Local thrombolysis and thromboaspiration in the treatment of acutely thrombosed arteriovenous hemodialysis fistulas
- 1 March 1991
- journal article
- Published by Springer Nature in CardioVascular and Interventional Radiology
- Vol. 14 (2) , 98-101
- https://doi.org/10.1007/bf02577703
Abstract
Sixty-four thrombosed hemodialysis fistulas in 55 patients were treated by local low-dose infusion of urokinase, percutaneous angioplasty, and thromboaspiration. Lysis was initially successful in 38 cases (59%) without any negative side effects. At 1 year, 59% of these fistulas were still functional. When the procedures failed, surgery saved the vascular access in 17 cases. Local fibrinolysis combined with thromboaspiration and angioplasty provides a clinically useful means of access preservation.Keywords
This publication has 15 references indexed in Scilit:
- Techniques for Insertion and Management of ComplicationsAnnals of Surgery, 1987
- The Role of Thrombolysis in Hemodialysis Access OcclusionAmerican Journal of Kidney Diseases, 1987
- Thrombosed dialysis grafts: efficacy of intrathrombic deposition of concentrated urokinase, clot maceration, and angioplastyAmerican Journal of Roentgenology, 1987
- Intravenous Streptokinase for Thrombolysis of Occluded Arteriovenous AccessArchives of internal medicine (1960), 1985
- Vascular Access for Hemodialysis Patency Rates and Results of RevisionAnnals of Surgery, 1985
- Low-dose streptokinase for selective thrombolysis: systemic effects and complications.Radiology, 1984
- Urokinase Treatment for Arteriovenous Fistulae Declotting in Dialyzed PatientsNephron, 1984
- Streptokinase and transluminal angioplasty in the treatment of acutely thrombosed hemodialysis access fistulas.Radiology, 1983
- Vascular Access: Long-term Results, New TechniquesArchives of Surgery, 1979
- Nine years' experience with internal arteriovenous fistulas for haemodialysis: A study of some factors influencing the resultsBritish Journal of Surgery, 1977