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Endovascular treatment of surgically implanted arterial graft thrombosis by using manual aspiration thrombectomy

Hakan Önder1, Levent Oguzkurt, Ugur Özkan

  • 1Department of Radiology, Dicle University School of Medicine, Diyarbakır, Turkey. drhakanonder@hotmail.com

Diagnostic and Interventional Radiology (Ankara, Turkey)
|February 27, 2013
PubMed

Insights

Manual aspiration thrombectomy effectively treats occluded infra-aortic bypass grafts. This minimally invasive technique offers a safe alternative to surgery for graft thrombosis, achieving good patency rates.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Infra-aortic bypass graft thrombosis is a significant complication.
  • Delayed graft thrombosis often requires intervention.

Purpose of the Study:

  • To evaluate the use of guiding catheters in manual aspiration thrombectomy for occluded infra-aortic bypass grafts.
  • To assess the safety and efficacy of this technique.

Main Methods:

  • Retrospective review of six patients undergoing manual aspiration thrombectomy for infra-aortic bypass graft thrombosis (2002-2010).
  • Utilized guiding catheters for both guidance and thrombus aspiration.

Main Results:

  • Angiographic success (stenosis or residual thrombus <30%) was 67%.
  • Primary patency was 50%, and secondary patency was 66.7%.
  • Four lesions in three patients required additional stenting.

Conclusions:

  • Manual aspiration thrombectomy is a safe and effective method for treating delayed graft thrombosis.
  • It serves as a viable alternative to surgical thrombectomy, particularly for non-surgical candidates.

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