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Efficacy of a modified pharmacomechanical thrombolysis technique for endovascular treatment of thrombosed prosthetic arteriovenous grafts

Title
Efficacy of a modified pharmacomechanical thrombolysis technique for endovascular treatment of thrombosed prosthetic arteriovenous grafts
Authors
Choi S.Y.Choi B.G.Han K.H.Chun H.J.
Ewha Authors
최선영
SCOPUS Author ID
최선영scopus
Issue Date
2012
Journal Title
Korean Journal of Radiology
ISSN
1229-6929JCR Link
Citation
vol. 13, no. 3, pp. 300 - 306
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Objective: We applied a modified pharmacomechanical thrombolysis (PMT) technique to endovascular treatment of thrombosed arteriovenous (AV) grafts without the use of any mechanical thrombectomy devices. The aim of this study was to evaluate the efficacy of the PMT technique in the treatment of thrombosed AV grafts by analyzing the long-term patency. Materials and Methods: Eighty-two patients with thrombosed AV grafts were treated with the PMT technique. AV graft surveillance to detect failing/failed access was followed by endovascular treatment. Results: The technical and clinical success rates were 95% and 95%, respectively. The total number of thrombolysis sessions was 279. A post-intervention primary patency rate was 45% and 22% at 12 and 24 months, respectively. The secondary patency rate was 96% and 91% at 12 and 24 months, respectively. No major complications were noticed. Conclusion: The modified PMT technique is effective in endovascular treatment of thrombosed AV grafts.
DOI
10.3348/kjr.2012.13.3.300
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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