Salvage of autogenous dialysis access with balloon-assisted thrombin injection
© 2020 The Authors..
Arteriovenous fistulas are known to be one of the most enduring and safe hemodialysis access modalities. However, access preservation can be challenging in the setting of degeneration, including the development of complex pseudoaneurysms. Prolonged compression or thrombin injection can risk thrombosis of the fistula, and covered stent use can predispose the access to infection and other stent complications. We present a case in which endovascular balloon occlusion was used to facilitate the use of ultrasound-guided thrombin injection to resolve a dialysis access pseudoaneurysm by transiently reducing flow and preventing thromboembolism. This method is a safe, effective, and minimally invasive technique that should be considered for salvage of autogenous access compromised by pseudoaneurysm development.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:6 |
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Enthalten in: |
Journal of vascular surgery cases and innovative techniques - 6(2020), 4 vom: 10. Dez., Seite 686-689 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Lin, Mary S [VerfasserIn] |
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Links: |
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Themen: |
Balloon occlusion |
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Anmerkungen: |
Date Revised 10.12.2020 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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doi: |
10.1016/j.jvscit.2020.09.013 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM318602601 |
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520 | |a Arteriovenous fistulas are known to be one of the most enduring and safe hemodialysis access modalities. However, access preservation can be challenging in the setting of degeneration, including the development of complex pseudoaneurysms. Prolonged compression or thrombin injection can risk thrombosis of the fistula, and covered stent use can predispose the access to infection and other stent complications. We present a case in which endovascular balloon occlusion was used to facilitate the use of ultrasound-guided thrombin injection to resolve a dialysis access pseudoaneurysm by transiently reducing flow and preventing thromboembolism. This method is a safe, effective, and minimally invasive technique that should be considered for salvage of autogenous access compromised by pseudoaneurysm development | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Balloon occlusion | |
650 | 4 | |a Fistula | |
650 | 4 | |a Interventional | |
650 | 4 | |a Renal dialysis | |
650 | 4 | |a Thrombin | |
650 | 4 | |a Ultrasonography | |
700 | 1 | |a Drucker, Charles |e verfasserin |4 aut | |
700 | 1 | |a Tolaymat, Besher |e verfasserin |4 aut | |
700 | 1 | |a Jinwala, Felecia |e verfasserin |4 aut | |
700 | 1 | |a Nagarsheth, Khanjan |e verfasserin |4 aut | |
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