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Pulse-Spray Thrombolysis of Thrombosed Hemodialysis Grafts with Tissue Plasminogen Activator

Stanley G. Cooper1,2

1 Department of Radiology, St. Luke's-Roosevelt Hospital Center, 1000 Tenth Ave., New York, NY 10019.
2 ProHealth Care Associates, 2800 Marcus Ave., Lake Success, NY 11042.



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  		Fig. 1A. —45-year-old woman with thrombosed right upper arm arteriovenous graft. Digital spot image of right upper arm after placement of 15-cm infusion catheter in graft shows segment of catheter with side slits between markers.

 


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  		Fig. 1B. —45-year-old woman with thrombosed right upper arm arteriovenous graft. Digital spot image of graft after gentle injection of contrast material through infusion catheter shows filling defect throughout graft, representing thrombus.

 


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  		Fig. 1C. —45-year-old woman with thrombosed right upper arm arteriovenous graft. Digital subtraction angiogram of graft after thrombolysis shows reflux opacification of brachial artery.

 

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