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Percutaneous Declotting of Virgin Femoral Hemodialysis Grafts

Ryan M. Peirce, Brian Funaki, Thuong G. Van Ha and Jonathan M. Lorenz

Department of Radiology, University of Chicago, 5841 S Maryland Ave., Chicago, IL 60637.



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Fig. 1A 27-year-old man with right polytetrafluoroethylene femoral dialysis graft placed 7 months earlier presented for pharmacomechanical declotting of clotted graft Digital subtracted angiograph reveals stenosis of femoral graft at venous anastomosis site.

 


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Fig. 1B 27-year-old man with right polytetrafluoroethylene femoral dialysis graft placed 7 months earlier presented for pharmacomechanical declotting of clotted graft Percutaneous angioplasty was performed at site of stenosis.

 


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Fig. 1C 27-year-old man with right polytetrafluoroethylene femoral dialysis graft placed 7 months earlier presented for pharmacomechanical declotting of clotted graft Postprocedural digital subtracted angiograph reveals wide patency at venous anastomosis.

 


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Fig. 2 Graph shows life table analysis of percutaneous declotting procedures in 29 synthetic femoral dialysis grafts. {diamondsuit} = primary patency; {blacksquare} = secondary patency.

 

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