[The recanalization of thrombosed hemodialysis shunts by oscillating-probe aspiration and with a mesh basket].
Three thrombosed hemodialysis shunts (two polytetrafluorethylene [Goretex] forearm shunts and one Brescia-Cimino shunt) were recanalized by an 8-F oscillational aspiration thrombectomy catheter. The total aspirated blood volume was less than 200 ml in each case. Subsequently, residual wall adherent thrombi were removed by means of a 6-F mesh basket catheter. The mesh basket showed optimal adaptation even to bent vessel or graft segments. The first experience with oscillational aspiration thrombectomy and mesh basket treatment in thrombosed hemodialysis shunts indicate that this technique may serve as a promising alternative to fibrinolysis or surgical shunt declotting.
Schmitz-Rode
T
T
Klinik für Radiologische Diagnostik, Technische Hochschule Aachen.
Bohndorf
K
K
Günther
R W
RW
D001166:Arteriovenous Shunt, Surgical; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D006801:Humans; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D013396:Suction / Q000295:instrumentation / Q000379:methods; D013526:Surgical Mesh; D013927:Thrombosis / Q000628:therapy*
D011138:Polytetrafluoroethylene