Tarun Grover
Current Position
Executive, Vascular Society of IndiaExecutive, Venous association of India
Indian Councillor for Asian vascular Society
Indian Councillor for Asian Venous Forum
Editorial Board, Annals of Vascular Diseases
Editorial Board, Indian Journal of Vascular and Endovascular Surgery Journal of Indonesian Society for Vascular and Endovascular Surgery
Access Session

Topic: Endovascular mechanical thrombectomy in occluded AV Grafts, An Indian Experience


Aim :
Endovascular mechanical thrombectomy using the AngioJet™ system and Penumbra can be successfully used to reestablish patency in occluded Av Grafts for Dialysis Access . The Purpose of this study was to review our results for endovascular mechanical thrombectomy in patients presenting with Acute Occlusion of grafts (AVG).
A retrospective Analysis of patients requiring hemodialysis for renal failure were analyzed from the electronic records of the Hospital over the period of last 3 years. Patients who underwent endovascular mechanical thrombectomy procedures with the AngioJet™ or PENUMBRA system for occlusion of vascular access ( AVG ) were included in the study. Clinical and technical success rates and patency rates were calculated.
A total of 22 patients with thrombosed vascular access were reviewed during a mean follow-up period of 28 months in patients with an AVG. Technical and clinical success was achieved in 92.6% AVG cases respectively.
Mechanical thrombectomy with balloon angioplasty / Stenting as anadjuvant is a minimally invasive and effective procedure for the treatment of thrombosed native arteriovenous fistula. Advantages of this technique are minor complication rates, cost effectiveness, high technical success rate.