Endovascular management of thrombosed axillary artery to right atrium hemodialysis graft

PurposeTo describe the salvage of a left axillary artery to right atrium hemodialysis graft using endovascular techniques.Case reportA 54-year-old man with multiple arteriovenous graft failures presented with a thrombosed left axillary artery to right atrium Gore-tex hemodialysis graft. The graft was salvaged using rheolytic catheter thrombectomy, mechanical thrombectomy, balloon angioplasty, and stenting.ConclusionsThis single case report suggests that when axillary to right atrium grafts fail, various endovascular techniques can be employed to salvage the graft and maintain dialysis access.