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View Diary: Secretary Clinton Suffers a Dural Venous Sinus Thrombosis - What is it and how is it treated? (119 comments)

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  •  Yeah, the update I heard when this broke was (5+ / 0-)

    that once the anticoagulants break up the clot, she will be released.  From what I heard it sounded like she would be released within the next few days.

    "Nothing in all the world is more dangerous than sincere ignorance and conscientious stupidity." --M. L. King "You can't fix stupid" --Ron White -6.00, -5.18

    by zenbassoon on Mon Dec 31, 2012 at 04:02:34 PM PST

    •  Unfortunately - its not that easy (12+ / 0-)

      It takes months for a clot to break up.  The purpose of keeping her in the hospital is so that she can get a heparin infusion - she is likely on a heparin drip which provides acute anticoagulation.

      She will need to be on anticoagulation for months in order to prevent the clot from growing in size. The body's own "clot-busting" system then can act unimpeded by the coagulation cascade to resorb the clot naturally.

      The agents used to break up a clot (such as recombitant tPA - tissue plasminogen activator) are not used for this diagnosis.  These agents that are used to "bust up" a clot artificially are used when someone has an acute ischemic stroke due to a clot lodging in an artery of the brain.

      It takes several days for the long-term/chronic anticoagulant to build up to therapeutic levels and so until then - she will be on a heparin drip - in the hospital.  Usually takes 3-5 days to get to the right level, that is if she will be using coumadin.

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