Abstract

Research Article

Haemostasis with suture-tourniquet technique following removal of large-bore venous sheaths for endovascular recanalization of acute thrombosis in native arteriovenous fistula

Omur Balli*

Published: 26 August, 2019 | Volume 3 - Issue 3 | Pages: 010-013.

Purpose: To investigate the suture-tourniquet technique for haemostasis in patients with acute thrombosis of native arteriovenous fistula (AVF) whom underwent manual aspiration thrombectomy using large-bore venous sheaths and high dose heparin.

Methods: Between January 2016 and May 2018, patients with acute AVF thrombosis performed successful manual aspiration thrombectomy by using large bore venous sheaths and high dose heparin were included in this retrospective study. Success rate for haemostasis, procedural complications clinical and imaging follow up was reported descriptively.

Results: A total of 52 patients with 64 procedures met the inclusion criteria. In 60(94%) of 64 procedures, successful haemostasis was achieved with suture-tourniquet technique. In 2(3.1%) of the 64 procedures, the suture broke while turning the tourniquet and haematoma occurred in another 3 procedures (4.7%) although suture-tourniquet technique was applied appropriately. Manual compression was performed in these patients. There were 3 major complications unrelated the suture-tourniquet technique.

Conclusion: The suture tourniquet technique can achieve haemostasis rapidly and can be safely used with low complication rates without fistulae thrombosis after large-bore venous sheath removal following treatment of AVF thrombosis.

Read Full Article HTML DOI: 10.29328/journal.jro.1001029 Cite this Article Read Full Article PDF

Keywords:

Arteriovenous fistula; Manual aspiration thrombectomy; Haemostasis; Purse-string suture; Suture-tourniquet; Large bore venous sheath

References

  1. O’Reilly MK, Ryan D, Sugrue G, Geoghegan T, Lawler LP, et al. Novel Use of a Pneumatic Compression Device for Haemostasis of Haemodialysis Fistula Access Catheterisation Sites. Cardiovasc Intervent Radiol. 2016; 39:1765-1769. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27491405
  2. Dariushnia SR, Walker TG, Silberzweig JE, Annamalai G, Krishnamurthy V, et al. Quality Improvement Guidelines for Percutaneous Image-Guided Management of the Thrombosed or Dysfunctional Dialysis Circuit. J Vasc Interv Radiol. 2016; 27: 1518-1530. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27622727
  3. Zaleski GX, Funaki B, Gentile L, Garofalo RS. Purse-string sutures and miniature tourniquet to achieve immediate hemostasis of percutaneous grafts and fistulas: A simple trick with a twist. Am J Roentgenol. 2000; 175: 1643-1645.
  4. Vorwerk D, Konner K, Schürmann K, Günther RW. A simple trick to facilitate bleeding control after percutaneous hemodialysis fistula and graft interventions. Cardiovasc. Intervent. Radiol. 1997; 20: 159-160. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9030511
  5. Heras M, Pedro García-Cosmes P, Fernández-Reyes MJ, Sánchez R. Evolución natural de la función renal en el anciano: análisis de factores de mal pronóstico asociados a la enfermedad renal crónica. NEfrología. 2013; 33: 462-469.
  6. Simons ME, Rajan DK, Clark TWI. The Woggle technique for suture closure of hemodialysis access catheterization sites. J Vasc Interv Radiol. 2003; 14: 485-488. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12682206
  7. Uflacker R, Rajagopalan PR, Vujic I, Stutley JE. Treatment of thrombosed dialysis access grafts: Randomized trial of surgical thrombectomy versus mechanical thrombectomy with the amplatz device. J Vasc Interv Radiol. 1996; 7: 185-192. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9007796
  8. Barzel E. Use of a simple compression dressing to obtain hemostasis after pharmacologic thrombolysis of dialysis grafts. J Vasc Interv Radiol. 1999; 10: 1039-1042. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10496705
  9. Clark TWI, Haji-Momenian S, Kwak A, Soulen MC, Stavropoulos SW, et al. Angiographic Changes following the Use of a Purse-String Suture Hemostasis Device in Hemodialysis Access Interventions. J Vasc Interv Radiol. 2009; 20: 61-65. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19019702
  10. Quencer KB, Friedman T. Declotting the Thrombosed Access. Tech Vasc Interv Radiol. 2017; 20: 38-47. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28279408
  11. Doerflinger DMC. Normal changes of aging and their impact on care of the older surgical patient. Thorac Surg Clin. 2009; 19: 289-299. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20066941

Similar Articles

Recently Viewed

  • Difference between conventional and modern methods for examination of fingerprints
    Ambati Ramesh Babu* Ambati Ramesh Babu*. Difference between conventional and modern methods for examination of fingerprints. J Forensic Sci Res. 2021: doi: 10.29328/journal.jfsr.1001025; 5: 037-040
  • Characterization and virulence determination of Colletotrichum kahawae isolates from Gidami, Western Ethiopia
    Zenebe W*, Daniel T and Weyessa G Zenebe W*,Daniel T,Weyessa G. Characterization and virulence determination of Colletotrichum kahawae isolates from Gidami, Western Ethiopia. J Plant Sci Phytopathol. 2021: doi: 10.29328/journal.jpsp.1001054; 5: 004-013
  • Statistical Mathematical Analysis of COVID-19 at World Level
    Marín-Machuca Olegario*, Carlos Enrique Chinchay-Barragán, Moro-Pisco José Francisco, Vargas-Ayala Jessica Blanca, Machuca-Mines José Ambrosio, María del Pilar Rojas-Rueda and Zambrano-Cabanillas Abel Walter Marín-Machuca Olegario*, Carlos Enrique Chinchay-Barragán, Moro-Pisco José Francisco, Vargas-Ayala Jessica Blanca, Machuca-Mines José Ambrosio, María del Pilar Rojas-Rueda, Zambrano-Cabanillas Abel Walter. Statistical Mathematical Analysis of COVID-19 at World Level. Int J Phys Res Appl. 2024: doi: 10.29328/journal.ijpra.1001082; 7: 040-047
  • Rida Herbal Bitters Improve Cardiovascular Function in High-fat Diet/Streptozotocin-induced Diabetic Rats
    Folasade Omobolanle Ajao*, Damilola Ayodeji Balogun, Marcus Olaoy Iyedupe, Ayobami Olagunju, Esther Oparinde, Luqman Adeniji and Victor Abulude and Funmilayo Elizabeth Olaleye Folasade Omobolanle Ajao*, Damilola Ayodeji Balogun, Marcus Olaoy Iyedupe, Ayobami Olagunju, Esther Oparinde, Luqman Adeniji, Victor Abulude and Funmilayo Elizabeth Olaleye. Rida Herbal Bitters Improve Cardiovascular Function in High-fat Diet/Streptozotocin-induced Diabetic Rats. J Cardiol Cardiovasc Med. 2024: doi: 10.29328/journal.jccm.1001177; 9: 044-051
  • Antibacterial Screening of Lippia origanoides Essential Oil on Gram-negative Bacteria
    Rodrigo Marcelino Zacarias de Andrade, Bernardina de Paixão Santos, Roberson Matteus Fernandes Silva, Mateus Gonçalves Silva*, Igor de Sousa Oliveira, Sávio Benvindo Ferreira and Rafaelle Cavalcante Lira Rodrigo Marcelino Zacarias de Andrade, Bernardina de Paixão Santos, Roberson Matteus Fernandes Silva, Mateus Gonçalves Silva*, Igor de Sousa Oliveira, Sávio Benvindo Ferreira, Rafaelle Cavalcante Lira. Antibacterial Screening of Lippia origanoides Essential Oil on Gram-negative Bacteria. Arch Pharm Pharma Sci. 2024: doi: 10.29328/journal.apps.1001053; 8: 024-028.

Read More

Most Viewed

Read More

Help ?