JOURNAL ARTICLE

Mechanical thrombolysis for the treatment of thrombosed hemodialysis access grafts

G A Beathard, B R Welch, H J Maidment
Radiology 1996, 200 (3): 711-6
8756920

PURPOSE: To evaluate the data acquired over 2 1/2 years regarding the use of mechanical thrombolysis as the routine, preferred treatment for thrombosed access grafts in a large patient population undergoing hemodialysis.

MATERIALS AND METHODS: Mechanical thrombolysis was performed in 1,176 cases. Data were collected on the success rate, complication rate, long-term patency, and presence and location of stenosis. The results of mechanical thrombolysis were compared with those of surgery. All data were collected prospectively.

RESULTS: Thrombosed grafts were treated successfully in 1,123 of 1,176 cases (95%). Minor complications occurred in 34 cases (3%). Venous stenosis was present in 1,054 cases (90%). Long-term patency rates were 74% at 30 days, 52% at 90 days, and 17% at 360 days. The thrombosis rate per patient per year and the number of patients who required graft revision or replacement decreased in comparison with the results obtained with surgical treatment.

CONCLUSION: Mechanical thrombolysis was effective, quick, and safe. Percutaneous treatment should be adopted as the treatment of choice for thrombosed hemodialysis access grafts.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read
8756920
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.