Outcomes of AngioJet® Thrombectomy in Hemodialysis Vascular Access Grafts and Fistulas: Pearl I Registry

Simoni, Eugene J.; Blitz, Lawrence R.; Lookstein, R.

doi:10.5301/jva.5000102

Cited by 20 publications

(41 citation statements)

References 12 publications

(18 reference statements)

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“…All interventions in hemodialysis patients should be planned and executed with the aim to preserve an individual patient's finite usable arterial and venous segments (access sites) for establishing future arteriovenous accesses. A number of percutaneous image-guided interventions are used in the management of dysfunctional hemodialysis access (AVG and AVF), including pharmacologic thrombolysis, mechanical thrombectomy, balloon angioplasty, stent or stent graft placement, or a combination of these methods (10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

Dariushnia

Walker

Silberzweig

et al. 2016

Journal of Vascular and Interventional Radiology

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AR = access recirculation, AVF = arteriovenous fistula, AVG = arteriovenous graft, DHIS = distal hypoperfusion ischemia syndrome, KDOQI = Kidney Disease Outcomes Quality Initiative, NKF = National Kidney Foundation, Qa = blood access flow rate PREAMBLE The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and the academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid broad expert constituency of the subject matter under consideration for standards production. Technical documents specifying the exact consensus and literature review methodologies as well as the institutional affiliations and professional credentials of the authors of this document are available upon request from SIR, 3975 Fair Ridge Dr, Ste 400 North, Fairfax, VA 22033. METHODOLOGY SIR produces its Standards of Practice documents using the following process. Standards documents of relevance and timeliness are conceptualized by the Standards of Practice Committee members. A recognized expert is identified to serve as the principal author for the standard. Additional authors may be assigned depending on the magnitude of the project. An in-depth literature search is performed using electronic medical literature databases. Then a critical review of peer-reviewed articles is performed with regard to the study methodology, results, and conclusions. The qualitative weight of these articles is assembled into an evidence table, which is used to write the document such that it contains evidence-based data with respect to content, rates, and thresholds. When the evidence of literature is weak, conflicting, or contradictory, consensus for the parameter is reached by a minimum of 12 Standards of Practice Committee members using a Modified Delphi Consensus Method (Appendix A). For purposes of these documents, consensus is defined as 80% Delphi participant agreement on a value or parameter. The draft document is critically reviewed by the Revisions Subcommittee members of the Standards of Practice Committee, either by telephone conference calling or by face-to-face meeting. The finalized draft from the Committee is sent to the SIR membership for further input or criticism during a 30-day comment period. These comments are discussed by the Subcommittee, and appropriate revisions are made to create the finished standards document. Before its publication, the document is endorsed by the SIR Executive Council.

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Section: Introductionmentioning

confidence: 99%

“…Clinical Success and Patency Rates for Management with Pharmacologic Thrombolysis or Mechanical Thrombectomy(10)(11)(12)51,(139)(140)(141)(142)(143)(144)(145)(146)(147)(148)(149)(150)(151)(152)(153)(154) …”

mentioning

confidence: 99%

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

Dariushnia

Walker

Silberzweig

et al. 2016

Journal of Vascular and Interventional Radiology

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“…The outcomes might be hampered by the use of an older AngioJet™ system with lower power and lacking a standardized treatment protocol and expertise. More recent studies, including ours, were conducted with the newer, more powerful, AngioJet™ AVX system and show improved results, reporting clinical success rates of up to 97% …”

Section: Discussionmentioning

confidence: 85%

“…Endovascular mechanical thrombectomy using the AngioJet™ Peripheral Thrombectomy system (Boston Scientific, Natick, MA) can be deemed an effective technique, as described in a large multicenter registry for treatment of deep vein thrombosis . Experience with this system in occluded vascular access is relatively limited though, especially in native AVF, with varying clinical success and patency rates . Moreover, the quality of the evidence fluctuates …”

Section: Introductionmentioning

confidence: 99%

“…6 Experience with this system in occluded vascular access is relatively limited though, especially in native AVF, with varying clinical success and patency rates. [2][3][4][7][8][9][10][11][12] Moreover, the quality of the evidence fluctuates. 13 The aim of this study was to review our 8-year experience in endovascular mechanical thrombectomy using the AngioJet™ system in patients with AVF and AVG, and to determine whether this can be deemed an effective technique.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes after endovascular mechanical thrombectomy in occluded vascular access used for dialysis purposes

Drouven

Bruin

Roon

et al. 2020

Cathet Cardio Intervent

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Purpose Endovascular mechanical thrombectomy using the AngioJet™ system can be considered to reestablish patency in occluded vascular access. The aim of this study was to review our results for endovascular mechanical thrombectomy using the AngioJet™ system in patients with arteriovenous fistulae (AVF) and arteriovenous grafts (AVG). Methods Data collected in a database of patients requiring hemodialysis for renal failure were analyzed. Patients who underwent endovascular mechanical thrombectomy procedures with the AngioJet™ system for occlusion of vascular access were included. Clinical and technical success rates and patency rates were calculated. Multivariate analysis was used to identify factors of influence. Results A total of 92 AngioJet™ procedures in 60 patients with thrombosed vascular access were reviewed during a mean follow‐up period of 21.5 months in patients with an AVF and 11.9 months in patients with an AVG. Technical and clinical success was achieved in 92.6% of AVF cases and 92.0 and 90.8% of AVG cases with an AVG, respectively. Significantly higher primary and primary‐assisted patency rates were observed in the AVF group. Multivariate regression analysis indicated that left‐sided vascular access and female sex were independent predictors for failure regarding primary patency in AVG patients. Immunosuppressive drugs and older age were negative predictors for secondary patency in AVG patients. Conclusions The AngioJet™ system can be deemed an effective technique to reestablish patency in occluded vascular access with minimal use of central venous catheters for dialysis. Good technical and clinical success rates were achieved with acceptable patency rates, especially in AVF patients.

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Approach to a Patient with Non-maturing AV Fistula

Boubes

Haddad

Agarwal

2021

Interventional Nephrology

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Outcomes of AngioJet® Thrombectomy in Hemodialysis Vascular Access Grafts and Fistulas: Pearl I Registry

Cited by 20 publications

References 12 publications

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit

Outcomes after endovascular mechanical thrombectomy in occluded vascular access used for dialysis purposes

Approach to a Patient with Non-maturing AV Fistula

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