[Percutaneous mechanical thrombectomy with arrow-trerotola device inpatients with thrombosed graft fistula].
OBJECTIVE
To assess the safety and efficacy of the Arrow-Trerotola percutaneous thrombectomy device in the treatment of thrombosed hemodialysis access grafts in dialysis patients.


METHODS
Ten patients with graft fistula occlusion underwent mechanical thrombectomy with Arrow-Trerotola percutaneous thrombectomy device. Thirteen thrombectomy procedures were performed in ten patients. Technical success, complications, primary and secondary patency rates were noted.


RESULTS
The technical success rate was 84% (11 of 13 procedures). There were no major complications. The mean follow-up period was 8.5 months. The graft fistula are still functional in seven patients. In 3 of 7 patients, additional procedures were needed for patency. The 3-month primary and secondary patency rates were 66% and 77% respectively.


CONCLUSIONS
Percutaneous mechanical thrombectomy with the Arrow-Trerotola device is an effective method for the treatment of the thrombosed hemodialysis grafts.
Firat
Ali
A
Başkent Universitesi Tip Fakültesi, Radyoloji Anabilim Dali, Ankara.
Aytekin
Cüneyt
C
Boyvat
Fatih
F
Emiroğlu
Remzi
R
Haberal
Mehmet
M
D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D006435:Renal Dialysis; D012189:Retrospective Studies; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome