Scoop thrombectomy: A declotting technique for the treatment of thrombosed autologous arteriovenous fistula. A single-center retrospective study
Thrombosis is one of the main complications leading to the failure of autologous arteriovenous fistula (AVF) for patients with renal failure. Thrombectomy is one of the major therapies to remove thrombi to salvage the AVF and prolong its patency. Fifty-six patients with AVF thrombosis at the anastom...
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| description | Thrombosis is one of the main complications leading to the failure of autologous arteriovenous fistula (AVF) for patients with renal failure. Thrombectomy is one of the major therapies to remove thrombi to salvage the AVF and prolong its patency. Fifty-six patients with AVF thrombosis at the anastomosis were recruited for this study and underwent thrombectomy procedures. Their clinical variables were collected. The vasculature was accessed at the site of the aneurysmal dilatation. Under ultrasound guidance, a scoop thrombectomy procedure was performed by anterograde and retrograde scooping to remove the thrombus using forceps. Then, a sheath was placed in the direct vertical direction. Angioplasty was performed with a balloon to treat the underlying primary arteriovenous stenosis. Patients were followed up for 12 months after surgery. The procedural success, primary and secondary patency rates, and incidence of procedure-related complications were analyzed. There were 2 minor (3.6%) and no major complications. Clinical success was achieved in 55 of the 56 procedures (98.2%). No symptomatic pulmonary embolism or arterial embolization was noted. The primary patency rates at 3, 6, and 12 months were 92.9, 83.8, and 73.3%%, respectively, according to the Kaplan-Meier survival analysis. Scoop thrombectomy is a safe procedure with high technical success and a low complication rate, and it is an effective method for patients to receive hemodialysis immediately. |
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A single-center retrospective study</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS)</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Ruan, Lin ; Yang, Yanli ; Ren, Guangwei ; Li, Wen ; Sun, Lijun ; Zhang, Lihong</creator><contributor>Serra, Raffaele</contributor><creatorcontrib>Ruan, Lin ; Yang, Yanli ; Ren, Guangwei ; Li, Wen ; Sun, Lijun ; Zhang, Lihong ; Serra, Raffaele</creatorcontrib><description>Thrombosis is one of the main complications leading to the failure of autologous arteriovenous fistula (AVF) for patients with renal failure. Thrombectomy is one of the major therapies to remove thrombi to salvage the AVF and prolong its patency. Fifty-six patients with AVF thrombosis at the anastomosis were recruited for this study and underwent thrombectomy procedures. Their clinical variables were collected. The vasculature was accessed at the site of the aneurysmal dilatation. Under ultrasound guidance, a scoop thrombectomy procedure was performed by anterograde and retrograde scooping to remove the thrombus using forceps. Then, a sheath was placed in the direct vertical direction. Angioplasty was performed with a balloon to treat the underlying primary arteriovenous stenosis. Patients were followed up for 12 months after surgery. The procedural success, primary and secondary patency rates, and incidence of procedure-related complications were analyzed. There were 2 minor (3.6%) and no major complications. Clinical success was achieved in 55 of the 56 procedures (98.2%). No symptomatic pulmonary embolism or arterial embolization was noted. The primary patency rates at 3, 6, and 12 months were 92.9, 83.8, and 73.3%%, respectively, according to the Kaplan-Meier survival analysis. Scoop thrombectomy is a safe procedure with high technical success and a low complication rate, and it is an effective method for patients to receive hemodialysis immediately.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0276067</identifier><identifier>PMID: 36227897</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Anastomosis ; Aneurysm ; Angioplasty ; Anterograde transport ; Balloon treatment ; Biology and Life Sciences ; Blood clots ; Care and treatment ; Catheters ; Chronic kidney failure ; Complications ; Confidence intervals ; Consent ; Embolism ; Embolization ; Fistula ; Fistula, Arteriovenous ; Fistulae ; Heart failure ; Hemodialysis ; Infections ; Medical instruments ; Medicine and Health Sciences ; Mosquitoes ; Patient outcomes ; Patients ; Renal failure ; Retrograde transport ; Sheaths ; Stenosis ; Success ; Surgery ; Thromboembolism ; Thrombosis ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>PloS one, 2022-10, Vol.17 (10), p.e0276067-e0276067</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Ruan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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A single-center retrospective study</title><title>PloS one</title><description>Thrombosis is one of the main complications leading to the failure of autologous arteriovenous fistula (AVF) for patients with renal failure. Thrombectomy is one of the major therapies to remove thrombi to salvage the AVF and prolong its patency. Fifty-six patients with AVF thrombosis at the anastomosis were recruited for this study and underwent thrombectomy procedures. Their clinical variables were collected. The vasculature was accessed at the site of the aneurysmal dilatation. Under ultrasound guidance, a scoop thrombectomy procedure was performed by anterograde and retrograde scooping to remove the thrombus using forceps. Then, a sheath was placed in the direct vertical direction. Angioplasty was performed with a balloon to treat the underlying primary arteriovenous stenosis. Patients were followed up for 12 months after surgery. The procedural success, primary and secondary patency rates, and incidence of procedure-related complications were analyzed. There were 2 minor (3.6%) and no major complications. Clinical success was achieved in 55 of the 56 procedures (98.2%). No symptomatic pulmonary embolism or arterial embolization was noted. The primary patency rates at 3, 6, and 12 months were 92.9, 83.8, and 73.3%%, respectively, according to the Kaplan-Meier survival analysis. Scoop thrombectomy is a safe procedure with high technical success and a low complication rate, and it is an effective method for patients to receive hemodialysis immediately.</description><subject>Anastomosis</subject><subject>Aneurysm</subject><subject>Angioplasty</subject><subject>Anterograde transport</subject><subject>Balloon treatment</subject><subject>Biology and Life Sciences</subject><subject>Blood clots</subject><subject>Care and treatment</subject><subject>Catheters</subject><subject>Chronic kidney failure</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Consent</subject><subject>Embolism</subject><subject>Embolization</subject><subject>Fistula</subject><subject>Fistula, Arteriovenous</subject><subject>Fistulae</subject><subject>Heart failure</subject><subject>Hemodialysis</subject><subject>Infections</subject><subject>Medical instruments</subject><subject>Medicine and Health Sciences</subject><subject>Mosquitoes</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Renal failure</subject><subject>Retrograde transport</subject><subject>Sheaths</subject><subject>Stenosis</subject><subject>Success</subject><subject>Surgery</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6DwQLgujFjPnoV7wQhsWPgYUFV70NaXIykyFtZpN0cP6FP9nUqbKVvZBetE2e856-b3Oy7DlGS0xr_HbnBt8Lu9y7HpaI1BWq6gfZOWaULCqC6MM7z2fZkxB2CJW0qarH2RmtCKkbVp9nP2-kc_s8br3rWpDRdcd3-SpXIK2L0fSbPILc9uZ2gFw7n0DIowcRO-hj7vRU6QKoXAzRWbdxQ8iFj-CNO0A_vmkT4mDFMgmHJGlhIVM1-NxD9C7sU19zgDxB6vg0e6SFDfBsul9k3z5--Hr5eXF1_Wl9ubpayJKxuBCM4pKJigFqi1LQAjeVUiAqgaSCVjSoUoKkTBIOqqFppyihbAvCFEIY0YvsxUl3b13gU5iBk5oUJcOMNYlYnwjlxI7vvemEP3InDP-94PyGJ5tGWuBtq2vVFlC3mhUt00JRqhqmcY1bjcoiab2fug1tB2q074Wdic53erPlG3fgrKwILuok8HoS8C79ixB5Z4IEa0UPKeLTdze4aUZnL_9B73c3URuRDJheu9RXjqJ8VRNCioLWo9byHipdCjoj08nTJq3PCt7MChIT4UfciCEEvr758v_s9fc5--oOuwVh4zY4O0Tj-jAHixMo08kKHvTfkDHi4-D8SYOPg8OnwaG_AFPJDaI</recordid><startdate>20221013</startdate><enddate>20221013</enddate><creator>Ruan, Lin</creator><creator>Yang, Yanli</creator><creator>Ren, Guangwei</creator><creator>Li, Wen</creator><creator>Sun, Lijun</creator><creator>Zhang, Lihong</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9351-7265</orcidid></search><sort><creationdate>20221013</creationdate><title>Scoop thrombectomy: A declotting technique for the treatment of thrombosed autologous arteriovenous fistula. 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A single-center retrospective study</atitle><jtitle>PloS one</jtitle><date>2022-10-13</date><risdate>2022</risdate><volume>17</volume><issue>10</issue><spage>e0276067</spage><epage>e0276067</epage><pages>e0276067-e0276067</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Thrombosis is one of the main complications leading to the failure of autologous arteriovenous fistula (AVF) for patients with renal failure. Thrombectomy is one of the major therapies to remove thrombi to salvage the AVF and prolong its patency. Fifty-six patients with AVF thrombosis at the anastomosis were recruited for this study and underwent thrombectomy procedures. Their clinical variables were collected. The vasculature was accessed at the site of the aneurysmal dilatation. Under ultrasound guidance, a scoop thrombectomy procedure was performed by anterograde and retrograde scooping to remove the thrombus using forceps. Then, a sheath was placed in the direct vertical direction. Angioplasty was performed with a balloon to treat the underlying primary arteriovenous stenosis. Patients were followed up for 12 months after surgery. The procedural success, primary and secondary patency rates, and incidence of procedure-related complications were analyzed. There were 2 minor (3.6%) and no major complications. Clinical success was achieved in 55 of the 56 procedures (98.2%). No symptomatic pulmonary embolism or arterial embolization was noted. The primary patency rates at 3, 6, and 12 months were 92.9, 83.8, and 73.3%%, respectively, according to the Kaplan-Meier survival analysis. Scoop thrombectomy is a safe procedure with high technical success and a low complication rate, and it is an effective method for patients to receive hemodialysis immediately.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>36227897</pmid><doi>10.1371/journal.pone.0276067</doi><tpages>e0276067</tpages><orcidid>https://orcid.org/0000-0002-9351-7265</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Anastomosis Aneurysm Angioplasty Anterograde transport Balloon treatment Biology and Life Sciences Blood clots Care and treatment Catheters Chronic kidney failure Complications Confidence intervals Consent Embolism Embolization Fistula Fistula, Arteriovenous Fistulae Heart failure Hemodialysis Infections Medical instruments Medicine and Health Sciences Mosquitoes Patient outcomes Patients Renal failure Retrograde transport Sheaths Stenosis Success Surgery Thromboembolism Thrombosis Ultrasonic imaging Veins & arteries |
| title | Scoop thrombectomy: A declotting technique for the treatment of thrombosed autologous arteriovenous fistula. A single-center retrospective study |
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