title: Endovascular management of thrombosed axillary artery to right atrium hemodialysis graft.
abstract: OBJECTIVE
  To describe the salvage of a left axillary artery to right atrium hemodialysis graft using endovascular techniques.
  
  
  METHODS
  A 54-year-old man with multiple arteriovenous graft failures presented with a thrombosed left axillary artery to right atrium Gore-tex hemodialysis graft. The graft was salvaged using rheolytic catheter thrombectomy, mechanical thrombectomy, balloon angioplasty, and stenting.
  
  
  CONCLUSIONS
  This single case report suggests that when axillary to right atrium grafts fail, various endovascular techniques can be employed to salvage the graft and maintain dialysis access.
authors: Department of Radiology, Boston University Medical Center, 820 Harrison Ave., FGH Building, 3rd Floor, Boston, MA 02118; Department of Surgery, University of California, Irvine Medical Center, 333 City Blvd. W. Ste, 700, Orange, CA 92868. Electronic address: niikabu@gmail.com.
authors: Nii-Kabu
authors: NK
authors: Kabutey
authors: Department of Radiology, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305. Electronic address: sdeso@stanford.edu.
authors: Steve
authors: S
authors: Deso
authors: Department of Surgery, University of California, Irvine Medical Center, 333 City Blvd. W. Ste, 700, Orange, CA 92868. Electronic address: lesieawong@gmail.com.
authors: Leslie
authors: L
authors: Wong
authors: Department of Surgery, University of California, Irvine Medical Center, 333 City Blvd. W. Ste, 700, Orange, CA 92868. Electronic address: sgroim@uci.edu.
authors: Michael D
authors: MD
authors: Sgroi
authors: Department of Radiology, Boston University Medical Center, 820 Harrison Ave., FGH Building, 3rd Floor, Boston, MA 02118. Electronic address: dukim@bu.edu.
authors: Ducksoo
authors: D
authors: Kim
mesh_terms: D000800:Angioplasty, Balloon / Q000379:methods; D001366:Axillary Artery / Q000601:surgery; D057510:Endovascular Procedures / Q000379:methods*; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects; D015607:Stents; D017131:Thrombectomy / Q000379:methods; D013927:Thrombosis / Q000601:surgery*; D016896:Treatment Outcome
keywords: Right atrium shunt; Stent; Thrombectomy