Thromboaspiration of arteriovenous hemodialysis graft thrombosis using Desilets-Hoffman sheath: single-center experience
- Authors
- Goo, Dong Erk; Kim, Yong Jae; Park, Sung Tae; Yang, Seung Boo; Yoon, Sang Chul; Song, Dan
- Issue Date
- Sep-2014
- Publisher
- Wichtig Publishing
- Keywords
- Desilets-Hoffman sheath; Hemodialysis; Interventional radiology; Mechanical thrombectomy; Percutaneous transluminal angioplasty; Thrombosis
- Citation
- Journal of Vascular Access, v.15, no.5, pp 401 - 408
- Pages
- 8
- Journal Title
- Journal of Vascular Access
- Volume
- 15
- Number
- 5
- Start Page
- 401
- End Page
- 408
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/11921
- DOI
- 10.5301/jva.5000221
- ISSN
- 1129-7298
1724-6032
- Abstract
- Purpose: The purpose of this study was to evaluate the feasibility, efficacy and safety of percutaneous thromboaspiration with a 7F Desilets-Hoffman sheath compared with previously established percutaneous mechanical thrombectomy techniques in occluded hemodialysis grafts. Materials and Methods: One thousand three hundred five patients (767 women, 538 men; mean age, 61.04 +/- 13.09 years; mean graft age, 36.64 +/- 30.80 mo) with 2,531 episodes of hemodialysis graft thrombosis underwent percutaneous thromboaspiration with a 7F Desilets-Hoffman sheath using criss-cross or apex puncture technique. Technical success rate, procedure time, complications and patency rates were analyzed. Results: Technical success was achieved in 2,426 of 2,531 procedures (95.9%). Average procedure time of the intervention was 42.87 +/- 22.77 minutes. Primary patency rate was 61.9% at 3 mo, 41.2% at 6 mo and 19.6% at 1 year. Major complications occurred in 4.1% of cases (23 graft outflow rupture; 68 arterial emboli; 1 arterial dissection; 3 symptomatic pulmonary embolism; 1 stent migration) and minor complications occurred in 7.7% of cases (196 cases). These results were comparable to previously reported mechanical thrombectomy techniques in occluded hemodialysis grafts. Conclusions: Percutaneous thromboaspiration of occluded hemodialysis grafts with a Desilets-Hoffman Sheath is an effective and safe method.
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Collections - College of Medicine > Department of General Surgery > 1. Journal Articles
- College of Medicine > Department of Radiology > 1. Journal Articles
- College of Medicine > Department of Radiology > 1. Journal Articles
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