Successful treatment of delayed aortobifemoral graft thrombosis with manual aspiration thrombectomy

Önder, Hakan; Oğuzkurt, Levent; Tekbaş, Güven; Gür, Serkan; Gedikoglu, Murat

doi:10.4261/1305-3825.dir.4302-11.1

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…The aspiration thrombectomy method is a cheap and simple method (22,23). This method has been successfully used in arterial and graft occlusions (24,25). This method also decreases post-thrombotic morbidity and improves quality of life (19,26).…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment and long-term results of postpartum deep vein thrombosis in 18 patients

Demïrtürk

Oğuzkurt²,

Çoşkun³

et al. 2012

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

Endovascular treatment and long-term results of postpartum deep vein thrombosis in 18 patients

Demïrtürk

Oğuzkurt²,

Çoşkun³

et al. 2012

Diagn Interv Radiol

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“…Kidney transplantation on prosthetic vascular grafts was described first by Sterioff in 1974 [ 1 ], although it is not a frequent procedure nowadays according to case series (0.2–1.7% of renal transplants) [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thrombosis of an aortobifemoral bypass (ABFB) graft is a common complication that may occur in about 10–15% of the cases within the first five years after surgery [ 1 ]. Moreover, when a renal allograft artery is implanted on a vascular prosthesis there is a higher risk of thrombosis and subsequent graft loss [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Preserved Renal Function in Kidney Transplantation over a Thrombosed Aortobifemoral Bypass Graft: The Role of Retrograde Flow and Early Thrombolysis

Pampa-Saico

Jiménez-Álvaro

Caravaca-Fontán

et al. 2016

Case Reports in Transplantation

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Aortobifemoral bypass (ABFB) thrombosis is not uncommon, and when the artery of a renal graft is implanted on a bypass the risk of graft loss is high. We report the case of a 48-year-old woman with a previous history of ABFB under antiplatelet therapy and a kidney allograft implanted on the vascular prosthesis, who presented with acute limb ischemia and severe renal impairment. Imaging techniques revealed a complete thrombosis of the proximal left arm of the ABFB. However, a faint retrograde flow over the graft was observed thanks to the recanalization of distal left bypass by collateral native arteries. This unusual situation not previously reported in a kidney transplant setting, together with an early diagnosis, allowed graft survival until an early local thrombolysis resolved the problem. Two years later, renal function remains normal.

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“…Deployment of Balloon-expandable StentsAngiography showed two patent crural vessels with peripheral spasm in the peroneal artery.Excessive Aortoiliac Thrombotic Obliteration bypass, which are associated with relatively high perioperative morbidity and mortality [3][4]. Moreover, the invasiveness and risk of possible thrombotic embolisation in other vascular territories as a result of clamping of the aorta and manipulations during vessel exposure remain remarkable limitations 1.…”

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confidence: 99%

Combined Less-invasive Surgical and Endovascular Technique to Minimise Operative Trauma and Treat Excessive Aortoiliac Thrombotic Obliteration with Popliteo-crural Involvement and Acute Limb Ischaemia

Taneva

Karaolanis

Pipitone

et al. 2019

Vascular and Endovascular Review

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This article demonstrates a less-invasive combined surgical and endovascular alternative approach in a case in which an excessive thrombotic formation in the infrarenal aorta caused occlusion of the iliac artery and the ipsilateral crural arteries. A 51-year-old man was admitted to the authors’ hospital with symptomatology of acute lower limb ischaemia. He had undergone endovascular treatment with placement of kissing stents in the common iliac arteries 2 years previously. A CT angiography scan revealed an extensive thrombus formation in the entire infrarenal aorta occluding the distal infrarenal aorta, the iliac artery and the crural arteries. He underwent a hybrid approach, with exposure of only the right common femoral artery and over-the-wire embolectomy of the infrarenal aorta and the iliac artery, and after the restoration of the inflow, an embolectomy of the peripheral vessels was carried out. To cover the residual aortic thrombus and to restore the severe in-stent restenosis of the previously deployed bare stents, three covered balloon-expandable stents were deployed in kissing technique. The patient was discharged on the fourth postoperative day with palpable peripheral pulses. Combined surgical and endovascular techniques minimise the operative trauma and length of hospital stay for the patient, successfully restoring the perfusion in a physiological manner.

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Successful treatment of delayed aortobifemoral graft thrombosis with manual aspiration thrombectomy

Cited by 4 publications

References 9 publications

Endovascular treatment and long-term results of postpartum deep vein thrombosis in 18 patients

Endovascular treatment and long-term results of postpartum deep vein thrombosis in 18 patients

Preserved Renal Function in Kidney Transplantation over a Thrombosed Aortobifemoral Bypass Graft: The Role of Retrograde Flow and Early Thrombolysis

Combined Less-invasive Surgical and Endovascular Technique to Minimise Operative Trauma and Treat Excessive Aortoiliac Thrombotic Obliteration with Popliteo-crural Involvement and Acute Limb Ischaemia

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