A thrombectomy is a procedure to remove a blood clot in an artery or a vein. For example, it treats deep vein thrombosis which is a vein blood clot deep in your leg. In this example, a minimally invasive mechanical thrombosis takes care of a clot in your leg before it can break loose and cause a life-threatening pulmonary embolism. The experienced Vein and Vascular Specialist at the Downtown Vein & Vascular Center in Brooklyn performs an endovascular thrombectomy. This procedure can save your life. Call the vein practice for a consultation for the treatment you need.
What Is a Thrombectomy?
Thrombectomy is an innovative surgery to remove a thrombus or a deep blood clot in an artery or vein under image guidance. When a deep venous thrombosis is present, the interventional radiology procedure relieves the blockage in a deep vein by removing a clot to prevent circulation problems and a potential deadly pulmonary embolism. Your vein doctor may recommend a thrombectomy procedure as emergency intervention to prevent life-threatening complications.
Dr. Sergei Sobolevsky, an endovascular specialist at New York City’s Downtown Vein & Vascular Center, performs a mechanical thrombectomy if it’s appropriate. He also offers other advanced vein treatments.
What Does a Thrombectomy Treat?
A thrombectomy aims to treat the complications caused by a blood clot in various arteries and veins. Some examples of such complications include:
- Acute mesenteric ischemia. A blood clot in the main intestinal artery causes blood flow disruption to your small intestines.
- Heart attack. A blood clot disrupts the blood flow in your coronary artery.
- Pulmonary embolism. A blood clot in a leg can break away and travel to your lungs, causing sudden or gradual shortness of breath and death. A pulmonary embolism thrombectomy prevents the dangerous condition.
- Ischemic stroke. Blood clots in your brain can be fatal. A thrombectomy reduces the risk of a stroke.
- Renal artery occlusion. This blood clot causes a complete disruption of blood flow in the main renal arteries or branches.
- Deep vein thrombosis. A blood clot in a vein deep in your body, often in a lower leg or thigh.
- Acute arterial limb ischemia. A critical stage of peripheral artery disease is caused by a blocked artery supplying blood to your limbs.
Early diagnosis and treatment of a blood clot can make all the difference in your health and prevent severe complications. The specialists at the Downtown Vein & Vascular Center provide individualized vein and artery treatments for some of the types of thrombosis, which are both affordable and effective.
Dr. Sobolevsky is a skilled and experienced Vein and Vascular Specialist. He was able to diagnose and treat my condition quickly and effectively. The procedure was painless and the results were impressive. I would highly recommend him for anyone seeking vein treatment.
Am I a Good Candidate for a Thrombectomy?
Not all blood clots require a thrombectomy. Your doctor uses several tests to determine if conservative treatments, such as anticoagulants, may be the better fit. Signs that you’re a good candidate for endovascular thrombectomy include that you have:
- A risk of a pulmonary embolism
- The loss of function in an organ
- Red or darkened skin on your leg, which may be an ulcer
- Throbbing or cramping pain in one leg
- Swelling, numbness or tingling in an arm or leg
- Warmth and tenderness in the affected area
- Muscle spasms or pain in the affected area
- Swollen varicose veins
- Tissue death and ulcers
Dr. Sobolevsky is a specialist in image-guided minimally invasive vascular and interventional radiology. He has performed over 25,000 advanced endovascular procedures, including:
What’s the Procedure for a Thrombectomy?
The goal of this treatment is to restore the blood flow to relieve your symptoms. The primary steps in a thrombectomy include:
- Anesthesia or sedation. To reduce any discomfort during the procedure, you usually receive a mild sedative.
- Mechanical or percutaneous thrombectomy. For this preferred minimally invasive procedure, your Vein and Vascular Specialist punctures the blood vessel and inserts a catheter. A variety of tiny devices passed through the tube allows your doctor to remove the clot.
- After the thrombectomy, your vein doctor applies pressure to the tiny 2-mm puncture to stop the bleeding.
Dr. Sobolevsky and his team use the minimally invasive mechanical procedure because of its advantages and success rate. You may need a thrombectomy as an emergency procedure or as treatment for a vein condition caused by a blood clot.
This Brooklyn-based vein practice has modern equipment and imaging technology to perform the most complex vein procedures. Some thrombectomies are performed at a hospital, but Dr. Sobolevsky makes the diagnosis and designs the best treatment strategy.
What Should I Expect after a Thrombectomy?
After a percutaneous thrombectomy, you’re monitored for a short period, while the team watches your vital signs before a discharge home. After your procedure, you can expect:
- Prescription-strength medication for any discomfort
- Other drugs to prevent blood clots
- A recommendation to walk every day to promote your blood flow
- Recommendations for lifestyle changes to lower the risks of blood clots in the future
- Follow-up appointments for imaging tests
Contact Dr. Sobolevsky today for an expert diagnosis and effective treatment of blood clots. The practice is located in Downtown Brooklyn, but it serves all of Brooklyn and New York City.
Sergei Sobolevsky, MD, is a leading specialist in endovascular medicine with experience in vascular and interventional radiology. Dr. Sobolevsky has decades of experience in the field, with over 25,000 procedures performed, accumulating extensive experience in image-guided minimally invasive medicine, diagnosing and treating a range of conditions.
Dr. Sobolevsky earned his Doctor of Medicine (MD) degree in 1997 from the University of Colorado School of Medicine. He received his specialty clinical training in vascular and interventional radiology at Harvard University. Later, he earned his MBA from the MIT Sloan School of Management. Recognized as a Castle Connolly Top Doctor and named to the Top Doctors New York Metro Area in 2020, 2021, and 2022, Dr. Sobolevsky is licensed in multiple states, has delivered presentations at numerous institutions in the US and abroad, and now acts as a clinical advisor for the biomedical industry. He also held multiple positions in the field during his career, including Chief of Vascular and Interventional Radiology at the Columbia University Medical Center in New York, NY, Senior Vice President in Clinical and Regulatory Affairs at Artann Laboratories in North Brunswick, NJ, and Medical Director at the American Endovascular and Amputation Prevention Center in Brooklyn.More About Dr. Sobolevsky
Downtown Vein Treatment Center
480 Court Street, Ste 101
Brooklyn, NY 11231