Dialysis & Renal Transplantation | Hemodynamics, Vascular Biology & Hypertension Secondary to Kidney Disease | Renal & Gastrointestinal Problems in Critical Care
Endovascular recanalisation of an acute distal AVF thrombosis with EKOS ®
Laura Buzzi*, Elena Alberghini, Francesca Ferrario, Ivano Baragetti, Gaia Santagostino, Silvia Furiani, Enzo Corghi, Cristina Sarcina, Francesco Rastelli, Veronica Terraneo, Giuseppe Bacchini, Claudio Pozzi
*Corresponding author: Laura Buzzi
Nephrology and Dialysis Department, Bassini Hospital, Milan, Italy
F1000Posters 2012, 3: 768 (poster) [English]
Poster [838.08 KB]
49th Congress of the European Renal Association and European Dialysis and Transplant Association 2012, 24 - 27 May 2012, P000
A 61 years old woman on hemodialysis by a left radio-cephalic arteriovenous fistula (AVF) presented a left cephalic vein thrombosis involving a venous tract of about 20 cm of length including two aneurysmal dilatations 7 and 18 cm from the arteriovenous anastomosis (AV) respectively.
Thrombosis extension prevented us from performing mechanical thrombolysis or surgical trombectomy and induced us to use endovascular treatment with ultrasonic (US) energy combined with thrombolitic infusion deep into the clots. No description about this treatment option performed on AVF was reported in literature.
EKOS ® system permitted a rapid resolution of vein thrombosis, restoring the patency of the forearm superficial venous circle without any injury and allowing an immediate use of AVF for dialysis. Moreover, this system allowed a reduction of thrombolitic agent dose, lowering the incidence of bleeding complications.
No relevant competing interests disclosed.
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