Deep-vein thrombosis, also known as deep-venous thrombosis or DVT, is the formation of a blood clot ("thrombus") in a deep vein. It commonly affects the leg vei...
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Tissue plasminogen activator drip & postphlebitic
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So I got a copy of my chart notes...well, not the chart notes, but the doctor summary page(s) and I am trying to decipher it, but not really getting too far...not even with the help of Google. I am hoping that you may be able to help me.
"PROCEDURE: Inferior vena cava filter place with attempts of extracting some blood clot and then tissue plasminogen activator drip which was partially successful..." It still doesn't clarify which procedure they used to try to extract the clot, so I'm not sure there. I guess I should contact the surgeon's office and see what info they have. These are the notes put out by the doctor on duty at the hospital and not the surgeon. The tissue plasminogen activator drip was dated the following day. Does anyone know anything about this procedure? It sounds like it is something that was administered through my IV. The surgeon did do a second xray type of exam the following morning, so I assume that this is how it was determined that it was "partially" successful. The summary says that I was seen by the vascular surgeon "due to the extensive nature of the clot and due to the high risk of postphlebitic leg." Do you think that this means that I continue to be at high risk or was I only at high risk until they began treatment? My leg was really bad and all of the medical team that saw it commented that they had never seen anything like it. Thanks for any feedback. I realize that only the doctor/surgeon really knows, but being that it was at the hospital, it is hard to get any answers and my doctor only knows what is shared with him (such as this summary). My surgeon was amazing. I wish that I felt as confident about the rest of the people that treated me at the hospital. Posted on 05/15/08, 01:05 am |
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Hi ispyu,
I don't know much about medical lingo but I did find a definition for you for the tPA, the link is below. I'm not sure if that is what you were looking for though. Sorry I couldn't help more. http://www.medterms.com/script/mai... 
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I am no doctor, but I am starting to feel like one...
Ok, first the IVC (inferior vena cava filter) does not remove the clot. It is placed in your vena cava below your heart (usually they go through the groin and feed it upward), so that no pieces of clot break off and travel into your lungs, getting lodged and causing a Pulmonary Embolism. You can google IVC filter if you want and it can bring up a pic of what they look like. Mine was a temp filter, so it was taken out. 2. The clot busting agent is not a surgery, but rather an agent administered into the blood. I hear that this is not usually used because they really have to keep an eye on you to make sure your blood isn't too "thin." Traditionally, most people will have Coumadin and Herparin (either through IV or shots). 3.You are aldready at a higher risk of having another DVT since you already had one. Some people are at higher risk than others, depending on the cause of your clot. "Postphlebitic leg" does not mean having another clot....it is simply the complications resulting from DVT such as swelling, pain, etc. You should talk to your doc to find out what caused the DVT. Injury? Long flight? Hormones? Genetic factors? This will make a difference in the length of your Coumadin therapy. Your leg will probably be swollen for a very long time. This is normal. I had no swelling and I still get pain from time to time. You sound like you are doing well! Take care. Jennie
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