Thrombosed polytetrafluoroethylene hemodialysis fistulas: salvage with combined thrombectomy and angioplasty.
Combined thrombectomy and angioplasty was performed for 19 thrombosed polytetrafluoroethylene grafts. Patency for more than 1 week was achieved in 16 of the 19 grafts (84%). The average duration of graft function after angioplasty in all 19 grafts was 7.1 months (range, 0-32.3 months). Eleven of the 19 grafts (58%) were functioning 5 months after the procedure; seven are still functioning. Combined thrombectomy and angioplasty offers a viable alternative to thrombolytic therapy or complete surgical revision.
Smith
T P
TP
Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City 52242.
Cragg
A H
AH
Castaneda
F
F
Hunter
D W
DW
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D001166:Arteriovenous Shunt, Surgical; D001807:Blood Vessel Prosthesis; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D013927:Thrombosis / Q000628:therapy*; D013997:Time Factors
D011138:Polytetrafluoroethylene