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American Journal of Roentgenology, Vol 164, 823-829, Copyright © 1995 by American Roentgen Ray Society

ARTICLES

Transcatheter treatment of thrombosed hemodialysis access grafts

K Valji
Department of Radiology, University of California, San Diego Medical Center 92103-8756, USA.

Thrombosis of access grafts is a frequent problem for patients being treated with long-term hemodialysis. Transcatheter techniques have recently been used in the primary management of failed dialysis grafts. This article reviews current methods for transcatheter treatment. Several thrombolytic techniques are discussed, including pharmacologic, pharmacomechanical, and mechanical methods. Methods for treatment of underlying graft stenosis are considered. Complications associated with these procedures are reviewed. The percutaneous techniques are compared among themselves and with standard surgical procedures for graft revision. Finally, several evolving methods for prevention of dialysis graft thrombosis are considered.
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This article has been cited by other articles:


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C. T. Sofocleous, S. G. Cooper, I. Schur, R. I. Patel, A. Iqbal, and S. Walker
Retrospective Comparison of the Amplatz Thrombectomy Device with Modified Pulse-Spray Pharmacomechanical Thrombolysis in the Treatment of Thrombosed Hemodialysis Access Grafts
Radiology, November 1, 1999; 213(2): 561 - 567.
[Abstract] [Full Text]


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Copyright © 1995 by the American Roentgen Ray Society.