Hybrid Technique for Management of Thrombosed Hemodialysis Autogenous Arteriovenous Fistulas
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- Category: Vol. 85, September 2017
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Hybrid Technique for Management of Thrombosed Hemodialysis Autogenous Arteriovenous Fistulas, MOHAMED SABRY, MOHAMED SHARKAWY, HESHAM MOSTAFA, AHMED SAMIR HOSNEY and MAHER A. MAHDY
Abstract
Purpose: For the successful treatment of thrombosed autogenous arteriovenous fistula (AVF), A hybrid technique in which endovascular combined with surgical thrombectomy was done.
Methods: In Thirty cases of thrombosed AVFs a hybrid procedure was performed. The procedure consisted of surgical thrombectomy and balloon angioplasty. Procedure related outcomes such as technical success rates and primary patency rates were analyzed, prospectively.
Results: Technical success rates 27 cases (92.5%) and primary patency rates (85.9%) at 6 months, 81.1% at 12 months, 81.1% at 18 and 24 months respectively.
Conclusion: Hybrid surgery for thrombosed autogenous arterivenous fistula is feasible with good technical success and patency rates.