Endovascular management of thrombosed axillary artery to right atrium hemodialysis graft.

Clin Imaging

Department of Radiology, Boston University Medical Center, 820 Harrison Ave., FGH Building, 3rd Floor, Boston, MA 02118. Electronic address:

Published: June 2015

Purpose: To describe the salvage of a left axillary artery to right atrium hemodialysis graft using endovascular techniques.

Case Report: A 54-year-old man with multiple arteriovenous graft failures presented with a thrombosed left axillary artery to right atrium Gore-tex hemodialysis graft. The graft was salvaged using rheolytic catheter thrombectomy, mechanical thrombectomy, balloon angioplasty, and stenting.

Conclusions: This single case report suggests that when axillary to right atrium grafts fail, various endovascular techniques can be employed to salvage the graft and maintain dialysis access.

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http://dx.doi.org/10.1016/j.clinimag.2014.06.007DOI Listing

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