Management of arteriovenous graft thrombosis part 3

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

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

 

Interventional thrombolysis

Prosthetic graft thrombosis can be treated with various percutaneous techniques and tools, including combinations of thromboaspiration, use of thrombolytic agents such as tissue plasminogen activator (tPA), mechanical thrombectomy  and mechanical thrombectomy devices. Independent of the applied technique it is important to perform thrombolysis as soon as possible to avoid the need for a central venous  catheter and as an outpatient procedure to decrease costs, whenever possible. Post procedural angiography to detect and correct inflow, intra-access or venous outflow stenosis is mandatory.

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