Efficacy of a Modified Pharmacomechanical Thrombolysis Technique for Endovascular Treatment of Thrombosed Prosthetic Arteriovenous Grafts
Korean Journal of Radiology
;
: 300-306, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-89585
ABSTRACT
OBJECTIVE:
We applied a modified pharmacomechanical thrombolysis (PMT) technique to endovascular treatment of thrombosed arteriovenous (AV) grafts without the use of any mechanical thrombectomy devices. The aim of this study was to evaluate the efficacy of the PMT technique in the treatment of thrombosed AV grafts by analyzing the long-term patency. MATERIALS ANDMETHODS:
Eighty-two patients with thrombosed AV grafts were treated with the PMT technique. AV graft surveillance to detect failing/failed access was followed by endovascular treatment.RESULTS:
The technical and clinical success rates were 95% and 95%, respectively. The total number of thrombolysis sessions was 279. A post-intervention primary patency rate was 45% and 22% at 12 and 24 months, respectively. The secondary patency rate was 96% and 91% at 12 and 24 months, respectively. No major complications were noticed.CONCLUSION:
The modified PMT technique is effective in endovascular treatment of thrombosed AV grafts.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Politetrafluoretileno
/
Grau de Desobstrução Vascular
/
Derivação Arteriovenosa Cirúrgica
/
Angiografia
/
Modelos de Riscos Proporcionais
/
Radiografia Intervencionista
/
Stents
/
Terapia Trombolítica
/
Estudos Retrospectivos
/
Técnicas Hemostáticas
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Radiology
Ano de publicação:
2012
Tipo de documento:
Artigo
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