Vascular expert weighs in on Gee's clot
July, 10, 2012
7/10/12
4:15
PM ET
By
Adam Rubin | ESPNNewYork.com
Dr. Sharif Ellozy, a vascular expert and associate professor of surgery at The Mount Sinai Hospital, offers these insights on Dillon Gee's blood clot:
If it reaches the severity in the shoulder to where a catheter needs to be used to break up a clot, how significant is that and what risks were there before the procedure?
"It sounds like he had a clot in his artery and some numbness in the hand. Basically, your blood flow to the arm is limited. So depending how severe the blockage is, it can range from having some mild numbness to the arm being at risk. It sounds like it was mild in that he just had numbness. Obviously he needs the blood flow to his hand to be able to pitch, so it's something that needs to be treated relatively urgently."
If it had been undetected or untreated, what were the most severe risks? A clot can move into a spot where you don't want it and potentially be fatal?
"Probably not fatal. But, you can have permanent neurological function dysfunction in the arm if it goes too long before being fixed."
What does a procedure involving a catheter to break up a clot entail?
"So they place a small tube over a wire into the artery, directly into the clot. And then you can use different mechanisms. You can give medication that chews up the clot. You can balloon it. There are a number of different things you can do over the catheter. You don't have to open up the artery. You can go through a puncture in the groin."
In terms of a professional athlete, if he needs to get back to pitching, assuming the danger is passed, what's the idle time?
"They're going to have to anti-coagulate him for at least a little bit. You can get up and start moving within a day or so. As far as him going back to pitching, it depends on what the artery looks like -- if the artery looks normal or if they think there's some abnormality in the artery that caused it. The fact that he's a pitcher and that it was in the arm that he was pitching from, you suspect there may be some injury where it goes between the clavicle and the first rib in that arm. How soon he'll be able to return depends on what they find."
If it reaches the severity in the shoulder to where a catheter needs to be used to break up a clot, how significant is that and what risks were there before the procedure?
"It sounds like he had a clot in his artery and some numbness in the hand. Basically, your blood flow to the arm is limited. So depending how severe the blockage is, it can range from having some mild numbness to the arm being at risk. It sounds like it was mild in that he just had numbness. Obviously he needs the blood flow to his hand to be able to pitch, so it's something that needs to be treated relatively urgently."
If it had been undetected or untreated, what were the most severe risks? A clot can move into a spot where you don't want it and potentially be fatal?
"Probably not fatal. But, you can have permanent neurological function dysfunction in the arm if it goes too long before being fixed."
What does a procedure involving a catheter to break up a clot entail?
"So they place a small tube over a wire into the artery, directly into the clot. And then you can use different mechanisms. You can give medication that chews up the clot. You can balloon it. There are a number of different things you can do over the catheter. You don't have to open up the artery. You can go through a puncture in the groin."
In terms of a professional athlete, if he needs to get back to pitching, assuming the danger is passed, what's the idle time?
"They're going to have to anti-coagulate him for at least a little bit. You can get up and start moving within a day or so. As far as him going back to pitching, it depends on what the artery looks like -- if the artery looks normal or if they think there's some abnormality in the artery that caused it. The fact that he's a pitcher and that it was in the arm that he was pitching from, you suspect there may be some injury where it goes between the clavicle and the first rib in that arm. How soon he'll be able to return depends on what they find."

- AdamRubinESPN Adam Rubin
Please join me for a noon ET #Mets chat today: http://t.co/94H1ImWt8j
about 2 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Morning Briefing: Moneyball players? http://t.co/U8xMj9RRg4 #NYM #Mets
about 5 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
I know some people cringe with scout comment, but this was really good stuff on how teams are attacking Ike: http://t.co/w5E6Nznndi
about 12 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
How long does Ike have in majors? What do scouts say about his vulnerabilities? In-depth story here: http://t.co/w5E6Nznndi #mets
about 12 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Full #Mets minors recap: Wheeler W, Cowgill slam; Josh Rodriguez paces B-Mets; Syndergaard defeated by ex-mates: http://t.co/iE76Q8VPsV
about 12 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
The series in Metrics (Mets vs. Reds) http://t.co/W82131gAyy #NYM #Mets
about 16 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Minors 5.22.13: Wheeler wins in 51s return http://t.co/LluN2BT3lI #NYM #Mets
about 16 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Michael Kay on #Mets: "It's like yelling at the fat kid to climb up the rope." Not happening.
about 16 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Harvey: 'Nine hits is unacceptable for me' http://t.co/kHm23ZoeFi #NYM #Mets
about 17 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Ike explains 9th inning faux pas http://t.co/ooYQZVf251 #NYM #Mets
about 17 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
I'm confident Ike will be with #Mets Friday, barring something unforeseen. Don't know how much time he has, though, with glare intensifying.
about 17 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Ike on teammates: "I would have been in Triple-A last year if it wasn't for them." #mets
about 18 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Ike said he sees improvement: "I had 2 walks today. I hit a ball 405 feet for an out."
about 18 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Ike said he was convinced it was foul on bounce before got to him at time. Said he can't tell on replay. No play at home regardless, he said
about 18 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Rapid Reaction: Reds 7, Mets 4 http://t.co/2Ln82mGhQf #NYM #Mets
about 19 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Terry Collins on Matt Harvey: "He knew he didn't have his best fastball yet he continued to battle and battle and battle."
about 19 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Rapid Reaction: #Reds 7, #Mets 4: http://t.co/WxM46lYXjb
about 19 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
#Mets have not been 10 games under .500 this early in a season since 2001.
about 19 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
That's 2 plays for Ike at first base this series that were crushers. Obstruction call Monday, too.
about 19 hours ago
- AdamRubinESPN Adam Rubin

- AdamRubinESPN Adam Rubin
Todd Frazier follows with two-run single. #Reds 7, #Mets 4. Wow.
about 19 hours ago
- AdamRubinESPN Adam Rubin





TWITTER

You must be signed in to post a comment