Korean J Nephrol.
2004 Nov;23(6):1026-1030.
Arterial Embolism after Percutaneous Thrombolysis for the Treatment of Thrombosed Hemodialysis Graft
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- 2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Percutaneous thrombolysis with angioplasty is commonly used to treat thrombosed hemodialysis grafts. Arterial embolism is a rare but yet potentially serious complication. Here we report a case of symptomatic embolism of radial artery after percutaneous thrombolysis for the treatment of thrombosed graft in a hemodialysis patient. A 77-year old man was admitted because of numbness and coldness on the right hand and color change on the 4th of the right finger. He had been treated with percutaneous thrombolysis with angioplasty for the treatment of thrombosed graft 2 days before. Arteriograhy showed total occlusion of proximal radial artery. After intraarterial injection of urokinase and a subsequent angioplasty, the radial artery was recanalized and his symptom and sign had also been completely recovered.
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