Efficacy of a modified pharmacomechanical thrombolysis technique for endovascular treatment of thrombosed prosthetic arteriovenous grafts.

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Sun Young ChoiHo Jong Chun

Abstract

We applied a modified pharmacomechanical thrombolysis (PMT) technique to endovascular treatment of thrombosed arteriovenous (AV) grafts without the use of any mechanical thrombectomy devices. The aim of this study was to evaluate the efficacy of the PMT technique in the treatment of thrombosed AV grafts by analyzing the long-term patency. Eighty-two patients with thrombosed AV grafts were treated with the PMT technique. AV graft surveillance to detect failing/failed access was followed by endovascular treatment. The technical and clinical success rates were 95% and 95%, respectively. The total number of thrombolysis sessions was 279. A post-intervention primary patency rate was 45% and 22% at 12 and 24 months, respectively. The secondary patency rate was 96% and 91% at 12 and 24 months, respectively. No major complications were noticed. The modified PMT technique is effective in endovascular treatment of thrombosed AV grafts.

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Citations

Jan 4, 2017·Hemodialysis International·Susanne RegusAxel Schmid
Jun 24, 2017·Vascular and Endovascular Surgery·Susanne RegusAxel Schmid
Mar 17, 2018·Expert Review of Medical Devices·Panagiotis M KitrouDimitris Karnabatidis
Aug 6, 2017·Cardiovascular and Interventional Radiology·D E GooS I Park
Mar 20, 2014·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Han Myun KimHwan Jun Jae
Dec 7, 2018·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Panagiotis KitrouEvangelos Papachristou

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