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Year : 2015  |  Volume : 25  |  Issue : 2  |  Page : 110-112

Successful salvage of thrombosed arterio-venous fistula with thrombolytic therapy using tissue plasminogen activator

1 Department of Nephrology, JIPMER, Puducherry, India
2 Department of Cardiology, JIPMER, Puducherry, India

Correspondence Address:
Dr. S Parameswaran
Department of Nephrology, SS Block, JIPMER Campus, Dhanvantari Nagar P.O., Puducherry - 605 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.136888

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A functioning vascular access is crucial to the wellbeing of patients on hemodialysis. Thrombosis is the most common complication of arteriovenous fistula (AVF) resulting in late fistula failure; Its treatment is difficult, and results are often suboptimal. Interventional treatment of AVF thrombosis may not be available all the time, and timely application of an available noninterventional treatment may salvage the fistula. We report the successful treatment of AVF thrombosis using local thrombolytic therapy using tissue plasminogen activator in a patient, for the first time in India.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07