How come they don't supply you thrombolytics if you hold abdominal aneurysm?
I know they give you heparin after surgery but lets say you own a small aneurysm of about 2cm and you're not getting surgery because its small. Can't the dr give you thrombolytics to get rid of any clots contained by the aneurysm?
Thank you
Answers:
they don't normally operate on an aneurysm until it's 6cm or leaking. thrombolytic therapy have risks of bleeding. if the aneurysm would start to leak or bleed you could bleed to death. the risks probably out weigh the benefits.
The problem with the aneurysm is the dilitation of the blood vessel, so the thrombolytic will not address a AAA or a mesenteric a. aneurysm. The current treatment of choice for an AAA is aortic or aorto-iliac stent graft which is aimed at excluding the aneurysm. I fail to see how thrombolysis would be effective when the problem is ectasia of a vascular structure.
If a mesenteric vessel is thrombosed and the can be selectively catheterized, then we can to be sure do catheter directed thrombolysis, but this is for a thrombus, not an aneurysm, per se.
Too much risk of hemorrhage from any little leak in the aneurysm wall, although they might (possibly) put you on aspirin to inhibit platelets. But might not.
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Thank you
Answers:
they don't normally operate on an aneurysm until it's 6cm or leaking. thrombolytic therapy have risks of bleeding. if the aneurysm would start to leak or bleed you could bleed to death. the risks probably out weigh the benefits.
The problem with the aneurysm is the dilitation of the blood vessel, so the thrombolytic will not address a AAA or a mesenteric a. aneurysm. The current treatment of choice for an AAA is aortic or aorto-iliac stent graft which is aimed at excluding the aneurysm. I fail to see how thrombolysis would be effective when the problem is ectasia of a vascular structure.
If a mesenteric vessel is thrombosed and the can be selectively catheterized, then we can to be sure do catheter directed thrombolysis, but this is for a thrombus, not an aneurysm, per se.
Too much risk of hemorrhage from any little leak in the aneurysm wall, although they might (possibly) put you on aspirin to inhibit platelets. But might not.
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