Hemodialysis international. International Symposium on Home Hemodialysis · 2026
Utility of the SWAM (Separator With Aspirator for Mechanical Thrombectomy) Device in Managing Hemodialysis Access Thrombosis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Lin, Zhang Zhongwang, Wang Hongjie, Zhu Mingdi, Wang Kun, Liu Zheng
Аннотация
BACKGROUND: Hemodialysis access thrombosis is the primary cause of access failure. Thrombus removal is an effective strategy to restore access function. Although both open surgical and endovascular procedures enable thrombus clearance, endovascular thrombus reduction therapy is widely adopted in clinical practice for this condition due to its minimally invasive and effective properties.
METHODS: We describe a novel separator-assisted catheter thrombectomy technique for the management of hemodialysis access thrombosis. In this procedure, a large-bore catheter is used for negative-pressure thrombus aspiration, with an embolus separator concurrently utilized to disrupt intraluminal thrombus and maintain catheter patency during aspiration.
RESULTS: This approach effectively enhances thrombus clearance efficiency and shortens procedural time. In our reported thrombectomy cases involving arteriovenous fistula (AV fistula), arteriovenous graft (AV graft), and central venous catheters, the SWAM (Separator With Aspirator for Mechanical Thrombectomy) technique achieved favorable therapeutic efficacy for acute thrombus and, to a certain extent, for chronic thrombus.
CONCLUSION: This technique provides a novel therapeutic alternative for the management of hemodialysis access thrombosis.
METHODS: We describe a novel separator-assisted catheter thrombectomy technique for the management of hemodialysis access thrombosis. In this procedure, a large-bore catheter is used for negative-pressure thrombus aspiration, with an embolus separator concurrently utilized to disrupt intraluminal thrombus and maintain catheter patency during aspiration.
RESULTS: This approach effectively enhances thrombus clearance efficiency and shortens procedural time. In our reported thrombectomy cases involving arteriovenous fistula (AV fistula), arteriovenous graft (AV graft), and central venous catheters, the SWAM (Separator With Aspirator for Mechanical Thrombectomy) technique achieved favorable therapeutic efficacy for acute thrombus and, to a certain extent, for chronic thrombus.
CONCLUSION: This technique provides a novel therapeutic alternative for the management of hemodialysis access thrombosis.