title: The salvage of graft occlusion in a maintenace hemodialysis patient with tuberous sclerosis by percutaneous transluminal angioplasty using intravascular ultrasound: case report.
abstract: End-stage renal failure due to tuberous sclerosis is rare and there is no previous report of a patient with tuberous sclerosis undergoing long-term hemodialysis for over 18 years. The patency rate for a dialysis prosthetic graft is low, however, our patient's graft survived over 16 years. For thrombotic occlusion of a graft, we performed percutaneous thrombectomy and balloon angioplasty and salvaged graft occlusion. Moreover, this case is the first report in which the interventional procedure (mechanical thrombectomy and balloon angioplasty) could be observed by intravascular ultrasound in addition to angiography.
authors.affiliation: Institution, Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan. thiguchi@med.nihon-u.ac.jp
authors.forename: Terumi
authors.initials: T
authors.lastname: Higuchi
authors.forename: Masanori
authors.initials: M
authors.lastname: Abe
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Okada
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Nakajima
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Ohnishi
authors.forename: Chihiro
authors.initials: C
authors.lastname: Hagi
authors.forename: Noboru
authors.initials: N
authors.lastname: Fukuda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Kuno
authors.forename: Susumu
authors.initials: S
authors.lastname: Takahashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Saito
authors.forename: Yuji
authors.initials: Y
authors.lastname: Nagura
authors.forename: Koichi
authors.initials: K
authors.lastname: Matsumoto
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D006435:Renal Dialysis / Q000295:instrumentation; D017131:Thrombectomy / Q000379:methods; D016896:Treatment Outcome; D014402:Tuberous Sclerosis / Q000150:complications*; D018084:Ultrasonography, Interventional