The Salvage of Graft Occlusion in a Maintenace Hemodialysis Patient with Tuberous Sclerosis by Percutaneous Transluminal Angioplasty using Intravascular Ultrasound: Case Report

Authors: Higuchi, Terumi; Abe, Masanori; Okada, Kazuyoshi; Nakajima, Yoshiko; Ohnishi, Yoshihiko; Hagi, Chihiro; Fukuda, Noboru; Kuno, Tsutomu; Takahashi, Susumu; Saito, Satoshi; Nagura, Yuji; Matsumoto, Koichi

Source: Therapeutic Apheresis and Dialysis, Volume 8, Number 2, April 2004 , pp. 164-167(4)

Publisher: Wiley-Blackwell

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Abstract:

End-stage renal failure due to tuberous sclerosis is rare and there is no previous report of a patient with tuberous sclerosis undergoing long-term hemodialysis for over 18 years. The patency rate for a dialysis prosthetic graft is low, however, our patient's graft survived over 16 years. For thrombotic occlusion of a graft, we performed percutaneous thrombectomy and balloon angioplasty and salvaged graft occlusion. Moreover, this case is the first report in which the interventional procedure (mechanical thrombectomy and balloon angioplasty) could be observed by intravascular ultrasound in addition to angiography.

Keywords: Intravascular ultrasound imaging; Long-term hemodialysis; Percutaneous hydromechanical thrombectomy; Prosthetic graft; Tuberous sclerosis

Document Type: Case report

DOI: http://dx.doi.org/10.1111/j.1526-0968.2003.00123.x

Affiliations: 1: Institution, Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan

Publication date: 2004-04-01