Femoral Embolectomy: Important Facts

Embolectomy – An Overview

An embolectomy is an emergency surgical procedure that is performed to remove a blockage, being caused by a solid, liquid or gaseous mass of intravascular material, and is affecting the blood circulation.

This procedure might also involve removing static blood clots (called ‘thrombi’) and is then referred to as a thrombectomy. This surgical procedure is an emergency surgery and is often used as a last-resort as permanent occlusion of a major artery of an organ can lead to necrosis.

When is Femoral Embolectomy needed?

A femoral embolectomy is needed when the major blood vessel in the thigh (femur) gets blocked by emboli. It is an abnormal mass of intravascular material in solid, liquid or gaseous form and travels in the blood stream from one part of the body to the other following the blood circulation pathways. These emboli can cause an occlusion (blockage) of the blood vessels in the legs that results in lack of oxygen supply and, if left untreated, causes necrosis (death) of the tissue downstream from the embolus.

A femoral embolectomy is required when emboli are found to be blocking a major blood vessel in the femur (thigh bone). This procedure removes the emboli and restores blood supply to prevent necrosis of tissue in the leg.

What is the Femoral Embolectomy procedure?

A femoral embolectomy is used to remove a blockage from a major blood vessel in the thigh (femoral area). This is an emergency procedure and requires the guidance of an experienced medical team of specialists in emergency surgical procedures.

The doctor will usually use an imaging technique (such as an x-ray with radioactive dye) or a magnetic resonance imaging (MRI) scan to determine the exact location of the blockage (embolus).

There are several methods that are used to perform a femoral embolectomy.

Fogarty Method:

The surgeon may choose to use a Fogarty method which involves using a catheter with a deflated balloon attached to the tip. This catheter is passed into the blood vessel with the blockage. The catheter is guided right past the embolus and the surgeon will inflate the balloon at its tip. This catheter is then steadily retrieved and it removes the embolus along with it. The surgeon will then inject a solution into the artery to check for possible additional blood clots. The surgeon will then stitch the artery incision close. In case there is only one easily retrievable embolus the surgeon may choose to use a local anesthetic to numb the incision area in the thigh or groin. If there are multiple emboli to be removed then, as the procedure takes a longer time, the surgeon will choose to administer general anesthesia to prevent the patient from experiencing any pain or discomfort during the procedure.

Aspiration Embolectomy:

In this type of femoral embolectomy the surgeon will use a catheter inserted into the blocked blood vessel to remove the embolism through suction method, rather than the balloon method used in the Fogarty method.

This is a faster and more effective method for removing embolus and thrombi in the lower limbs, especially the femoral region.

Surgical Arteriotomy:

This is a more conventional surgical method and is useful for removing larger-sized embolus or if the blockage site is not accessible to a Fogarty catheter. This procedure involves the surgeon making an incision directly over the site of the embolism. The surgeon will then use a suction device to remove the abnormal mass (embolus) causing the obstruction. At times, the Fogarty method may be combined with a surgical Arteriotomy in order to remove hard-to-reach emboli.

After the embolus is removed the surgeon will flush the artery with a solution to check for additional blood clots in it. Then the incision on the artery is sutured using fine stitches. The patient is likely to be prescribed anti-coagulant medication to prevent blood clots for a few days following the surgery.

Why choose Travcure for Femoral Embolectomy in India?

India is home to the largest network of multi-specialty tertiary care hospitals and clinics that are spread across all its major cities, such as Mumbai, Bangalore, Delhi, Chennai, etc that makes travelling to India for treatment more convenient. Travcure is well-connected to this vast network of world-class hospitals that are well-equipped with the latest in medical and surgical technology for providing the most efficient and effective treatment. Travcure provides every patient with a truly bespoke treatment package for getting a femoral embolectomy at the most affordable cost in India at the hands of the most experienced and well-trained specialists.

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