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Vesely TM. Complications Related to Percutaneous Thrombectomy of Hemodialysis Grafts. J Vasc Access 2018; 3:49-57. [PMID: 17639461 DOI: 10.1177/112972980200300202] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose To retrospectively review the complications reported during percutaneous thrombectomy procedures performed on polytetrafluoroethylene hemodialysis grafts. Materials and Methods A retrospective review revealed that 935 percutaneous thrombectomy procedures were performed at our institution between January 1993 and June 2001. The type and number of procedures include: Arrow PTD (527), pulse-spray with urokinase (240), Amplatz Thrombectomy Device (96), AngioJet (17), Oasis (15), Hydrolyser (10), Endovac (7), Lyse and Wait (7), Thrombex (6), Cragg brush (6), Castaneda brush (4). Complications were reported to have occurred in 31 patients. The radiology reports and medical records of these patients were reviewed. Results The overall complication rate was 3.3%. The type and number of complications included: rupture of a vein during angioplasty (13), severe cardiopulmonary distress (4), arterial emboli (4), rigors related to urokinase (3), minor bleeding (2), hypoxia with chest pain (2), other assorted complications (3). There was one death resulting from a fall from the angiography table immediately following the procedure. There were 12 minor complications, requiring minimal treatment, and 19 major complications that altered the course of the procedure or treatment of the patient. Conclusion The most common complication was angioplasty-induced rupture of the vein or graft. The most severe complications occurred immediately following dislodgement of the arterial plug and were likely due to acute pulmonary embolization.
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Affiliation(s)
- T M Vesely
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri - USA
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Wang A, Silberzweig JE. Brachial artery pseudoaneurysms caused by inadvertent hemodialysis access needle punctures. Am J Kidney Dis 2008; 53:351-4. [PMID: 18950918 DOI: 10.1053/j.ajkd.2008.08.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2007] [Accepted: 08/06/2008] [Indexed: 11/11/2022]
Affiliation(s)
- Annie Wang
- New York Hospital Queens, Flushing, NY, USA
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