Blood clots can pose a serious risk to circulation, leading to pain, swelling, and life-threatening complications such as pulmonary embolism, stroke, or limb ischemia. When a clot obstructs an artery or vein, urgent removal is often necessary to restore blood flow and prevent permanent damage. Thrombectomy and embolectomy are specialized surgical procedures performed by the vascular surgeons at Vascular Surgery Associates in Los Angeles, offering life-saving treatment for severe blood clots that cannot be dissolved with medication alone.

Understanding Thrombectomy & Embolectomy for Blood Clot Removal

A thrombectomy is the surgical removal of a thrombus (blood clot) from a vein or artery, while an embolectomyspecifically removes an embolus (a clot that has traveled from another part of the body and lodged in a critical vessel). These procedures prevent life-threatening complications such as stroke, heart attack, and limb loss, ensuring that oxygen-rich blood continues to flow through the circulatory system.

When is Thrombectomy or Embolectomy Necessary?

Blood clot removal surgery is recommended for patients who:

  • Have an arterial or venous blood clot that is blocking circulation and causing severe symptoms
  • Are at risk of permanent tissue damage, organ failure, or amputation due to a clot
  • Have deep vein thrombosis (DVT) that is not responding to anticoagulant therapy
  • Are experiencing symptoms of an embolism, such as shortness of breath, severe pain, or neurological deficits

Surgical Treatment for Blood Clots and Restoring Circulation

Thrombectomy and embolectomy can be performed using several techniques, depending on the location and severity of the clot.

Catheter-Directed Thrombectomy

A minimally invasive procedure using a small catheter to break up and remove the clot.

Open Surgical Thrombectomy

A traditional approach where the surgeon makes an incision directly over the affected artery or vein, removes the clot, and restores blood flow.

Balloon Embolectomy

A catheter with an inflatable balloon is inserted into the affected vessel, allowing the clot to be pulled out safely.

Mechanical or Aspiration Thrombectomy

Advanced medical devices are used to suction or mechanically break up the clot for immediate relief.

The choice of procedure depends on the patient’s condition, the location of the clot, and the urgency of the treatment.

Benefits of Thrombectomy & Embolectomy for Vascular Health

Surgical blood clot removal offers numerous benefits, including:

  • Rapid restoration of circulation preventing organ and limb damage
  • Immediate symptom relief reducing pain, swelling, and tissue ischemia
  • Lower risk of long-term complications including venous insufficiency and post-thrombotic syndrome
  • Life-saving intervention for severe cases of pulmonary embolism or stroke caused by a blood clot

What to Expect Before, During, and After Surgery

Before the Procedure

  • Patients undergo vascular imaging, such as ultrasound, CT angiography, or MRI to locate the clot.
  • Blood-thinning medications may be adjusted, depending on the severity of the blockage.

During the Procedure

  • The clot is accessed through a small incision or catheter insertion site.
  • Depending on the technique, the clot is physically removed, suctioned out, or broken up.
  • The procedure typically takes one to two hours, with patients closely monitored for signs of improved circulation.

After the Procedure

  • Patients may need blood thinners or anticoagulants to prevent future clot formation.
  • Compression therapy or lifestyle modifications may be recommended for vein health.
  • Most patients experience immediate improvement in symptoms and faster recovery compared to medication alone.

Frequently Asked Questions About Thrombectomy & Embolectomy

Patients with severe circulation issues, non-responsive blood clots, or signs of tissue damage may require this procedure.

When performed by experienced vascular surgeons, thrombectomy and embolectomy have high success rates with minimal risks.

Some patients require short-term or long-term anticoagulation to prevent future clotting events.

Most patients recover within a few days, though activity levels may be restricted for a short period.

Most insurance providers, including Medicare, cover these procedures when medically necessary.

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Dedicated to Excellence in Vascular Care Since 1963

Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.

About Us

Expert Blood Clot Removal in Los Angeles | Restore Circulation and Prevent Complications

If you are experiencing pain, swelling, or signs of a serious blood clot, thrombectomy or embolectomy may be the safest and most effective treatment option. At Vascular Surgery Associates in Los Angeles, our expert vascular surgeons specialize in advanced blood clot removal procedures, ensuring immediate relief and long-term vascular health.

Contact us today to schedule a consultation and discuss your treatment options for blood clot removal.

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Dr Tulloch and his very competent and experienced team performed three relatively minor procedures to improve the circulation in my lower legs. ( I am 80.) After only six weeks, improvements were very noticeable, including reduced swelling, shrinking of three small venous ulcers, improved skin condition and easier walking / hiking.
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Our expertise spans all areas of vascular surgery, from diagnosing complex conditions to performing advanced therapeutic procedures. Our physicians are not only leaders in the field but also dedicated mentors to the next generation of vascular surgeons. They actively contribute to the medical community through extensive research and publication in peer-reviewed journals.

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