Use of the percutaneous thrombolytic device for the treatment of thrombosed pseudoaneurysms during mechanical thrombectomy of hemodialysis grafts.

This article describes a method to remove thrombus from pseudoaneurysms associated with hemodialysis grafts during a percutaneous mechanical thrombectomy procedure. This effective and easily performed technique involves manual compression of the pseudoaneurysm during activation of the Arrow Percutaneous Thrombolytic Device. The authors describe their clinical experience with use of this technique to treat 18 patients during percutaneous mechanical thrombectomy procedures. In addition, the development, morphology, and management of hemodialysis graft-related pseudoaneurysms are discussed.