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10.5152/dir.2015.15158 http://scihub22266oqcxt.onion/10.5152/dir.2015.15158 C4859742!4859742!27015445     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27015445&cmd=llinks): Failed to open stream: HTTP request failed! 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Initial clinical use of a novel mechanical thrombectomy device, XCOIL?, in hemodialysis graft and fistula declot procedures |pdf=|usr=}}{{27015445}} gab.com Text Initial clinical use of a novel mechanical thrombectomy device, XCOIL , in hemodialysis graft and fistula declot procedures JO: Diagn Interv Radiol http://www.kidney.de/pget.php?&tw=1&pmid=27015445 #FOAvip PURPOSE: We aimed to evaluate the safety and effectiveness of a novel catheter-based mechanical thrombectomy device, XCOIL?, as a first line therapy to restore patency of thrombosed dialysis grafts and fistulae. METHODS: In 2010, 18 consecutive/sequential patients (11 male, 7 female; median age, 52 years; age range, 32?69 years) with occluded arteriovenous grafts (n=15) or fistulae (n=3) were treated with XCOIL? (NexGen Medical Systems Inc.) without adjunctive thrombolytic drugs. XCOIL? was advanced distal to the thrombus within the outflow vein as well as distal to the arterial inflow platelet thrombin plug, using a 4F angiographic catheter. The percentage of thrombus cleared, primary patency, procedure time, and XCOIL? performance were documented. RESULTS: Thrombosis occurred 1?30 days prior to the procedure. Thrombosed segments of graft/fistula measured 10?50 cm. Pre- and postprocedure angiography demonstrated that in 15 of 18 cases (83%) XCOIL? removed 80%?100% of the venous outflow thrombus. In 11 of 14 cases (79%), the platelet thrombin plug was also removed. Thrombectomy procedure time averaged 8 min, with one to three passes with the XCOIL? required. No evidence of distal embolization or graft/vessel injury was found on angiography following clot removal. In four cases in whom patency was not restored with XCOIL?, subsequent use of other clot removal devices also failed to restore patency. In one case with severe venous stenosis, the device failed to deploy and the thrombus was not captured. No intraprocedural complications related to XCOIL? use occurred. CONCLUSION: XCOIL? is an effective and safe first-line therapy option for the treatment of thrombosed hemodialysis grafts/fistulae. Rapid removal of intact thrombus and platelet thrombin plug can be achieved without adjunctive thrombolytics. Twit Text FOAVip Initial clinical use of a novel mechanical thrombectomy device, XCOIL , in hemodialysis graft and fistula declot procedures ????Diagn Interv Radiol http://www.kidney.de/pget.php?&tw=1&pmid=27015445 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27015445 #FOAvip English Wikipedia <ref>{{Cite pmid|27015445}}</ref> Initial clinical use of a novel mechanical thrombectomy device, XCOIL?, in hemodialysis graft and fistula declot procedures #MMPMID27015445 Monsky WL; Latchaw RE Diagn Interv Radiol 2016[May]; 22 (3): 257-62 PMID27015445show ga PURPOSE: We aimed to evaluate the safety and effectiveness of a novel catheter-based mechanical thrombectomy device, XCOIL?, as a first line therapy to restore patency of thrombosed dialysis grafts and fistulae. METHODS: In 2010, 18 consecutive/sequential patients (11 male, 7 female; median age, 52 years; age range, 32?69 years) with occluded arteriovenous grafts (n=15) or fistulae (n=3) were treated with XCOIL? (NexGen Medical Systems Inc.) without adjunctive thrombolytic drugs. XCOIL? was advanced distal to the thrombus within the outflow vein as well as distal to the arterial inflow platelet thrombin plug, using a 4F angiographic catheter. The percentage of thrombus cleared, primary patency, procedure time, and XCOIL? performance were documented. RESULTS: Thrombosis occurred 1?30 days prior to the procedure. Thrombosed segments of graft/fistula measured 10?50 cm. Pre- and postprocedure angiography demonstrated that in 15 of 18 cases (83%) XCOIL? removed 80%?100% of the venous outflow thrombus. In 11 of 14 cases (79%), the platelet thrombin plug was also removed. Thrombectomy procedure time averaged 8 min, with one to three passes with the XCOIL? required. No evidence of distal embolization or graft/vessel injury was found on angiography following clot removal. In four cases in whom patency was not restored with XCOIL?, subsequent use of other clot removal devices also failed to restore patency. In one case with severe venous stenosis, the device failed to deploy and the thrombus was not captured. No intraprocedural complications related to XCOIL? use occurred. CONCLUSION: XCOIL? is an effective and safe first-line therapy option for the treatment of thrombosed hemodialysis grafts/fistulae. Rapid removal of intact thrombus and platelet thrombin plug can be achieved without adjunctive thrombolytics. �Initial clinical use of a novel mechanical thrombectomy device, XCOIL?(epmc).pdf DeepDyve Pubget Overpricing