Case Series Utilizing a Novel Rotational Mechanical Thrombectomy Device for the Treatment of Thrombosed Arteriovenous Grafts in Thailand

Keerati Hongsakul; Thanakorn Phothong; Sorracha Rookkapan; Surasit Akkakrisee; Phurich Janjindamai; Boonprasit Kritpracha; Ussanee Boonsrirat; Pete Stibbs

doi:10.31584/jhsmr.20261340

Authors

Keerati Hongsakul Division of Body Interventional Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Thanakorn Phothong Division of Body Interventional Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Sorracha Rookkapan Division of Body Interventional Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Surasit Akkakrisee Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Phurich Janjindamai Division of Body Interventional Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Boonprasit Kritpracha Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Ussanee Boonsrirat Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Pete Stibbs Lakeland Vascular Institute, Lakeland, Florida 33805, United States of America.

DOI:

https://doi.org/10.31584/jhsmr.20261340

Keywords:

arteriovenous grafts, mechanical thrombectomy device, salvage, thrombosis

Abstract

Endovascular treatment of thrombosed hemodialysis access is a standard option for restoring flow. Standard treatments, including pharmacomechanical thrombolysis, mechanical thrombectomy, or a combination of therapies, have been commonly used. Mechanical thrombectomy is widely accepted for the treatment of thrombosed arteriovenous fistulas or grafts because the devices have been proven effective and easy to use. Hence, we present a case series of thrombosed hemodialysis grafts successfully salvaged with endovascular mechanical thrombectomy utilizing a rotational thrombectomy system.

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