
== Recovery ==
 
Recovery from an embolectomy can vary depending on the location of the clot and the patient's overall health. Patients are typically monitored closely in the hospital for several days after the procedure. Medications to prevent blood clots may be prescribed.
 
== See Also ==


==Related pages==
* [[Thrombectomy]]
* [[Pulmonary embolism]]
* [[Pulmonary embolism]]
* [[Arterial embolism]]
* [[Ischemia]]
* [[Blood clot]]
* [[Vascular surgery]]
* [[Surgery]]


[[Category:Medical procedures]]
[[Category:Vascular surgery]]
[[Category:Surgery]]
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Latest revision as of 12:09, 15 February 2025

Surgical removal of an embolus



Embolectomy[edit]

File:Blausen 0024 Angiojet.png
Illustration of an embolectomy procedure using an AngioJet device.

An embolectomy is a surgical procedure aimed at removing an embolus that is blocking blood flow in an artery. This procedure is critical in restoring circulation and preventing tissue damage or necrosis due to lack of blood supply.

Indications[edit]

Embolectomy is typically indicated in cases where an embolus has caused a sudden blockage in a major artery, leading to acute ischemia. Common sites for embolectomy include the pulmonary artery, femoral artery, and brachial artery.

Procedure[edit]

The procedure involves making an incision over the affected artery and using specialized instruments to extract the embolus. The most common technique is the use of a Fogarty catheter, which is inserted past the embolus, inflated, and then withdrawn, pulling the embolus with it. In some cases, more advanced devices like the AngioJet, depicted in the image, are used to break up and remove the embolus.

Complications[edit]

Potential complications of embolectomy include bleeding, infection, and damage to the artery. There is also a risk of re-embolization if the source of the embolus is not addressed.

Recovery[edit]

Post-operative care involves monitoring for signs of reperfusion injury and ensuring adequate blood flow is restored. Patients may require anticoagulation therapy to prevent further embolic events.

Related pages[edit]