Acute pulmonary embolism and cardiac arrest are rare complications of graft declotting interventions. This case report describes a successful serendipitous thrombolysis of a thrombosed arteriovenous graft during cardiopulmonary resuscitation and treatment of suspected pulmonary embolism in a 72-year-old male patient.
LokCEHuberTSLeeT, et al.; National Kidney Foundation. KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis2020; 75(4Suppl 2): S1–S164.
2.
SchmidliJWidmerMKBasileC, et al. Editor’s choice – vascular access: 2018 clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg2018; 55: 757–818.
3.
KoesteringHMietzschGWiggerW, et al. Thrombolyse zur Beseitigung thrombotischer Verschlüsse beim Cimino-Shunt bei Hämodialysepatienten [Thrombolysis for the removal of thrombotic obliteration of the Cimino shunt in hemodialysis patients]. Med Klin1972; 67(27): 945–948. (in German)
4.
GoldbergJPContigugliaSRMishellJL, et al. Intravenous streptokinase for thrombolysis of occluded arteriovenous access: its use in patients undergoing hemodialysis. Arch Intern Med1985; 145(8): 1405–1408.
5.
LorenteJAPintoJLiañoF, et al. Thrombosed internal hemodialysis access fistula: success of systemic fibrinolytic treatment. Nephron1991; 59(2): 349–350.
6.
Matuszkiewicz-RowińskaJBillip-TomeckaZRowińskiW, et al. Systemic streptokinase infusion for declotting of hemodialysis arteriovenous fistulas. Nephron1994; 66(1): 67–70.
7.
WanZXiangRWangH, et al. Comparative efficacy and safety of local and peripheral venous thrombolytic therapy with urokinase for thrombosed hemodialysis arteriovenous fistulas. Exp Ther Med2019; 17(5): 4279–4284.
8.
WengFLBernsJS.Complications of percutaneous treatment of thrombosed hemodialysis access grafts. Semin Dial2003; 16(3): 257–262.
9.
ShahAAnsariNHamadehZ.Cardiac arrest secondary to bilateral pulmonary emboli following arteriovenous fistula thrombectomy: a case report with review of the literature. Case Rep Nephrol2012; 2012: 831726.
10.
SwanTLSmythSHRuffenachSJ, et al. Pulmonary embolism following hemodialysis access thrombolysis/thrombectomy. J Vasc Interv Radiol1995; 6(5): 683–686.