Introduction
Percutaneous mechanical thrombectomy has recently gained clinical popularity as a potential alternative to surgical thrombectomy or pharmacological thrombolysis in the setting of an acute thromboembolic vascular occlusion. In this aspect, we reviewed our preliminary results with rotational thrombectomy in the setting of acute dialysis-access graft occlusion of the upper extremity.
Patients and Methods
Between March, 2012 to January, 2015, 30 rotational thrombectomies were performed in a total of 22 patients (12 men; the mean age 53.3 ± 24 years) using the Rotarex catheter or Aspirex (Straub Rotarex, Straub Medical, Wangs, Switzerland) following obtaining informed consents for the treatment and the institutional review board approval for the study. Brachio-axillary arteriovenous (AV) PTFE graft occlusion within 3 centimeters distal to the anastomosis site in brachial end upon duplex ultrasound (the mean distance 4 ± 1 cm, range 2-6 centimeters) for less than 7 days underwent thrombectomy using a mechanical rotational catheter.
Patients and Methods
Between March, 2012 to January, 2015, 30 rotational thrombectomies were performed in a total of 22 patients (12 men; the mean age 53.3 ± 24 years) using the Rotarex catheter or Aspirex (Straub Rotarex, Straub Medical, Wangs, Switzerland) following obtaining informed consents for the treatment and the institutional review board approval for the study. Brachio-axillary arteriovenous (AV) PTFE graft occlusion within 3 centimeters distal to the anastomosis site in brachial end upon duplex ultrasound (the mean distance 4 ± 1 cm, range 2-6 centimeters) for less than 7 days underwent thrombectomy using a mechanical rotational catheter.
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