Pulmonary embolism after thrombolysis of hemodialysis grafts

The aim of this study was to determine the incidence of pulmonary embolization occurring after mechanical or pharmacomechanical percutaneous intravascular thrombolysis in 23 patients with occluded hemodialysis grafts. In all patients, pulmonary perfusion scintigraphy was performed before and immedia...

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Bibliographic Details
Published in:Journal of the American Society of Nephrology 1997-09, Vol.8 (9), p.1458-1461
Main Authors: SMITS, H. F. M, VAN RIJK, P. P, VAN ISSELT, J. W, MALI, W. P. T. M, KOOMANS, H. A, BLANKESTIJN, P. J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Catheters, Indwelling - adverse effects
Chronic obstructive pulmonary disease, asthma
Female
Humans
Incidence
Lung - diagnostic imaging
Male
Medical sciences
Pneumology
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - epidemiology
Pulmonary Embolism - etiology
Radionuclide Imaging
Renal Dialysis - adverse effects
Risk Factors
Thrombolytic Therapy - adverse effects
Thrombolytic Therapy - methods
Thrombosis - etiology
Thrombosis - therapy
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Summary:The aim of this study was to determine the incidence of pulmonary embolization occurring after mechanical or pharmacomechanical percutaneous intravascular thrombolysis in 23 patients with occluded hemodialysis grafts. In all patients, pulmonary perfusion scintigraphy was performed before and immediately after thrombolysis. In eight (35%) of the patients, there was evidence of pulmonary embolism resulting from the interventional procedure; however, in only one was there clinical symptoms. It is concluded that there is substantial risk of pulmonary embolism in patients undergoing percutaneous intravascular thrombolysis for an occluded hemodialysis graft.
ISSN:1046-6673
1533-3450
DOI:10.1681/ASN.V891458