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Abstract

Purpose

To report a potential complication when using the Aspirex S rotational thrombectomy catheter.

Case Report

A 76-year-old woman with end-stage renal failure presented with left brachiocephalic arteriovenous fistula (BCAVF) dysfunction and subsequently underwent percutaneous thrombectomy using the Aspirex S catheter. During the course of the thrombectomy, device malfunction ultimately resulted in complete thrombosis of the cephalic outflow tract; eventually, a new right BCAVF had to be created.

Conclusion

There are possible complications when using the Aspirex S catheter in thrombectomy of dialysis accesses, and further experience with this thrombectomy device is needed to fully understand its potential and limitations.

Keywords

rotational thrombectomy device malfunction arteriovenous fistula hemodialysis access thrombosis

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References

Turmel-Rodrigues

. Dilatation and declotting of arteriovenous accesses. Ther Apher Dial. 2003;7:244–251.

Kakkos

Haddad

. Percutaneous rheolytic thrombectomy for thrombosed autogenous fistulae and prosthetic arteriovenous grafts: outcome after aggressive surveillance and endovascular management. J Endovasc Ther. 2008;15:91–102.

Schon

Mishler

. Salvage of occluded autologous arteriovenous fistulae. Am J Kidney Dis. 2000;36:804–810.

Schon

Mishler

. Pharmacomechanical thrombolysis of natural vein fistulas: reduced dose of TPA and long-term follow-up. Semin Dial. 2003;16:272–275.

Popovic

Bunc

. Massive pulmonary embolism: percutaneous emergency treatment using an Aspirex thrombectomy catheter. Cardiovasc Intervent Radiol. 2010;33:1052–1055.

Shi

Huang

Shen

. Percutaneous mechanical thrombectomy combined with catheter-directed thrombolysis in the treatment of symptomatic lower extremity deep venous thrombosis. Eur J Radiol. 2009;71:350–355.

Horsch

van Oostayen

Zeebregts

. The Rotarexr and Aspirexr mechanical thrombectomy devices. Surg Technol Int. 2009;18:185–192.

Yuki

Kan

Vinters

. The impact of thromboemboli histology on the performance of a mechanical thrombectomy device. AJNR Am J Neuroradiol. 2012;33:643–648

Aspirex S Catheter Malfunction During Arteriovenous Fistula Thrombectomy Secondary to a Jammed Helix-Guidewire Complex