Endovascular management of thrombosed axillary artery to right atrium hemodialysis graft

Abstract Purpose To describe the salvage of a left axillary artery to right atrium hemodialysis graft using endovascular techniques. Case report A 54-year-old man with multiple arteriovenous graft failures presented with a thrombosed left axillary artery to right atrium Gore-tex hemodialysis graft....

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Veröffentlicht in:	Clinical imaging 2014-11, Vol.38 (6), p.880-883
Hauptverfasser:	Kabutey, Nii-Kabu, Deso, Steve, Wong, Leslie, Sgroi, Michael D, Kim, Ducksoo
Format:	Artikel
Sprache:	eng
Schlagworte:	Angioplasty, Balloon - methods Axillary Artery - surgery Blood clots Bridges Catheters Defects Endovascular Procedures - methods Graft Occlusion, Vascular - surgery Heart Atria - surgery Humans Male Medical imaging Middle Aged Ostomy Patients Peritoneal dialysis Prostheses Radiology Renal Dialysis - adverse effects Right atrium shunt Stent Stents Thrombectomy Thrombectomy - methods Thrombosis Thrombosis - surgery Treatment Outcome Veins & arteries
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Zusammenfassung:	Abstract Purpose To describe the salvage of a left axillary artery to right atrium hemodialysis graft using endovascular techniques. Case report A 54-year-old man with multiple arteriovenous graft failures presented with a thrombosed left axillary artery to right atrium Gore-tex hemodialysis graft. The graft was salvaged using rheolytic catheter thrombectomy, mechanical thrombectomy, balloon angioplasty, and stenting. Conclusions This single case report suggests that when axillary to right atrium grafts fail, various endovascular techniques can be employed to salvage the graft and maintain dialysis access.
ISSN:	0899-7071 1873-4499
DOI:	10.1016/j.clinimag.2014.06.007