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Know More About Thrombolysis and Its Treatment By Vascular Surgeon Dr. Mohammed Sheikh Sobeh

Dr. Mohammed Sheikh Sobeh is one of the best Vascular Surgeons in Dubai. Presently he is working with Fakeeh University Hospital, Dubai. With experience of more than 35 years, he holds proficiency in clinical diagnosis and medical treatment of all vascular conditions. He had worked as a Vascular and Renal Transplant Surgeon at The Royal London and St. Bartholomew Hospital and is also the founder of Sobeh’s Vascular and Medical Centre in Dubai, Dr. Sobeh’s Clinic in Dubai Healthcare City, and Sobeh Medical Centre in Muscat . His academic qualification includes a Bachelor of Medicine and Bachelor of Surgery from Bristol University, Fellowship from Royal College of Surgeons, Post Graduate Diploma Course in the History of Medicine at the Society of the Apothecaries, London. His area of major interest, research, and publications are in the subjects of vascular restenosis and endovascular surgery. He has presented at numerous prestigious international conferences and medical journals.

Thrombolysis

Also referred to as thrombolytic therapy, it is a treatment that dissolves dangerous clots in blood vessels, improves blood flow, and prevents damage to tissues and organs. It involves the injection of clot-busting drugs through an intravenous line or through a catheter that delivers drugs directly to the site of the blockage. It also uses a long catheter with a mechanical device attached to the tip that removes the clot or physically breaks it up. Thrombolysis is mostly an emergency treatment to dissolve blood clots formed in arteries feeding the heart and brain. These are also the main cause behind heart attacks and ischemic strokes and in the arteries of the lungs.

Types of Thrombolysis

The most commonly used clot-busting drugs are:

·         t-PA (class of drugs that includes Activase)

·         TNKase (tenecteplase)

·         Abbokinase, Kinlytic (urokinase)

·         Emina's (anistreplase)

·         Retavase (reteplase)

·         Striptease (streptokinase)

The doctor may choose to inject clot-busting drugs into the access site through a catheter depending on the circumstances.

Risks of Thrombolysis

Thrombolysis can safely and effectively improve blood flow. It can relieve or eliminate symptoms in many patients without invasive surgery. But it's not recommended for everyone. Thrombolysis may not be suitable for patients who use blood-thinning medication, herbs, or dietary supplements. It is not recommended for people with certain conditions associated with an increased risk of bleeding. These conditions include:

·         Severe high blood pressure

·         Severe kidney disease

·         Recent surgery

·         Active bleeding or severe blood loss

·         Haemorrhagic stroke from bleeding in the brain

Thrombolysis also may be very risky for patients who are pregnant, at an advanced age, and people with other conditions.

Patients who undergo thrombolysis have a lesser risk of infection as well as a little risk of an allergic reaction to the contrast dye that may be needed for imaging.

Other possible risks include:

·         Bruising or bleeding at the access site

·         Damage to the blood vessel

·         Migration of the blood clot to some other part of the vascular system

·         Kidney damage in patients with diabetes or another pre-existing kidney disease

Take Away

Intracranial bleeding is the most serious possible complication that can occur. So, it becomes very important to consult an experienced doctor. Contact one of the best vascular surgeons in Dubai, Dr. Mohammed Sheikh Sobeh, working at Fakeeh University Hospital, Dubai.

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Dr. Ankita Wadhwa Reviewer Name
Dr. Ankita Wadhwa

Dr. Ankita Wadhwa has 14+ years of experience in handling patients for health-related issues. With an in-depth understanding of different medical procedures, she has handled several complex cases. She has also worked in many reputed hospitals such as Fortis Escorts Heart Institute, CK Birla Hospital, and Paras Healthcare.

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