A 19-year-old male patient has just had emergency intervention by doctors at Viet Duc Friendship Hospital to successfully remove a thrombosis of a vein after ineffective internal medicine treatment. This is a rare and serious case, posing a potential risk of brain damage and neurological sequelae if not treated promptly.
Patient N.A.T, from Phu Tho, was hospitalized with a severe headache that lasted for a week, accompanied by double-eyed vision. Previously, at a lower-level hospital, T was diagnosed with cerebral venous thrombosis and treated with anticoagulants according to the correct regimen. However, after 5 days, the symptoms not only did not subside but also increased, forcing the family to transfer the patient to the central level for further treatment.
The chupation results at Viet Duc Friendship Hospital showed a blockage of almost the entire patient's cerebral vein system, including the superior superior superior canal, the superior canal, the sigma canal and the head of the right intensified vein. These are all large vein tubes, playing an important role in the process of blood flow out of the brain, so the level of danger to patients is very high.
According to Dr. Dao Xuan Hai, Department of Graphic Diagnosis, Viet Duc Friendship Hospital: This is a case that requires early intervention because the patient does not respond to internal medicine treatment and the risk of bleeding or damage to brain tissue is very high. To ensure optimal treatment effectiveness, the hospital has organized a multidisciplinary consultation with the participation of doctors specializing in Interventional Phosphory, Endocrinology, Neurosurgery and Emergency Resuscitation. The group of experts agreed to choose an intervention plan to re-open the flow in the cerebral vein system and minimize complications.
Dr. Hai said that the technique of collecting cerebral thrombosis is completely different from collecting arteriosclerosis. The crew had to access the vein system. First, the doctor performs a cerebral artery scan to reconstruct the entire vein Tube system and accurately determine the location of the thrombosis using a digital image processing unit (DSA). The intervention tools are then transferred from the thigh vein to the right superior vocational vein to approach the location of the thrombosis in the superior canal. From here, the team sucked and took the entire thrombosis from the upper vertical tubes down to the internal internal vein tubes, helping to reopen the entire large vein Tubes system.
The intervention lasted more than 2 hours. Immediately after the procedure, the flow in the vein system improved significantly, the patient quickly relieved the symptoms of headaches and avoided the risk of cerebral hemorrhage - a complication that can cause death or leave serious sequelae if the vein Tube is not reopened in time.
Doctor Le Quoc Viet, Department of Internal Medicine - Neurological Resuscitation, Viet Duc Friendship Hospital, said: Most patients with cerebral thrombosis often respond to internal medicine treatment. However, in T's case, the thrombosis was too large, causing complete blockage of the main vein tubes and developing poorly despite using the right dosage of the drug. Therefore, the group of doctors decided to combine thrombosis inhibition and continue to maintain anticoagulants to control the disease.
The combination of intervention and internal medicine treatment has helped to effectively reopen vein flow, while preventing the risk of additional thrombosis. This is a complex technique and is not a generic prescription, only applied to special cases such as large vein blockage, failed internal medicine treatment or severe progression symptoms.
After 5 days of intervention, the patient completely lost the headache, was alert, communicated well and lived almost normally. Par clinical indicators have improved significantly. T is currently being monitored for rehabilitation to prevent the risk of recurrence. With positive progress, patients can soon return to university lectures and receive regular follow-up instructions to ensure long-term and sustainable recovery.
