Surgical Case # Diagnosis: Clotted AV Graft Procedure: Left forearm dialysis graft thrombectomy and angioplasty Using sterile technique, ultrasound guidance, and a micropuncture set, access was obtained to the arterial side of the graft and a 7-French sheath was placed with the tip directed toward the venous anastomosis. A 7-mm balloon was then advanced across the venous anastomosis, and multiple dilations were performed. The thrombus was removed from the graft using the clot-buster device. Heparin was then injected into the graft. An additional 5-French sheath was then placed in the venous side of the graft with the tip directed toward the arterial anastomosis. A 5-French Fogarty catheter was advanced across the arterial anastomosis and pulled back into the graft. The pulled thrombus was then removed. Additional dilations were then performed in the venous side of the giat ta across the venous anastomosis. Code(s):.

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Appendix B Additional Practice Exercises
Surgical Case #73
Diagnosis: Clotted AV Graft
Procedure: Left forearm dialysis graft thrombectomy and angioplasty
Using sterile technique, ultrasound guidance, and a micropuncture set, access
was obtained to the arterial side of the graft and a 7-French sheath was placed
with the tip directed toward the venous anastomosis. A 7-mm balloon was
then advanced across the venous anastomosis, and multiple dilations were
performed. The thrombus was removed from the graft using the clot-buster
device. Heparin was then injected into the graft.
An additional 5-French sheath was then placed in the venous side of the graft
with the tip directed toward the arterial anastomosis. A 5-French Fogarty
catheter was advanced across the arterial anastomosis and pulled back into
the graft. The pulled thrombus was then removed.
Additional dilations were then performed in the venous side of the giat
across the venous anastomosis.
Code(s):.
Transcribed Image Text:Appendix B Additional Practice Exercises Surgical Case #73 Diagnosis: Clotted AV Graft Procedure: Left forearm dialysis graft thrombectomy and angioplasty Using sterile technique, ultrasound guidance, and a micropuncture set, access was obtained to the arterial side of the graft and a 7-French sheath was placed with the tip directed toward the venous anastomosis. A 7-mm balloon was then advanced across the venous anastomosis, and multiple dilations were performed. The thrombus was removed from the graft using the clot-buster device. Heparin was then injected into the graft. An additional 5-French sheath was then placed in the venous side of the graft with the tip directed toward the arterial anastomosis. A 5-French Fogarty catheter was advanced across the arterial anastomosis and pulled back into the graft. The pulled thrombus was then removed. Additional dilations were then performed in the venous side of the giat across the venous anastomosis. Code(s):.
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