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Semin intervent Radiol 2019; 36(02): 091-096
DOI: 10.1055/s-0039-1688421
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Managing Arrow-Trerotola Percutaneous Thrombolytic Device Complications

Russell O. Simpson
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ron C. Gaba
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
2   Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Andrew J. Lipnik
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
2   Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
› Author Affiliations
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Publication History

Publication Date:
22 May 2019 (online)

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Abstract

Dialysis access interventions are frequently performed by interventional radiologists. Several commercially available percutaneous thrombolytic devices can help restore patency to thrombosed arteriovenous access circuits. The Arrow-Trerotola Percutaneous Thrombolytic Device is one such device, and has a long track record of safe and effective use. However, like any medical device, complications can occur during its use. This article describes three complications and associated management strategies utilizing fundamental interventional radiology techniques of balloon tamponade, stent placement, and snare mediated foreign body retrieval.

Keywords

dialysis interventions - venous rupture - foreign body retrieval - interventional radiology

Disclosure

R.O.S. and A.J.L. have nothing to disclose. R.C.G. received research funding from the Guerbet USA, the U.S. Department of Defense, and from the NIH.


 

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