Management of arteriovenous graft thrombosis part 2

Juxta-anastomotic stenosis most common. Photo courtesy of L. Spergel, MD.

Juxta-anastomotic stenosis most common. Photo courtesy of L. Spergel, MD.

 

Surgical thrombectomy

Surgical thrombectomy is performed with a thrombectomy catheter. On-table angiography should be performed after completion of the arterial and venous limbs of the graft. This should visualize the central venous outflow as well as the graft, It is required to exclude residual thrombi and define the cause of thrombosis. Identification and simultaneous correction of the underlying stenosis are integral parts of any surgical or interventional declotting procedure.

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