Successful endovascular treatment of a hemodialysis graft pseudoaneurysm by covered stent and direct percutaneous thrombin injection.
AffiliationDepartment of Academic Radiology, Beaumont Hospital, Dublin, Ireland, United Kingdom.
Blood Vessel Prosthesis
Combined Modality Therapy
Vascular Surgical Procedures
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CitationSuccessful endovascular treatment of a hemodialysis graft pseudoaneurysm by covered stent and direct percutaneous thrombin injection., 21 (6):553-6 Semin Dial
JournalSeminars in dialysis
AbstractVascular access for hemodialysis remains a challenge for nephrologists, vascular surgeons, and interventional radiologists alike. Arteriovenous fistula and synthetic grafts remain the access of choice for long-term hemodialysis; however, they are subject to complications from infection and repeated needle cannulation. Pseudoaneurysms are an increasingly recognized adverse event. At present, there are many minimally invasive methods to repair these wall defects. We present a graft pseudoaneurysm, which required a combination of endovascular stent graft placement and percutaneous thrombin injection for successful occlusion.