Mechanical thrombolysis for the treatment of thrombosed hemodialysis access grafts.

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

Radiology

journal_title

Radiology

authors

Beathard GA,Welch BR,Maidment HJ

doi

10.1148/radiology.200.3.8756920

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

711-6

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

200

pub_type

杂志文章
  • The evolution of the basic concepts underlying the practice of radiotherapy from 1949 to 1977.

    abstract::In his overview of the history and theoretical developments of radiotherapy, the author stresses the following concepts: (a) sensitivity is not linked to histology but to the volume of cancer; (b) the dose must not necessarily be homogeneous in the target volume but related to varying volumes of cancer; (c) the fact t...

    journal_title:Radiology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1148/127.1.3

    authors: Fletcher GH

    更新日期:1978-04-01 00:00:00

  • Occluded coloanal anastomosis: transrectal US-guided balloon dilation.

    abstract::Balloon dilation is a well-described, nonoperative, alternative treatment for postoperative strictures of the colon and rectum. This procedure may not be technically feasible when an occluded lumen prevents passage of a guide wire across the obstruction. The authors describe the use of transrectal ultrasound guidance ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.189.2.8210400

    authors: Eschelman DJ,Alexander AA,Goldstein SD,Shapiro MJ

    更新日期:1993-11-01 00:00:00

  • Percutaneous transluminal angioplasty: delayed response in neurofibromatosis.

    abstract::Percutaneous transluminal angioplasty (PTA) was eventually successful in a patient with renal artery stenosis due to neurofibromatosis. Although the immediate postangioplasty appearance showed little improvement, the residual stenosis has completely resolved at 5 months. Delayed response to PTA has been previously doc...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.169.1.2971240

    authors: Gardiner GA Jr,Freedman AM,Shlansky-Goldberg R

    更新日期:1988-10-01 00:00:00

  • Prostaglandin E1 as a pharmacoangiographic agent for arterial portography.

    abstract::The effects of increasing single selective doses of prostaglandin E1 (PGE1) on superior mesenteric arterial flow and portal and systemic blood pressures were studied in dogs to assess its value as a vasodilatory agent for pharmacoangiography. PGE1 consistently increased blood flow, with an average increase of 187%, bu...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/116.1.207

    authors: Cho KJ,Chuang VP,Reuter SR

    更新日期:1975-07-01 00:00:00

  • The LSF and MTF of rare-earth oxysulfide intensifying screens.

    abstract::The line spread function (LSF) and modulation transfer function (MTF) of 9 rare-earth screen/film systems were measured and compared with those of two fast calcium tungstate systems, using double-emulsion films sandwiched between two screens and mounted in regular cassettes. The LSFs were found to fit exponential func...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/121.2.473

    authors: Arnold BA,Eisenberg H,Bjärngard BE

    更新日期:1976-11-01 00:00:00

  • Gallstone lithotripsy: relevant physical principles and technical issues.

    abstract::A basic understanding of shock wave generation is essential for the radiologist who performs gallstone lithotripsy. Shock waves differ from ordinary acoustic waves in that they have a rapid rise time, a positive pressure component that gives rise to compressive forces approaching 1,000 atm, and a low-amplitude sustain...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.178.2.1987600

    authors: Davros WJ,Garra BS,Zeman RK

    更新日期:1991-02-01 00:00:00

  • Intraductal papillary mucinous tumors of the pancreas: helical CT with histopathologic correlation.

    abstract:PURPOSE:To evaluate the accuracy of preoperative computed tomography (CT) in predicting the location and type of ductal involvement and malignant transformation in intraductal papillary mucinous (IPM) pancreatic tumors and to determine the predictive factors for malignancy at CT. MATERIALS AND METHODS:The helical CT s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.217.3.r00dc24757

    authors: Taouli B,Vilgrain V,Vullierme MP,Terris B,Denys A,Sauvanet A,Hammel P,Menu Y

    更新日期:2000-12-01 00:00:00

  • Choledochal cysts: roentgenographic techniques.

    abstract::Twenty-four cases of choledochal cysts were reviewed. Only 7 cases were definitely diagnosed preoperatively: 3 by 131I rose bengal scanning, 2 by intravenous cholangiography, 1 by oral cholecystography, and 1 by 99mTc sulfur colloid scanning followed by angiography. The highest percentage of definitive positive examin...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/114.1.113

    authors: Rosenfield N,Griscom NT

    更新日期:1975-01-01 00:00:00

  • Imaging of carotid arteries in symptomatic patients: cost-effectiveness of diagnostic strategies.

    abstract:PURPOSE:To assess the cost-effectiveness of noninvasive imaging strategies in patients who have had a transient ischemic attack (TIA) or minor stroke and are suspected of having significant carotid artery stenosis. MATERIALS AND METHODS:From 1997 through 2000, 350 patients were included in a multicenter blinded consec...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1148/radiol.2331030863

    authors: Buskens E,Nederkoorn PJ,Buijs-Van Der Woude T,Mali WP,Kappelle LJ,Eikelboom BC,Van Der Graaf Y,Hunink MG

    更新日期:2004-10-01 00:00:00

  • Antiangiogenic tumor treatment: early noninvasive monitoring with USPIO-enhanced MR imaging in mice.

    abstract:PURPOSE:To prospectively investigate steady-state blood volume measurements for early quantitative monitoring of antiangiogenic treatment with ultrasmall superparamagnetic iron oxide (USPIO)-enhanced magnetic resonance (MR) imaging. MATERIALS AND METHODS:The institutional animal care committee approved all experiments...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2442060371

    authors: Persigehl T,Bieker R,Matuszewski L,Wall A,Kessler T,Kooijman H,Meier N,Ebert W,Berdel WE,Heindel W,Mesters RM,Bremer C

    更新日期:2007-08-01 00:00:00

  • Gadolinium Deposition in Human Brain Tissues after Contrast-enhanced MR Imaging in Adult Patients without Intracranial Abnormalities.

    abstract::Purpose To determine whether gadolinium deposits in neural tissues of patients with intracranial abnormalities following intravenous gadolinium-based contrast agent (GBCA) exposure might be related to blood-brain barrier integrity by studying adult patients with normal brain pathologic characteristics. Materials and M...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017161595

    authors: McDonald RJ,McDonald JS,Kallmes DF,Jentoft ME,Paolini MA,Murray DL,Williamson EE,Eckel LJ

    更新日期:2017-11-01 00:00:00

  • Mammographically detected breast cancer: location in women under 50 years old.

    abstract::The mammograms of 86 women under the age of 50 years with mammographically detected cancers were reviewed. Sixty-three of these cancers (73%) were found at the periphery of the breast as defined by a zone 1 cm wide beneath the subcutaneous fat or anterior to the retromammary fat. This finding is likely due to the geom...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.186.3.8381550

    authors: Stacey-Clear A,McCarthy KA,Hall DA,Pile-Spellman E,White G,Hulka CA,Whitman GJ,Halpern EF,Kopans DB

    更新日期:1993-03-01 00:00:00

  • Prostatic carcinoma and benign prostatic hyperplasia: MR imaging with histopathologic correlation.

    abstract::Twenty-eight patients with prostatic carcinoma who underwent magnetic resonance (MR) imaging and subsequent radical prostatectomy were studied. The resected prostates were sectioned axially, and the whole-mount prostatic specimen was compared with the corresponding MR images. The carcinoma could be identified in 20 ca...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.173.3.2479050

    authors: Kahn T,Bürrig K,Schmitz-Dräger B,Lewin JS,Fürst G,Mödder U

    更新日期:1989-12-01 00:00:00

  • Detection of Prostate Cancer: Quantitative Multiparametric MR Imaging Models Developed Using Registered Correlative Histopathology.

    abstract::Purpose To develop multiparametric magnetic resonance (MR) imaging models to generate a quantitative, user-independent, voxel-wise composite biomarker score (CBS) for detection of prostate cancer by using coregistered correlative histopathologic results, and to compare performance of CBS-based detection with that of s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015151089

    authors: Metzger GJ,Kalavagunta C,Spilseth B,Bolan PJ,Li X,Hutter D,Nam JW,Johnson AD,Henriksen JC,Moench L,Konety B,Warlick CA,Schmechel SC,Koopmeiners JS

    更新日期:2016-06-01 00:00:00

  • Asymptomatic adnexal masses: correlation of FDG PET and histopathologic findings.

    abstract:PURPOSE:To analyze asymptomatic adnexal masses at positron emission tomography (PET) with fluorodeoxyglucose (FDG) in correlation with histopathologic findings and evaluate FDG PET for assessing malignancy in comparison with transvaginal B-mode and Doppler ultrasonography (US) and magnetic resonance (MR) imaging. MATE...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2233001850

    authors: Fenchel S,Grab D,Nuessle K,Kotzerke J,Rieber A,Kreienberg R,Brambs HJ,Reske SN

    更新日期:2002-06-01 00:00:00

  • Fluoroscopic removal of ingested alkaline batteries.

    abstract::The ingestion of small, flat disc batteries by infants and children may be life threatening if the battery leaks or disintegrates resulting in perforation of the gastrointestinal tract. The fluoroscopic removal of six ingested batteries from the stomach using an orogastric tube and magnet and a Foley catheter is descr...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.150.2.6691120

    authors: Jaffe RB,Corneli HM

    更新日期:1984-02-01 00:00:00

  • Roentgenographic manifestations of methadone-induced pulmonary edema.

    abstract::Twenty cases of methadone-induced pulmonary edema confirmed by clinical, laboratory and roentgenographic findings were extensively reviewed and the roentgenographic manifestations defined in terms of patterns, distribution, and duration of the process. Drug tolerance is a major factor in determining the severity of to...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/114.1.51

    authors: Wilen SB,Ulreich S,Rabinowitz JG

    更新日期:1975-01-01 00:00:00

  • Ultrasonographic evaluation of juxtadiaphragmatic masses in children.

    abstract::The authors suggest that ultrasound be used in the evaluation of juxtadiaphragmatic lesions before resorting to other radiographic methods. This technique gives accurate diagnoses, serves as a guide for further studies, and might obviate more extensive procedures. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.3.785

    authors: Kangarloo H,Sukov R,Sample WF,Lipson M,Smith L

    更新日期:1977-12-01 00:00:00

  • Helicobacter pylori gastritis mimicking gastric carcinoma at CT evaluation.

    abstract::The abdominal computed tomographic (CT) scans from 61 patients with biopsy-proved Helicobacter (formerly Campylobacter) pylori gastritis were retrospectively reviewed. The CT scans were interpreted on the basis of the original report of the findings at CT examination and without knowledge of the results of biopsy. Of ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.179.3.1888360

    authors: Urban BA,Fishman EK,Hruban RH

    更新日期:1991-06-01 00:00:00

  • Lower extremities: MR angiography with a unilateral telescopic phased-array coil.

    abstract::In a comparison of conventional and magnetic resonance (MR) angiography of the lower extremities, MR imaging was performed with extremity and body coils and a unilateral six-coil telescopic phased-array coil. In one of seven volunteers, average signal-to-noise ratio was 140% higher with the latter (p < .01), only thre...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.196.3.7644660

    authors: Kojima KY,Szumowski J,Sheley RC,Quinn SF

    更新日期:1995-09-01 00:00:00

  • Relationship of Trochlear Morphology and Patellofemoral Joint Alignment to Superolateral Hoffa Fat Pad Edema on MR Images in Individuals with or at Risk for Osteoarthritis of the Knee: The MOST Study.

    abstract::Purpose To determine the relationship of patellofemoral joint alignment and trochlear morphology to superolateral Hoffa fat pad (SHFP) edema on magnetic resonance (MR) images in older adults with or at risk for osteoarthritis of the knee. Materials and Methods Institutional review board approval and written informed c...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017162342

    authors: Widjajahakim R,Roux M,Jarraya M,Roemer FW,Neogi T,Lynch JA,Lewis CE,Torner JC,Felson DT,Guermazi A,Stefanik JJ

    更新日期:2017-09-01 00:00:00

  • Neodymium yttrium aluminum garnet laser treatment of hemobilia via a percutaneous biliary catheter track.

    abstract::The authors describe the use of neodymium yttrium aluminum garnet laser introduced via a percutaneous catheter track for photocoagulation of a bleeding bile duct tumor. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.148.3.6878710

    authors: Carpenter CM,Bowers JH,Luers PR,Dixon JA,Miller FJ

    更新日期:1983-09-01 00:00:00

  • Nerve rootlet avulsion. A complication of myelography using the Chynn needle.

    abstract::The authors report a case of traumatic removal of nerve tissue during myelography with the Chynn aspiration cannula. If such a situation occurs, the authors suggest making a second puncture at a different level. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.3.734

    authors: Brodey PA,London SS,Sung MA

    更新日期:1977-12-01 00:00:00

  • Deglutition after near-fatal choking episode: radiologic evaluation.

    abstract::Acute airway obstruction during oral intake is a relatively common event that may be fetal if not relieved immediately. Deglutition was studied in 75 individuals who had experienced a near-fatal choking episode (NFCE) or sudden inability to breathe during food intake that was promptly relieved by means of a Heimlich m...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.176.3.2389020

    authors: Feinberg MJ,Ekberg O

    更新日期:1990-09-01 00:00:00

  • Peripheral vascular disease: blinded study of dedicated calf MR angiography versus standard bolus-chase MR angiography and film hard-copy angiography.

    abstract:PURPOSE:To compare the accuracy of contrast material-enhanced three-dimensional (3D) dedicated calf magnetic resonance (MR) angiography with that of bolus-chase MR angiography, with conventional angiography as the reference standard, in patients with symptomatic peripheral vascular disease (PVD). MATERIALS AND METHODS...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2323030244

    authors: Binkert CA,Baker PD,Petersen BD,Szumowski J,Kaufman JA

    更新日期:2004-09-01 00:00:00

  • Ewing sarcoma: MR imaging of chemotherapy-induced changes with histologic correlation.

    abstract::In a study group of 18 consecutive patients with Ewing sarcoma proved by means of biopsy, the signal intensity characteristics of tumor on magnetic resonance (MR) images were assessed before and after chemotherapy. Sixteen patients underwent MR imaging at 1.5 T before chemotherapy; all 18 patients underwent MR imaging...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.184.3.1509080

    authors: MacVicar AD,Olliff JF,Pringle J,Pinkerton CR,Husband JE

    更新日期:1992-09-01 00:00:00

  • Morton neuroma: evaluation with MR imaging performed with contrast enhancement and fat suppression.

    abstract:PURPOSE:To evaluate clinically suspected Morton neuroma with contrast material-enhanced magnetic resonance (MR) images. MATERIALS AND METHODS:Fifteen patients with clinically suspected Morton neuroma underwent examination with conventional T1- and T2-weighted MR imaging and a combination of fat suppression and adminis...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.189.1.8372200

    authors: Terk MR,Kwong PK,Suthar M,Horvath BC,Colletti PM

    更新日期:1993-10-01 00:00:00

  • CSF rhinorrhea: detection and localization using overpressure cisternography with Tc-99m-DTPA.

    abstract::We performed 32 overpressure radionuclide cisternography (ORNC) studies to examine 26 patients who were clinically suspected of having cerebrospinal fluid (CSF) fistula with rhinorrhea. Fifteen (47%) of these cisternography studies were positive, and the site of the leak was identified. No leak could be demonstrated i...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.154.3.3881800

    authors: Curnes JT,Vincent LM,Kowalsky RJ,McCartney WH,Staab EV

    更新日期:1985-03-01 00:00:00

  • Cardiac CT angiography for the diagnosis of mitral valve prolapse: comparison with echocardiography1.

    abstract:PURPOSE:To evaluate the diagnostic performance of coronary computed tomographic (CT) angiography for the diagnosis of mitral valve prolapse (MVP). MATERIALS AND METHODS:The retrospective case-controlled multicenter study protocol was approved by the institutional review boards. The U.S. part of the study was HIPAA com...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2541090393

    authors: Feuchtner GM,Alkadhi H,Karlo C,Sarwar A,Meier A,Dichtl W,Leschka S,Blankstein R,Gruenenfelder J,Stolzmann P,Cury RC

    更新日期:2010-02-01 00:00:00

  • Renal allograft accumulation of Tc-99m sulfur colloid: temporal quantitation and scintigraphic assessment.

    abstract::Renal allograft accumulation of Tc-99m sulfur colloid (TSC) was studied using visual assessment of scintigraphic displays and a quantitative temporal model in 210 examinations of 56 transplant recipients. The quantitative temporal model related the immediate pool of the radioagent in the transplant to the fixed allogr...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.148.2.6346390

    authors: George EA,Meyerovitz M,Codd JE,Fletcher JW,Donati RM

    更新日期:1983-08-01 00:00:00