کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282685 1611763 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Treating thrombotic prosthetic arteriovenous access with cross-balloon occlusive thrombolysis and angioplasty
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Treating thrombotic prosthetic arteriovenous access with cross-balloon occlusive thrombolysis and angioplasty
چکیده انگلیسی

SummaryObjectiveClot embolism remains a concern due to flushing of clot and thrombolytic agent centrally in the process of percutaneous pharmacomechanical thrombolysis (PMT) for a thrombosed prosthetic arteriovenous access (PAVA), which might be reduced by a modified technique.MethodsWe retrospectively review this modified technique that uses two balloon-catheters in crisscross fashion and occludes both ends of PAVA during thrombolysis. Underlying stenotic lesions were dilated simultaneously with balloon angioplasty when needed.ResultsAmong the 23 patients treated, 21 (91.3%), 10 (43.5%), and seven (30.4%) presented significant stenosis at the outflow, intragraft, and inflow segments of PAVA, respectively. The median duration of follow-up was 310.0 (range, 288.0–327.0) days. Anatomic success was achieved in 12 out of 23 (52.2%). Clinical success for successful dialysis was achieved in all patients. The median primary patency and secondary patency were 126.0 days (range, 7.0–316.0) days and 308.0 days (range, 84.0–327.0), respectively.ConclusionWe believe this method is safe and effective in dissolving PAVA thrombus as well as treating culprit stenosis. It may reduce concerns of flushing of clot and thrombolytic agent into the central circulation in the process of PMT.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Journal of Surgery - Volume 35, Issue 2, April 2012, Pages 88–92
نویسندگان
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