Document Detail

Efficacy of a modified pharmacomechanical thrombolysis technique for endovascular treatment of thrombosed prosthetic arteriovenous grafts.
MedLine Citation:
PMID:  22563267     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We applied a modified pharmacomechanical thrombolysis (PMT) technique to endovascular treatment of thrombosed arteriovenous (AV) grafts without the use of any mechanical thrombectomy devices. The aim of this study was to evaluate the efficacy of the PMT technique in the treatment of thrombosed AV grafts by analyzing the long-term patency.
MATERIALS AND METHODS: Eighty-two patients with thrombosed AV grafts were treated with the PMT technique. AV graft surveillance to detect failing/failed access was followed by endovascular treatment.
RESULTS: The technical and clinical success rates were 95% and 95%, respectively. The total number of thrombolysis sessions was 279. A post-intervention primary patency rate was 45% and 22% at 12 and 24 months, respectively. The secondary patency rate was 96% and 91% at 12 and 24 months, respectively. No major complications were noticed.
CONCLUSION: The modified PMT technique is effective in endovascular treatment of thrombosed AV grafts.
Sun Young Choi; Byung Gil Choi; Kum Hyun Han; Ho Jong Chun
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Publication Detail:
Type:  Journal Article     Date:  2012-04-17
Journal Detail:
Title:  Korean journal of radiology : official journal of the Korean Radiological Society     Volume:  13     ISSN:  2005-8330     ISO Abbreviation:  Korean J Radiol     Publication Date:    2012 May-Jun
Date Detail:
Created Date:  2012-05-07     Completed Date:  2012-09-20     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  100956096     Medline TA:  Korean J Radiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  300-6     Citation Subset:  IM    
Department of Radiology and Medical Research Institute, School of Medicine, Ewha Womans University, Seoul 158-710, Korea.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon
Arteriovenous Shunt, Surgical*
Graft Occlusion, Vascular / therapy*
Hemostatic Techniques
Middle Aged
Proportional Hazards Models
Radiography, Interventional
Renal Dialysis
Retrospective Studies
Thrombolytic Therapy / methods*
Treatment Outcome
Vascular Patency
Reg. No./Substance:

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