A Case of Mechanical Thrombolysis of Thrombosed Native Hemodialysis Fistula Using Arrow Trerotola Percutaneous Thrombolytic Device.
- Author:
Byung Seung KANG
1
;
Tae Hee LEE
;
Jin Hyuck CHANG
;
Hee Jung YOON
;
Hak Jin HWANG
;
Jae Hoon LEE
;
Kwang Hun LEE
;
Hyeong Cheon PARK
;
Shin Wook KANG
;
Kyu Hun CHOI
;
Sung Kyu HA
;
Ho Yung LEE
;
Dae Suk HAN
Author Information
1. Department of Internal Medicine, Yonsei University, College of Medicine, Seoul, Korea. amp97@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula obstruction;
Percutaneous mechanical thrombectomy;
Arrow-Trerotola percutaneous thrombolytic device
- MeSH:
Angioplasty;
Arteriovenous Fistula;
Dialysis;
Fistula*;
Hospitalization;
Humans;
Kidney Failure, Chronic;
Mechanical Thrombolysis*;
Renal Dialysis*;
Thrombectomy;
Thrombolytic Therapy;
Thrombosis;
Venous Thrombosis
- From:Korean Journal of Nephrology
2003;22(5):622-628
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adequate care of patients with end-stage renal failure on hemodialysis requires permanent vascular access. Arteriovenous fistula obstruction due to venous thrombosis is commonly observed complication, contributing significantly to morbidity and hospitalization of dialysis patients. Percutaneous intervention using angioplasty and thrombolysis has become an accepted treatment of thrombosed vascular access and demonstrates comparable technical results and patency rates with those of surgery. Recently developed percutaneous mechanical thrombectomy (PMT) uses mechanical energy to clear thrombus percutaneously in combination with mechanical dissolution, fragmentation, and aspiration. PMT offers fast thrombus removal without complications related to thrombolytic therapy. We report a case of thrombosed hemodialysis native fistula which was successfully treated with percutaneous angioplasty and mechanical thrombolysis using newly introduced Arrow-Trerotola percutaneous thrombolytic device.