Abstract:
PURPOSE:To evaluate the data acquired over 2 1/2 years regarding the use of mechanical thrombolysis as the routine, preferred treatment for thrombosed access grafts in a large patient population undergoing hemodialysis. MATERIALS AND METHODS:Mechanical thrombolysis was performed in 1,176 cases. Data were collected on the success rate, complication rate, long-term patency, and presence and location of stenosis. The results of mechanical thrombolysis were compared with those of surgery. All data were collected prospectively. RESULTS:Thrombosed grafts were treated successfully in 1,123 of 1,176 cases (95%). Minor complications occurred in 34 cases (3%). Venous stenosis was present in 1,054 cases (90%). Long-term patency rates were 74% at 30 days, 52% at 90 days, and 17% at 360 days. The thrombosis rate per patient per year and the number of patients who required graft revision or replacement decreased in comparison with the results obtained with surgical treatment. CONCLUSION:Mechanical thrombolysis was effective, quick, and safe. Percutaneous treatment should be adopted as the treatment of choice for thrombosed hemodialysis access grafts.
journal_name
Radiologyjournal_title
Radiologyauthors
Beathard GA,Welch BR,Maidment HJdoi
10.1148/radiology.200.3.8756920subject
Has Abstractpub_date
1996-09-01 00:00:00pages
711-6issue
3eissn
0033-8419issn
1527-1315journal_volume
200pub_type
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