By Samachar Vishesh
News
Chandigarh 21st November:-
A middle-aged woman suffering from a massive proximal deep venous
thrombosis (DVT) and a massive Pulmoinary Embolism (PE) got a new lease of life
after her rare endovascular surgery at Ivy Hospital, Mohali recently.
46-yr old Shalini (name changed)
had a swelling of the left leg. She was diagnosed as DVT and treatment started
.During treatment she developed a blackout followed by severe shortness of
breath. A MR angiogram revealed a potentially fatal condition Pulmonary
Embolism (PE) where a large clot was formed in her main pulmonary artery.
Talking to media during a press
conference here on Thursday, Dr Harinder Singh Bedi, Director Cardio Vascular
Endovascular & Thoracic Sciences at Ivy Hospital Mohali said that combination
of a large proximal DVT with a large PE is a rare and potentially fatal
condition. A very delicate procedure called catheter directed thrombolysis
(CDT) was planned.
For the DVT a catheter was directly
placed via the vein at the knee into the clot . For the PE another
catheter was placed from a different site into the lung artery. Now a very
potent clot buster (blood thinner) was started directly into the clot .
This was continued by special computerized machines to deliver a precise dose into
the clot, informed Dr Bedi.
He further said that a large
PE can suddenly block the outflow of the heart leading to a cardiac arrest. The
treatment till now was a high risk open heart surgery. To remove the clots
doing CDT for DVT and PE at the same time has never been reported in the world
so far, he pointed out.
Meanwhile PE is the third most
common cause of cardiovascular death. Most patients die within the first few
hours of presentation, making an early diagnosis and treatment paramount to
survival. The symptoms of DVT include pain
or tenderness, often starting in the calf, swelling, including the ankle or
foot, Redness or noticeable discoloration and warmth. The symptom for PE are;
unexplained shortness of breath, rapid breathing, chest pain (may be worse upon
deep breath), rapid heart rate and light headedness or passing out.
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