What Is Mechanical Thrombectomy

Mechanical thrombectomy is a minimally invasive procedure in which a neuroradiologist or neuro intervention specialist uses catheters passed through an artery in the groin or wrist to reach and physically remove a clot from a large brain artery It is used for acute ischaemic strokes caused by blockage of major vessels such as the internal carotid or proximal middle cerebral artery and has revolutionised outcomes for this stroke subtype when combined with best medical therapy

Candidate Selection and Imaging

Not every stroke is suitable Candidates typically have a confirmed large vessel occlusion on CT or MR angiography a relatively small core of already infarcted brain and salvageable penumbra on advanced imaging if treated within extended time windows Many protocols treat up to six hours from onset in eligible patients and up to twenty four hours in carefully selected cases using perfusion imaging Clinical severity scores pre stroke functional status and presence of co morbidities are all factored into the decision

Procedure Steps

Under local anaesthesia with sedation or under general anaesthesia the operator advances a guiding catheter into the carotid or vertebral artery and then deploys devices such as stent retrievers or aspiration catheters across the clot The clot is captured and withdrawn often in several passes until blood flow is restored as graded by standard angiographic scores Procedure time and radiation exposure are kept as low as possible and patients are transferred immediately to intensive care or a stroke unit for monitoring

Benefits and Risks

Randomised trials have shown that mechanical thrombectomy on top of best medical therapy markedly improves the probability of functional independence at three months in large vessel strokes compared with medicines alone Risks include vessel injury intracranial haemorrhage embolisation to new territories and access site complications but overall the benefit risk profile is favourable in appropriately selected patients

Why Choose Livasa Hospital Mohali for Mechanical Thrombectomy

Livasa Hospital Mohali works within a regional network to refer eligible patients for mechanical thrombectomy where advanced neuro intervention facilities are available By offering rapid imaging thrombolysis and coordination with thrombectomy centres the hospital ensures that people in Punjab have timely access to this life changing stroke technology as part of an integrated care pathway

NAP Contact Details Mohali Unit

Livasa Hospital Mohali
Sector 71 Sahibzada Ajit Singh Nagar Mohali Punjab 160071