Document Detail

Is there an optimal interventional device for the salvage of thrombosed native angioaccess for hemodialysis?
MedLine Citation:
PMID:  23278220     Owner:  NLM     Status:  In-Data-Review    
Evaluation of: Yang CC, Yang CW, Wen SC, Wu CC. Comparisons of clinical outcomes for thrombectomy devices with different mechanisms in hemodialysis arteriovenous fistulas. Catheter Cardiovasc. Interv. doi:10.1002/ccd.24408 (2012) (Epub ahead of print). The rescue of autogenous angioaccess for hemodialysis can be performed surgically or radiologically. For the latter, there is current debate as to whether a mechanical hydrodynamic device confers a clinical advantage over a rotational thrombectomy. The evaluated article describes a single center retrospective cohort study (275 procedures in 213 patients) assessing the observed outcomes of the AngioJet mechanical and hydrodynamic mechanism versus the rotational percutaneous thrombectomy device (PTD; Arrow-Trerotola). Outcomes measured were complications arising, as well as primary and secondary patency rates. The time taken to perform the PTD method was significantly shorter than for the AngioJet. Despite no significant difference seen between the two techniques for 6-month primary patency (43% PTD vs 45% AngioJet), secondary patency was significantly greater in PTD compared with AngioJet (74 vs 87%, p = 0.01). The authors conclude that the rotational mechanism device was faster and associated with a higher secondary patency rate.
Mohammad A Hossain; Raymond Chung; Adam E Frampton; Eric S Chemla
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Expert review of medical devices     Volume:  10     ISSN:  1745-2422     ISO Abbreviation:  Expert Rev Med Devices     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230445     Medline TA:  Expert Rev Med Devices     Country:  England    
Other Details:
Languages:  eng     Pagination:  27-31     Citation Subset:  IM    
Renal Transplant & Vascular Access Department, St George's Healthcare NHS Trust, Blackshaw Road, London SW17 0QT, UK.
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