Work

Using the Cleaner XT Device for Pharmacomechanical Thrombolysis of Arteriovenous Fistulas and Grafts

Year: 2025

Type: article

Abstract: Purpose: The Cleaner XTTM (Argon Medical Device, Plano, TX) rotational thrombectomy (RT) device is an emerging treatment option for arteriovenous fistula (AVF) and graft revascularization. This study aims to report the procedural details, safety, efficacy, and patency of AVFs and grafts for endovascular salvage procedures conducted with the Cleaner XTTM device. Methods: All patients who underwent RT with the Cleaner XTTM RT System for endovascular salvage of AVFs and grafts from August 2016 to July 2022 at a single tertiary hospital were included. Study population, procedure, lesion characteristics, and the patency of AVFs and grafts after endovascular thrombectomy were reported. Results: Patency after endovascular salvage with Cleaner XTTM for all 13 patients was 84.6% (11/13) at one-month follow-up and 53.8% (7/13) for all follow-ups until 12 months. Conclusion: This study shows that endovascular access salvage of AVF and graft with Cleaner XTTM is safe and demonstrates an excellent clinical and technical success rate.

Source: Cureus

DOI: 10.7759/cureus.90571

Authors: Jee Hyuk Byun, Preethi Jagannath, Junaid Raja

Institution: University of Alabama at Birmingham

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413355226