Local thrombolysis and thromboaspiration in the treatment of acutely thrombosed arteriovenous hemodialysis fistulas.

Autor: Poulain, F., Raynaud, A., Bourquelot, P., Knight, C., Rovani, X., Gaux, J., Gaux, J C
Zdroj: CardioVascular & Interventional Radiology; Mar1991, Vol. 14 Issue 2, p98-101, 4p
Abstrakt: Sixty-four thrombosed hemodialysis fistulas in 55 patients were treated by local low-dose infusion of urokinase, percutaneous angioplasty, and thromboaspiration. Lysis was initially successful in 38 cases (59%) without any negative side effects. At 1 year, 59% of these fistulas were still functional. When the procedures failed, surgery saved the vascular access in 17 cases. Local fibrinolysis combined with thromboaspiration and angioplasty provides a clinically useful means of access preservation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index