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Pharmacomechanical thrombolysis for the treatment of thrombosed native arteriovenous fistula: a single-center experience.
- Source :
-
Polish journal of radiology [Pol J Radiol] 2014 Oct 18; Vol. 79, pp. 363-7. Date of Electronic Publication: 2014 Oct 18 (Print Publication: 2014). - Publication Year :
- 2014
-
Abstract
- Background: Native arteriovenous fistula is one of the important routes for hemodialysis patients because of increased long-term survival and preservation of quality of life. We reported on a single-center experience with using pharmacomechanical thrombolysis for the treatment of thrombosed native arteriovenous fistula.<br />Material/methods: This was a retrospective study of 12 hemodialysis patients (8 males and 4 females) with 14 thrombosed distal forearm Brescia-Cimino radiocephalic fistulas who were referred for pharmacomechanical thrombolytic treatment in the intervention unit of the Radiology Department, from 1 January 2010 to 30 December 2011. Demographic data, technical success rates, clinical success rates and complications were evaluated. The patency was evaluated by Kaplan-Meier analysis.<br />Results: The technical and clinical success was found in 12 thrombosed fistulas. Only 3 procedures had minor complications including small amounts of adjacent soft tissue hematoma. There were no procedure-related major complications. The primary patency rates at 6 and 12 months were 67% and 50%. The secondary patency rates at 6 and 12 months were 75% and 67%.<br />Conclusions: Pharmacomechanical thrombolysis is a minimally invasive, effective, durable, and safe procedure for the treatment of thrombosed native arteriovenous fistula. This procedure can be considered as an alternative treatment for thrombosed dialysis fistulas.
Details
- Language :
- English
- ISSN :
- 1733-134X
- Volume :
- 79
- Database :
- MEDLINE
- Journal :
- Polish journal of radiology
- Publication Type :
- Academic Journal
- Accession number :
- 25343002
- Full Text :
- https://doi.org/10.12659/PJR.890801