Case Series Utilizing a Novel Rotational Mechanical Thrombectomy Device for the Treatment of Thrombosed Arteriovenous Grafts in Thailand

Keerati Hongsakul, Thanakorn Phothong, Sorracha Rookkapan, Surasit Akkakrisee, Phurich Janjindamai, Boonprasit Kritpracha, Ussanee Boonsrirat, Pete Stibbs

Abstract

Endovascular treatment of thrombosed hemodialysis access is a standard option for restoring flow. Standard treatments, including pharmacomechanical thrombolysis, mechanical thrombectomy, or a combination of therapies, have been commonly used. Mechanical thrombectomy is widely accepted for the treatment of thrombosed arteriovenous fistulas or grafts because the devices have been proven effective and easy to use. Hence, we present a case series of thrombosed hemodialysis grafts successfully salvaged with endovascular mechanical thrombectomy utilizing a rotational thrombectomy system.

 Keywords

arteriovenous grafts; mechanical thrombectomy device; salvage; thrombosis

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References

Hongsakul K, Rookkapan S, Sungsiri J, Boonsrirat U, Kritpracha B. Pharmacomechanical thrombolysis versus surgical thrombectomy for the treatment of thrombosed haemodialysis grafts. Ann Acad Med Singap 2015;44:66–70.

Boonsrirat U, Hongsakul K. Pharmacomechanical thrombolysis for the treatment of thrombosed native arteriovenous fistula: a single-center experience. Pol J Radiol 2014;79:363–7.

Burger H, Kluchert BA, Kootstra G, Kitslaar PJ, Ubbink DT: Survival of arteriovenous fistulas and shunts for haemodialysis. Eur J Surg 1995;161:327–34.

Riordan S, Frawley J, Gray L, Niesche J: Primary access surgery for long-term haemodialysis. Aust N Z J Surg 1994;64:763–7.

Yeo CB, Yong E, Hong Q, Kwan J, Quek LHH, Pua U, et al. Outcomes of catheter-directed thrombolysis for arteriovenous fistula thrombosis in Singapore: Is it still relevant today? Ann Vasc Dis 2021;14:5–10.

Quencer KB, Oklu R. Hemodialysis access thrombosis. Cardiovasc Diagn Ther 2017;7(Suppl 3):S299–308.

Bush RL, Lin PH, Lumsden AB. Management of thrombosed dialysis access: thrombectomy versus thrombolysis. Semin Vasc Surg 2004;17:32–9.

Almehmi A, Sheta M, Abaza M, Almehmi SE, El-Khudari H, Shaikh A. Endovascular Management of Thrombosed Dialysis Vascular Circuits. Semin Intervent Radiol 2022;39:14–22.

Vesely TM. Mechanical thrombectomy devices to treat thrombosed hemodialysis grafts. Tech Vasc Interv Radiol 2003;6:35–41.

Wu V, Kalva SP, Cui J. Thrombectomy approach for access maintenance in the end stage renal disease population: a narrative review. Cardiovasc Diagn Ther 2023;28;13:265–80.

Bong TSH, Aw DKL, Cheng SC, Choke ETC, Tay JS. Cleaner XT Rotational Thrombectomy: An Efficacious Endovascular Technique for Salvage of Thrombosed Arteriovenous Access and a 12 Month Outcome Analysis. J Endovasc Ther 2023;30:401–9.

DOI: http://dx.doi.org/10.31584/jhsmr.20261340

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