Thrombosed Dialysis Grafts: Percutaneous Mechanical Declotting Using a Central Venous Approach

Abstract

Julie M. Zaetta, M D ~ MANY percutaneous techniques Richard A. Baum, MD have been devised to declot thromZiv J Haskal, MD bosed hemodialysis access grafts Richard D. Shlansky(1-3). Recently, mechanical declotGoldberg, MD ting without the use of pulse-spray Michael C. Soulen, MD thrombolysis has been reported to be safe and as effective as previously described methods (4,5). The crossing catheter technique originally described can be awkward, results in exposure of the operators hands to the radiation beam. and