Document Detail

A venotomy and manual propulsion technique to treat native arteriovenous fistulas occluded by thrombi.
MedLine Citation:
PMID:  22268194     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: The objective of our study was to evaluate the efficacy and safety of a venotomy and manual propulsion technique that is performed to treat failed native arteriovenous fistulas (AVFs) with chronic organized thrombi.
MATERIALS AND METHODS: For this study, we retrospectively reviewed a total of 69 venotomy and manual propulsion procedures performed from October 2005 to July 2009 in 56 patients for the treatment of native AVFs occluded by chronic thrombi. Inflow, anastomotic, and outflow veins were occluded using balloon catheters. Venotomy was made in the thrombi-bearing vein, and thrombi were propelled toward the venotomy site in a "milking" manner and were removed. After repair of the venotomy using simple interrupted sutures, the occlusion balloons were deflated. Angioplasty of the underlying stenosis was performed.
RESULTS: Technical success was achieved in 95.7% of the procedures and clinical success was achieved in 91.3%. The follow-up duration was 1-50 months (mean, 16.7 months), with 3-, 6-, and 12-month primary patency rates of 92.5%, 80.8%, and 58.1%, respectively, and secondary patency rates of 98.1%, 96.2%, and 91.7%. The complication rate was 7.24%, with two major and three minor complications.
CONCLUSION: The venotomy and manual propulsion technique is effective and safe for the removal of chronic and organized thrombi from occluded native AVFs.
Je Hwan Won; Anjali Basnyat Bista; Jae Ik Bae; Chang Kwon Oh; Sung Il Park; Jong Hyeog Lee; Gyeong Sik Jeon
Related Documents :
25467294 - Rituximab for the treatment of eosinophilic granulomatosis with polyangiitis (churg-str...
21917824 - Evaluation of abatacept administered subcutaneously in adults with active rheumatoid ar...
2026934 - Biocompatible implantable antimicrobial release for necrotizing external otitis.
21999374 - Autologous stem cells for the treatment of post-mastectomy lymphedema: a pilot study.
23413054 - Simple excision vs the kidner procedure for type 2 accessory navicular associated with ...
22551964 - Long-term prognosis of double-switch operation for congenitally corrected transposition...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  198     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  460-5     Citation Subset:  AIM; IM    
Department of Diagnostic Radiology, Ajou University College of Medicine, San 5, Woncheon-dong, Suwon, Yeongtong-Gu 443-721, Republic of Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Airway complications after covered stent placement for malignant esophageal stricture: special refer...
Next Document:  Safety profile and technical success of imaging-guided percutaneous fiducial seed placement with and...