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The body does dissolve the clot gradually. However, there are risks associated with the clot remaining unresolved over an extended period, consequently damaging the vein. The doctor uses a thrombolytic (breaking the clot) agent in the following situations:

  • The clots are large and causing pain, hindering blood circulation, or responsible for swelling

  • They are increasing the chances of pulmonary embolism (PE)

  • Instead of the leg, a DVT is formed in the arm

Catheter-driven thrombolysis:

Catheter-driven thrombolysis is a procedure to dissolve such abnormal clots and restore the blood flow to normal. Blood supply when prevented because of thrombus (blood clot) formation can have dire consequences.

The doctor uses an X-ray-guided catheter (a thin tube) into the vein of the patient. The tip of the catheter is pushed into the DVT. Once lodged, the drug is directly impacted by the clot. These drugs have a thrombolytic action. 

In the case where the vein seems narrow, the doctor may also perform a balloon-angioplasty or position a stent to widen the vein, such that the blood flow is unhindered. It is mostly an outpatient procedure but depending on the recovery post-procedure, the doctor may recommend the patient to stay overnight.

Although this procedure quickly breaks up the clot, there are a few risks associated with this procedure. Compared to blood thinners, it is considered more unsafe.

This procedure is associated with increased chances of bleeding and stroke. Therefore, this procedure is considered only for patients with severe blood clots.

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