اپولو ہسپتال، لکھنؤ میں تھرومبیکٹومی۔

Why Patients Choose Apollo Hospitals Lucknow for Thrombectomy

• A 250-bed multi-speciality quaternary care hospital on Kanpur Road, Lucknow, part of the Apollo Hospitals group, which has been delivering tertiary care in India since 1983 and now treats patients from more than 120 countries.
• Round-the-clock emergency and critical care services, with an emergency department and intensive care units staffed at all hours ? essential because thrombectomy for stroke, limb ischaemia or pulmonary embolism is time-critical.
• Multidisciplinary clot-retrieval team drawn from neurology and neuro-interventional services, interventional radiology, cardiology, vascular and cardiothoracic surgery, anaesthesia and critical care ? so the patient is assessed by the right specialist for the site of the clot rather than a single department.
• کئی دہائیوں کا تجربہ رکھنے والے سینئر کنسلٹنٹس۔ Apollo Lucknow's neurosciences, cardiac sciences and vascular teams together represent well over a hundred years of combined post-specialisation clinical practice; the exact panel on duty and each doctor's individual experience can be confirmed with the appointments desk before you travel.
• Imaging and cath-lab infrastructure under one roof ? CT with angiography capability, MRI, digital subtraction angiography, ultrasound and Doppler, and a dedicated catheterisation laboratory, allowing diagnosis and mechanical clot retrieval to run as a continuous pathway.
• Modern endovascular techniques including stent retriever and aspiration (suction) thrombectomy, catheter-directed thrombolysis, and open or hybrid surgical embolectomy where anatomy demands it.
• Recovery is treated as part of the procedure, not an afterthought: on-site physiotherapy, neuro-rehabilitation, speech and swallow therapy, occupational therapy and dietetics support patients after stroke or limb thrombectomy.
• Care pathways adapted by age group ? separate paediatric intensive care and paediatric specialists for the rare child who needs clot retrieval, and geriatric-sensitive protocols for older patients with kidney disease, frailty or multiple medications. Athletes and physically active adults are guided through a graded, sport-specific return-to-activity plan.
• کیمپس میں انشورنس اور TPA ڈیسک to handle cashless authorisation, and a single point of contact for families arriving from outside Lucknow.

جائزہ

Thrombectomy is a critical procedure designed to remove blood clots from blood vessels, particularly in cases of acute ischaemic stroke, deep vein thrombosis, acute limb ischaemia or pulmonary embolism. At Apollo Hospitals Lucknow, we aim to offer thorough, well-equipped care using current technology so that patients have the best realistic chance of a good outcome. Our team of specialists works to build a treatment plan around each patient's individual condition, age, other illnesses and personal circumstances.

Thrombectomy can be done in two broad ways: mechanical (endovascular) thrombectomy, in which a catheter is passed through an artery or vein ? usually from the groin or wrist ? and the clot is pulled out with a stent retriever or sucked out with an aspiration catheter; and surgical embolectomy, in which the vessel is opened and the clot removed directly. The choice depends on where the clot is, how long it has been there, and the patient's overall condition.

Thrombectomy کیوں ضروری ہے۔

Thrombectomy is used to restore blood flow in patients whose vessels have been blocked by a clot. When a clot obstructs a blood vessel, it can lead to serious consequences including tissue death, organ damage, limb loss or death. The procedure is particularly important in acute ischaemic stroke caused by a large-vessel occlusion, where each passing minute means more brain cells are lost. By removing the clot, thrombectomy can reduce ? though not eliminate ? the risk of long-term disability and improve the chance of meaningful recovery.

The benefits extend beyond the immediate emergency. Many patients experience better functional independence, less pain and an earlier return to daily activities than they would without treatment. Outcomes still depend heavily on how quickly treatment began, the size of the affected territory and the patient's baseline health, so no individual result can be promised in advance.

تاخیر کے خطرات

Timely intervention is crucial. Delay can lead to irreversible damage to the tissues and organs supplied by the blocked vessel. In stroke, brain tissue that has already died cannot be revived by reopening the artery ? which is why the phrase "time is brain" governs every stroke pathway.

Patients who postpone seeking treatment may face a higher likelihood of complications, longer recovery, more dependence on caregivers and poorer overall outcomes. In acute limb ischaemia, delay of even a few hours can convert a salvageable leg into one requiring amputation. Apollo Hospitals Lucknow runs a 24-hour emergency service so that assessment, imaging and a decision on clot retrieval can begin without avoidable waiting.

تھرومیکٹومی کے فوائد

• خون کے بہاؤ کی بحالی: The primary goal is to reopen the vessel so that oxygen reaches the affected tissue and further damage is limited.
• پیچیدگیوں کا کم خطرہ: Removing the clot lowers the risk of consequences of prolonged ischaemia, such as organ failure, gangrene or severe stroke-related disability.
• زندگی کا بہتر معیار: Many patients report meaningful improvement in function and comfort after successful clot removal.
• بہتر بحالی: Compared with medical treatment alone in suitable patients, thrombectomy can shorten the path back to independence.
• ذاتی نگہداشت: Treatment at Apollo Hospitals Lucknow is planned around the individual patient's clot location, timing, comorbidities and rehabilitation needs.

موجودہ رہنما خطوط کیا کہتے ہیں۔

Decision-making at Apollo Hospitals Lucknow follows nationally and internationally accepted evidence rather than a fixed in-house rule. The key reference points are:

• Indian Stroke Association (ISA) Consensus Statement and Practice Guidelines for the Management of Acute Ischaemic Stroke, published in the Journal of Stroke Medicine in 2023. It endorses mechanical thrombectomy for anterior-circulation large-vessel occlusion and, importantly for Indian practice, stresses building "stroke-ready" hospital networks, drip-and-ship transfer from smaller centres, and reducing door-to-imaging and door-to-groin-puncture times.
• The most significant recent change in this field is the extension of eligibility. Where thrombectomy was once restricted to roughly 6 hours from symptom onset, selected patients with favourable CT or MR perfusion or clinical?core mismatch may now be treated up to 24 گھنٹے, following the DAWN and DEFUSE-3 trials. More recently, trials including SELECT2, ANGEL-ASPECT and RESCUE-Japan LIMIT have shown benefit in patients with بڑے established infarct cores who were previously excluded, and this is reflected in the 2023?2024 updates to the American Heart Association / American Stroke Association and European Stroke Organisation?ESMINT guidance.
• For venous clot, the American College of Chest Physicians (CHEST) antithrombotic guideline, updated in 2021 with a 2024 focused update, and the 2019 European Society of Cardiology guidelines on pulmonary embolism, restrict catheter-directed or surgical thrombectomy to selected patients ? for example massive iliofemoral DVT with threatened limb, or high-risk pulmonary embolism with haemodynamic instability or failed thrombolysis. Most uncomplicated DVT is still treated with anticoagulation alone.
• For acute limb ischaemia, the Vascular Society of India and the global guidance on chronic limb-threatening ischaemia support urgent revascularisation, by catheter or open embolectomy, guided by the severity category of the limb.

Where the evidence is still evolving ? for example in basilar artery occlusion, in very elderly patients, and in the exact perfusion thresholds used for late-window selection ? decisions are made case by case, and the team will explain the degree of uncertainty to the family before consent.

طریقہ کار کا وقت اور طریقہ کار سے پہلے کا مرحلہ

Thrombectomy is more often an emergency than a planned operation, and the "preparation phase" is compressed accordingly.

تکنیک کے اختیارات کا موازنہ

طریقہ کار بعض اوقات ایک ہی وقت میں انجام دیا جاتا ہے۔

• انجیو پلاسٹی اور سٹینٹنگ۔ of an underlying narrowing in the carotid, iliac or leg artery once the clot is cleared.
• وینس سٹینٹنگ for May?Thurner compression found during DVT treatment.
• Temporary inferior vena cava filter in selected patients who cannot take anticoagulants.
• Fasciotomy if compartment pressures rise after a leg is reperfused.
• Decompressive craniectomy if severe brain swelling develops after a large stroke.
• Cardiac rhythm monitoring or echocardiography to find atrial fibrillation, a clot in the heart, or a hole between the chambers as the source of the clot.
• Thrombophilia and cancer screening in younger patients or unexplained clots.

تیاری اور بحالی

تیاری کے نکات

• مشاورت: Where the situation is not an emergency, meet the team at Apollo Hospitals Lucknow to discuss your condition, the options and your concerns.
• طبی تاریخ: Share a full history ? current medicines (especially blood thinners such as warfarin, aspirin, clopidogrel or the newer oral anticoagulants), allergies, past surgeries and any bleeding tendency.
• آپریشن سے پہلے کی جانچ: Blood tests, kidney function, clotting profile and imaging are used to confirm the diagnosis and plan the approach.
• روزے کی ہدایات: Follow the fasting advice given, as sedation or anaesthesia will be needed. In a true emergency the procedure proceeds regardless of fasting status.

ریکوری ٹپس

• آپریشن کے بعد کی دیکھ بھال: You will be monitored closely ? usually in ICU or a high-dependency unit after stroke or PE thrombectomy. Follow the discharge instructions exactly.
• درد کے انتظام: Discuss pain relief with the team; groin or wrist puncture sites are usually only mildly uncomfortable.
• جسمانی سرگرمی: Resume activity gradually as advised. Early, supervised mobilisation is encouraged in most cases.
• فالو اپ اپائنٹمنٹس: Attend every review so that progress, blood thinner dosing and any complication can be picked up early.
• طرز زندگی میں تبدیلیاں: Blood pressure and diabetes control, a lower-salt and lower-fried-food diet, stopping tobacco and gutka, limiting alcohol, weight reduction and regular walking all reduce the risk of another clot.

Recovery Phase by Phase

کام، ڈرائیونگ اور کھیل پر واپسی کے لیے معیار

• No new neurological symptoms, and vision, attention and reaction time formally assessed as adequate before driving is resumed after a stroke.
• Groin or wrist access site fully healed, with no swelling, bruise expansion or pulsatile lump.
• Blood pressure, sugar and rhythm reasonably controlled on stable doses.
• Able to walk on level ground for 10?15 minutes without breathlessness or chest pain before any gym or field activity.
• Contact sport, heavy weight training and activities with a high fall risk are usually deferred while on anticoagulants, and reintroduced only after specific clearance.
• Swimming is resumed only after the puncture site and any wound is completely closed.
• India-specific milestones we assess deliberately: squatting for an Indian-style toilet, sitting cross-legged on the floor for prayer or meals, sleeping and rising from a floor mattress, climbing steep staircases in older homes, and kitchen work that involves standing for long periods. These are checked by the physiotherapist rather than assumed.

Preventing Another Clot

• Take anticoagulants or antiplatelets exactly as prescribed; never stop them on your own before a dental or minor procedure without asking the treating team.
• Get atrial fibrillation treated ? it is a common and often silent cause of stroke, and it is detectable with a simple ECG or Holter.
• Control blood pressure, diabetes and cholesterol; these are the dominant modifiable risks in the Indian population.
• Stop smoking, bidi, hookah and chewing tobacco completely.
• Wear graduated compression stockings after extensive DVT if advised, to lower the risk of post-thrombotic syndrome.
• On long train or bus journeys and flights, move the ankles hourly, walk when possible and stay hydrated.
• Avoid prolonged immobility after surgery, childbirth or illness; ask about clot prevention before any planned operation.
• Discuss hormonal contraception and hormone therapy with your doctor if you have had a clot.
• Keep up regular physical activity ? 30 minutes of brisk walking on most days is a practical target for most adults.

بچے اور بوڑھے مریض

بچوں

Clots in children are uncommon and usually linked to congenital heart disease, indwelling catheters, infection, sickle cell disease, dehydration or an inherited clotting disorder. Paediatric mechanical thrombectomy is performed only in carefully selected children, since dedicated trial evidence is limited and device sizes are designed for adult vessels. Care is shared between paediatric intensivists, paediatric neurology or cardiology and the interventional team, with radiation dose and contrast volume kept to a minimum.

Older Patients

Age by itself is not a barrier ? several thrombectomy trials included patients over 80, and benefit has been shown in selected elderly patients. What matters more is the pre-stroke level of independence, kidney function, frailty, number of medicines and the presence of dementia or heart failure. Because older patients have a higher risk of bleeding and of contrast-related kidney injury, hydration, contrast volume and anticoagulant dosing are adjusted, and goals of care are discussed openly with the family before proceeding.

اگر آپ طریقہ کار نہ رکھنے کا انتخاب کرتے ہیں۔

Declining thrombectomy is a legitimate choice, and it should be an informed one. The team will explain what is likely to follow in your specific situation.

• Stroke with large-vessel occlusion: medical treatment alone leaves a substantially higher chance of severe disability or dependence; a proportion of patients do improve spontaneously, but this cannot be predicted.
• Acute limb ischaemia: without revascularisation, progression to gangrene and amputation is likely.
• High-risk pulmonary embolism: mortality is high without prompt reperfusion, whether by drug or by catheter.
• Extensive DVT: anticoagulation alone is an accepted alternative, with a higher long-term risk of chronic leg swelling, pigmentation, pain and ulceration.

Palliative and comfort-focused care is offered with the same seriousness where a patient or family, after full explanation, decides against intervention.

لاگت میں کیا تبدیلی آتی ہے۔

Apollo Hospitals Lucknow does not publish a single price for thrombectomy, because the cost depends on the clinical picture. Please ask the reception, billing counter or insurance desk for a written estimate for your own case.

ہندوستان میں بیمہ اور کیش لیس علاج

• Emergency versus planned matters. Thrombectomy for stroke, limb ischaemia or PE is almost always an emergency admission, so pre-authorisation is applied for after admission rather than before. Treatment is not delayed while approval is awaited.
• انتظار کی مدت۔ Most Indian indemnity policies carry an initial waiting period of about 30 days for illness-related claims, and 2?4 years for certain specified or pre-existing conditions. Clots arising from a declared pre-existing condition such as diabetes, hypertension or a known clotting disorder may attract the pre-existing disease waiting period; confirm the exact clause with your insurer.
• Accident cover behaves differently. If the clot follows trauma, an accidental injury or a road accident, the 30-day initial waiting period generally does not apply, and personal accident policies may also respond. Keep the police report or accident record if any.
• کیش لیس عمل۔ Present the health card and a photo ID at the insurance desk. The hospital sends the pre-authorisation request to the insurer or TPA; an initial approval is often received within a few hours in emergencies, followed by enhancement requests as treatment progresses.
• معاوضہ کا راستہ۔ If your insurer has no tie-up, pay and claim later. Keep original bills, discharge summary, all investigation reports, implant and device stickers or invoices, and the pharmacy bills.
• Expect some non-payable items ? consumables, gloves, certain registration and administrative charges, dietary extras and attendant costs are commonly excluded, and room-rent limits can proportionately reduce the whole claim.
• Government and institutional schemes such as Ayushman Bharat PM-JAY, CGHS, ECHS and state employee schemes have defined package rates and empanelment conditions. Ask the insurance desk directly whether your specific scheme applies at Apollo Hospitals Lucknow ? this changes over time and should not be assumed.

داخلہ کی منصوبہ بندی اور کیا لانا ہے۔

• All previous prescriptions, discharge summaries, CT or MRI films and reports, ECGs and blood test reports.
• A written list of current medicines with doses, including Ayurvedic, homeopathic and over-the-counter supplements.
• Photo ID and address proof for the patient and the main attendant; Aadhaar is usually asked for.
• Insurance card, policy number and the TPA's contact details.
• Loose, front-opening clothing, rubber slippers, toiletries, and any walking aid or spectacles usually used.
• A charged phone, charger, and some cash or a card for incidental expenses.
• One or two responsible attendants who can stay, sign consent and take instructions ? in joint families, it helps to nominate a single decision-maker and a single point of contact for the doctors, so that information does not get distorted through multiple relatives.
• If the patient is diabetic, carry the glucometer and recent sugar records.

انتباہی نشانیاں جن پر فوری نظرثانی کی ضرورت ہے۔

After discharge, return to the emergency department without waiting for an appointment if you notice:

• New weakness, facial drooping, slurred speech, sudden confusion or loss of vision.
• Severe or sudden headache, vomiting or increasing drowsiness.
• Bleeding from the groin or wrist site, a rapidly growing lump, or a pulsating swelling there.
• A cold, pale, painful or numb limb, or a leg that becomes suddenly more swollen and painful.
• Chest pain, breathlessness at rest, coughing blood or fainting.
• Black stools, blood in urine or vomit, or heavy unexplained bruising while on blood thinners.
• Fever above 38?C, redness or discharge from a wound.
• Inability to pass urine, or a large drop in urine output.

قریبی اضلاع اور شہروں سے سفر کرنے والے مریضوں کے لیے

Apollo Hospitals Lucknow, on Kanpur Road, receives patients from across central and eastern Uttar Pradesh and beyond ? including Kanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Amethi, Sultanpur, Ayodhya, Gonda, Bahraich, Lakhimpur Kheri, Shahjahanpur, Pratapgarh, Jaunpur, Faizabad, Basti, Gorakhpur, Allahabad (Prayagraj), Varanasi, and from adjoining parts of Bihar, Uttarakhand, Madhya Pradesh and Nepal.

• In a suspected stroke, do not travel to a distant hospital first. Reach the nearest facility with CT scanning, and let that team arrange transfer for thrombectomy if a large-vessel blockage is found. This "drip and ship" approach is specifically recommended in Indian stroke guidance.
• آگے بلاؤ۔ A phone call before the ambulance arrives allows the emergency team to prepare the cath lab and shorten the door-to-treatment time.
• Carry the outside CT films, not just the report ? the images themselves guide the decision.
• : رسائی the hospital is on the Kanpur Road highway corridor, reachable from Charbagh railway station and Chaudhary Charan Singh International Airport; the Lucknow Metro and Kanpur?Lucknow expressway make road and rail arrival practical for most districts.
• : رہائش ask the front desk for guidance on nearby lodging for attendants, since post-stroke rehabilitation may require several outpatient visits.
• Plan follow-up efficiently: if you live far away, request that consultations, scans and physiotherapy review be grouped on the same day, and ask whether teleconsultation is suitable for routine reviews.

رابطہ اور تقرری

For a suspected stroke, heart attack, sudden limb pain with pallor, or sudden breathlessness, go directly to the emergency department or call an ambulance ? do not wait for an OPD appointment.

اکثر پوچھے گئے سوالات

تھرومیکٹومی سے وابستہ خطرات کیا ہیں؟

Thrombectomy is generally safe in experienced hands, but like any invasive procedure it carries risks. These may include bleeding, infection, injury to the blood vessel, bleeding into the brain after stroke treatment, contrast-related kidney strain, or a clot moving to a new location. The team at Apollo Hospitals Lucknow will discuss the risks that apply to your specific case during consent and take precautions to reduce them.

میں اپولو ہسپتال لکھنؤ میں تھرومبیکٹومی کیسے شیڈول کروں؟

For non-emergency cases, contact the appointment helpline on 1860 500 1066 or book a consultation through the hospital website, and the staff will guide you through admission. For emergencies, come straight to the 24-hour emergency department; no prior appointment is needed.

What is the experience level of the doctors performing thrombectomies here?

Thrombectomies are performed by consultant-level neuro-interventionists, interventional radiologists, cardiologists and vascular surgeons depending on the site of the clot, supported by dedicated anaesthesia and critical care teams. You can ask the appointments desk for the specific consultant's qualifications and experience before proceeding.

تھرومیکٹومی کے بعد بحالی کے عمل میں کتنا وقت لگتا ہے؟

Recovery varies widely with the site of the clot and the damage already done. Many patients with an uncomplicated limb or venous thrombectomy resume normal activities within a few weeks, while recovery after a large stroke can continue over several months of rehabilitation. Your team will give an individual estimate rather than a fixed timeline.