The salvage of graft occlusion in a maintenace hemodialysis patient with tuberous sclerosis by percutaneous transluminal angioplasty using intravascular ultrasound: case report.
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.
Higuchi
Terumi
T
Institution, Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan. thiguchi@med.nihon-u.ac.jp
Abe
Masanori
M
Okada
Kazuyoshi
K
Nakajima
Yoshiko
Y
Ohnishi
Yoshihiko
Y
Hagi
Chihiro
C
Fukuda
Noboru
N
Kuno
Tsutomu
T
Takahashi
Susumu
S
Saito
Satoshi
S
Nagura
Yuji
Y
Matsumoto
Koichi
K
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