Angiojet™ mechanical thrombectomy-induced hemolysis triggering blood-leak alarms

Babitha Selvananthan; Omar Aziz; Arvind D Lee; Keagan Werner-Gibbings; Bhadran Bose; Kamal Sud

doi:10.1111/hdi.13062

Angiojet™ mechanical thrombectomy-induced hemolysis triggering blood-leak alarms

Hemodial Int. 2023 Apr;27(2):E19-E22. doi: 10.1111/hdi.13062. Epub 2023 Feb 3.

Authors

Babitha Selvananthan¹, Omar Aziz², Arvind D Lee², Keagan Werner-Gibbings², Bhadran Bose^{1

3}, Kamal Sud^{1

3}

Affiliations

¹ Nepean Kidney Research Centre, Department of Renal Medicine, Nepean Hospital, Kingswood, Australia.
² Department of Vascular Surgery, Nepean Hospital, Kingswood, Australia.
³ Nepean Clinical School, Faculty of Medicine and Health, The University of Sydney, Kingswood, Australia.

PMID: 36735589
DOI: 10.1111/hdi.13062

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.

Keywords: Angiojet™ thrombolysis and thrombectomy; blood leak alarms; hemodialysis; hemolysis.

Publication types

Case Reports

MeSH terms

Arteriovenous Shunt, Surgical*
Hemolysis
Humans
Renal Dialysis* / adverse effects
Thrombectomy / adverse effects
Treatment Outcome
Vascular Patency