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Interventional Radiology: Venous
Venous Thrombolysis

Venous thrombolysis is a procedure used to dissolve clots or blockages in the veins of the lower and sometimes upper extremities to allow for adequate blood flow and to prevent long term malfunction of valves within the veins.

The procedure is generally only used in circumstances where clotting is severe enough to cause persistent leg swelling. Venous thrombolysis procedure involves the insertion of a small tube (catheter) behind the knee cap, near the groin or elbow depending on the specific vessels requiring treatment. Various drugs are infused through the tube over a period of 24 to 72 hours, which if successful will dissolve the clot. The size and age of the blood clot may impact its responsiveness to drugs.

The most common drug used is TPA. While the catheter is in place, the clot is frequently checked to evaluate the degree / progress of its dissolution. Patients are generally placed in an intensive care or step down unit hospital setting where they can be closely monitored by the medical staff.

After an arterial or venous procedure