| Autor: |
Mulingtapang, Reynaldo, Jenkins, Stephen, Wassmer, Peter, Griffin, Sylvia, Lindberg, Jill, Figueroa, Julio, White, Christopher, Collins, Tyrone, Ramee, Stephen |
| Zdroj: |
Journal of the American College of Cardiology; February 1995, Vol. 25 Issue: 2, Number 2 Supplement 1 p263A-263A, 1p |
| Abstrakt: |
Hemodialysis access thrombosis is the leading cause of hospitalization in the dialysis population. Thrombosis of polytetrafluoroethylene (PTFE) grafts can be treated either with surgical thrombectomy or percutaneous thrombolysis. Percutaneous aspiration thrombectomy (AT) is a new technique of rapidly recannalizing occluded PTFE grafts as an outpatient which utilizes standard 8 Fr catheters and vacuum aspiration without the need for surgery or the cost and risk of thrombolysis. Nineteen P with thrombosed PTFE grafts underwent AT with adjunctive balloon angioplasty (PTA). AT success was defined as successful declotting without the need for surgical declotting or thrombolysis. Angiographic success was defined as <30% stenosis after PTA with brisk graft flow. Clinical success was defined as immediate resumption of dialysis without need for hospitalization for anticoagulation. Acute results in 19 patients:N(%)AT success19 (100)Adjunctive PTA19 (100)Adjunctive stenting2 (11)Angiographic success17 (90)Clinical success17 (90)Procedure time <30 minutes12 (71)Complications0 (0) |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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