Angiojet™ mechanical thrombectomy‐induced hemolysis triggering blood‐leak alarms. Issue 2 (3rd February 2023)

• Record Type: Journal Article
• Authors: Selvananthan, Babitha; Aziz, Omar; Lee, Arvind D.; Werner‐Gibbings, Keagan; Bose, Bhadran; Sud, Kamal
• Is Part Of: Hemodialysis international. Volume 27:Issue 2(2023)
• Page Start: E19
• Page End: E22
• Publication Date: 2023-02-03
• Subjects: Angiojet™ thrombolysis and thrombectomy -- blood leak alarms -- hemolysis -- hemodialysis; Hemodialysis -- Periodicals; Renal Dialysis -- Periodicals; Renal Dialysis -- Congresses; Hemodialysis, Home -- Congresses; 617.461059
• DOI: 10.1111/hdi.13062
• Languages: English
• ISSNs: 1492-7535

Abstract

Abstract: Blood leak alarms are increasingly rare and may be triggered by rupture of the dialyzer membrane, or intravascular hemolysis. We report two patients who developed hemolysis following Angiojet™ thrombolysis and thrombectomy of thrombosed arteriovenous fistulas, triggering blood leak alarms on hemodialysis, the occurrence of which has not been reported before. AngioJet™‐induced hemolysis should be considered in the differential diagnosis for blood leak alarms occurring soon after an intervention on an arterio‐venous (AV) fistula.