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Related Experiment Video

Updated: May 12, 2026

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring
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Restoring Access in a Thrombosed Hemodialysis Reliable Outflow Graft Using the InThrill Thrombectomy System.

Rakesh Reddy Devireddy1, Osama Qaqi2,3

  • 1Internal Medicine, Garden City Hospital, Garden City, USA.

Cureus
|April 19, 2024
PubMed
Summary

The InThrill Thrombectomy System effectively removed thrombus from a thrombosed arteriovenous graft (AVG) in an end-stage renal disease (ESRD) patient. This efficient thrombectomy procedure restored brisk flow, highlighting a promising treatment for AVG thrombosis.

Keywords:
arteriovenous access for renal dialysisarteriovenous graftdialysis access thrombosishemodialysis accesshero graftmechanical thrombectomy (mt)vascular accessvascular access failure

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Arteriovenous grafts (AVGs) are crucial for hemodialysis in end-stage renal disease (ESRD) patients.
  • Vascular access thrombosis is a common complication, necessitating frequent interventions to maintain graft patency.

Observation:

  • A 47-year-old male with a completely occluded and heavily thrombosed HeRO graft presented after multiple failed thrombectomy attempts.
  • Previous interventions utilized Aspirex and Fogarty balloon catheters without sustained success.

Findings:

  • The InThrill Thrombectomy System successfully macerated and removed thrombus from the occluded AVG.
  • Post-procedure, balloon angioplasty reduced stenosis to <20%, restoring brisk graft flow.
  • The patient tolerated the procedure well, was discharged the same day, and the AVG remained patent at 14-day follow-up.

Implications:

  • The InThrill Thrombectomy System offers an efficient and easy-to-use solution for treating thrombosed AVGs in ESRD patients.
  • This device may reduce procedure times compared to thrombolytic-based treatments.
  • Successful thrombectomy can improve vascular access longevity and patient outcomes.