title: Successful treatment of delayed aortobifemoral graft thrombosis with manual aspiration thrombectomy.
abstract: We present a 67-year-old man who had undergone aortobifemoral synthetic graft     surgery one year earlier. The patient experienced thrombosis of the graft nine     months after the operation, and thrombectomy of the graft was planned. However,     the patient refused to undergo repeat surgery for thrombus removal and was     referred to our center for possible endovascular treatment. We treated the     patient with percutaneous aspiration thrombectomy. The thrombi were chronic in     nature but could be removed with minimal residue in any part of the graft by     using repeated aspiration thrombectomy with 7 F guiding catheters. Underlying     stenosis of both distal graft anastomoses was treated with percutaneous balloon     angioplasty, and a self-expanding stent was deployed on the right distal     anastomosis. A small fragment of thrombus embolized to the right popliteal     artery and was removed with aspiration thrombectomy through a second antegrade     puncture on the right side. We believe this is the first report of aspiration     thrombectomy for an aortobifemoral graft thrombosis. The method was successful     despite the chronic nature of the thrombi. Manual aspiration thrombectomy with     largebore guiding catheters can be used as an effective recanalization method     for delayed aortobifemoral graft occlusion and could be regarded as a good     alternative technique to surgical thrombectomy in selected patients.
authors: Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey. drhakanonder@hotmail.com
authors: Hakan
authors: H
authors: Önder
authors: Levent
authors: L
authors: Oğuzkurt
authors: Güven
authors: G
authors: Tekbaş
authors: Serkan
authors: S
authors: Gür
authors: Murat
authors: M
authors: Gedikoğlu
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D012074:Remission Induction; D013396:Suction; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery*; D013997:Time Factors