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Hemodialysis graft or fistula occlusion is a common event that occurs frequently in patient with end stage renal disease. As a result, the vast majority of dialysis patients with arterio-venous graft/ fistula thrombosis undergo surgery for thrombectomy. Surgical approach and techniques include surgical thrombectomy, Pharmacomechanical, and Mechanical thrombectomy with surgical devices. Embolization could occur during extraction process and result in mild to severe cardiorespiratory complication
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