Endovascular thrombectomy versus open surgical thrombectomy for thrombosed arteriovenous hemodialysis graft

We report the clinical details, imaging findings and management of a 45-year-old man who presented with recurrent transient ischemic attacks due to carotid free floating thrombus. Free floating thrombus of the carotid artery is a very rare condition with a high risk of distal embolic shower. The optimal treatment options are debatable and include medical management, surgical thrombectomy and endovascular thrombectomy. We describe the use of a stentriever with filter protection in the management of carotid free floating thrombus as a novel treatment option.

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Incidence and Management of Arterial Emboli from Hemodialysis Graft Surgical Thrombectomy

Journal of Vascular and Interventional Radiology ◽

10.1016/s1051-0443(97)70608-0 ◽

1997 ◽

Vol 8 (4) ◽

pp. 557-562 ◽

Cited By ~ 30

Author(s):

Scott O. Trerotola ◽

Matthew S. Johnson ◽

Himanshu Shah ◽

Jan Namyslowski ◽

Ronald S. Filo

Keyword(s):

Surgical Thrombectomy ◽

Hemodialysis Graft

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Endovascular Thrombectomy of Septic Thrombophlebitis of the Inferior Vena Cava: Case Report and Review of the Literature

Vascular and Endovascular Surgery ◽

10.1177/1538574418779475 ◽

2018 ◽

Vol 52 (8) ◽

pp. 641-647 ◽

Cited By ~ 2

Author(s):

Tara Talaie ◽

Charles Drucker ◽

Brittany Aicher ◽

Ali Khalifeh ◽

Brajesh Lal ◽

...

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Review Of The Literature ◽

Septic Thrombophlebitis ◽

Renal Veins ◽

Traditional Management ◽

Endovascular Thrombectomy ◽

Surgical Thrombectomy ◽

Venous Segment

We describe the cases of 2 patients who had septic thrombophlebitis and were successfully managed with endovascular thrombectomy. Patient A developed septic thrombophlebitis of the inferior vena cava after several retroperitoneal resections for metastatic renal cell carcinoma. The thrombus was successfully removed via endovascular mechanical balloon thrombectomy. Patient B was a patient with pancreatic adenocarcinoma involving the portal vein who developed a septic inferior vena cava thrombus extending from the level and beyond the renal veins, for which she underwent endovascular thrombectomy. We argue that this approach is safe and feasible. It should be considered as a supplemental treatment modality for select decompensating patients who require lifesaving interventions and have contraindications to traditional management of surgical thrombectomy or excision of the involved venous segment.

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Comparative outcome of patch angioplasty versus balloon angioplasty after surgical thrombectomy of thrombosed arteriovenous hemodialysis graft: 18-month results

The Egyptian Journal of Surgery ◽

10.4103/ejs.ejs_126_19 ◽

2020 ◽

Vol 39 (1) ◽

pp. 60

Author(s):

AhmedK Allam ◽

AtefA.H Desouki ◽

AbdE Mohammed

Keyword(s):

Balloon Angioplasty ◽

Patch Angioplasty ◽

Surgical Thrombectomy ◽

Hemodialysis Graft

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Phlegmasia cerulea dolens – an uncommon but alarming manifestation of deep vein thrombosis

VASA ◽

10.1024/0301-1526/a000894 ◽

2020 ◽

Vol 49 (5) ◽

pp. 422-426

Author(s):

Manuela Nickler ◽

Sebastian Haubitz ◽

Adriana Méndez ◽

Martin Gissler ◽

Peter Stierli ◽

...

Keyword(s):

Clinical Presentation ◽

Treatment Options ◽

Bleeding Risk ◽

Venous Intervention ◽

Aggressive Treatment ◽

Vein Thrombosis ◽

Prompt Treatment ◽

Surgical Thrombectomy ◽

Deep Vein ◽

Phlegmasia Cerulea Dolens

Summary: In phlegmasia cerulea dolens (PCD), immediate diagnosis and prompt treatment is crucial for limb salvage. Aggressive treatment options including venous intervention, thrombolysis and/or surgical thrombectomy should be considered. Due to the lack of data, the most appropriate intervention depends upon etiology of PCD, clinical presentation and patient’s bleeding risk.

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