Midterm Results Following Percutaneous Rotational Thrombectomy for Acute Thrombotic Occlusions of Prosthetic Arteriovenous Access Grafts

Basit Öğe Kaydı
dc.contributor.authorKaratepe, Celalettin
dc.contributor.authorAldemir, Mustafa
dc.contributor.authorCinar, Bayer
dc.contributor.authorOnalan, Akif
dc.contributor.authorIssever, Halim
dc.contributor.authorGoksel, Onur S.
dc.date.accessioned2024-09-18T20:55:51Z
dc.date.available2024-09-18T20:55:51Z
dc.date.issued2015
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPatent vascular access is critical for patients on regular hemodialysis. Prosthetic grafts are good alternatives when the superficial venous system is of poor quality. However, thrombosis is one of the main drawbacks of synthetic grafts, with reports of 59% to 90% patency rates for 1 year. In cases of thrombotic occlusion of prosthetic arteriovenous fistula grafts, percutaneous mechanical thrombectomy has recently gained clinical popularity as a potential alternative to surgical thrombectomy or pharmacologic thrombolysis. We reviewed our preliminary results from 30 percutaneous rotational thrombectomies performed in a total of 22 patients in the setting of acute dialysis-access prosthetic graft occlusion of the upper extremity. Among the 30 cases of acute occlusion of the arteriovenous graft, immediate success with angiographic flow restoration was observed in all patients except for 2 patients (both females; 6%), with de novo occlusion where reocclusion occurred within 12 hours despite apparent immediate angiographic patency. The mean duration between the initial presentation with acute arteriovenousgraft occlusion and the thrombectomy procedure was 27.4 +/- 12.4 hours. The mean duration of graft patency was 10.45 +/- 0.6 months. A total of 75% of the arteriovenous grafts were patent at the end of 12 months of follow-up. Female gender, diabetes mellitus, and diagnosis to intervention interval were reviewed for midterm graft failure, and the presence of diabetes mellitus yielded significance (P < 0.05). Percutaneous techniques play important roles in the treatment of failed or failing arteriovenous fistulae and grafts. Ongoing analysis of outcomes of both percutaneous and surgical intervention is necessary to continue to identify optimum treatment algorithms.en_US
dc.identifier.doi10.9738/INTSURG-D-14-00254.1
dc.identifier.endpage1254en_US
dc.identifier.issn0020-8868
dc.identifier.issue7-8en_US
dc.identifier.pmid26595502en_US
dc.identifier.scopus2-s2.0-84974803145en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage1249en_US
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-14-00254.1
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12081
dc.identifier.volume100en_US
dc.identifier.wosWOS:000365355900017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt College Of Surgeonsen_US
dc.relation.ispartofInternational Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRotational thrombectomyen_US
dc.subjectArteriovenous accessen_US
dc.subjectDialysisen_US
dc.titleMidterm Results Following Percutaneous Rotational Thrombectomy for Acute Thrombotic Occlusions of Prosthetic Arteriovenous Access Graftsen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Tam Metin / Full Text
Boyut:
174.45 KB
Biçim:
Adobe Portable Document Format
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu