BackTable / VI / Podcast / Episode #25

Declots with the Argon Cleaner Device

with Dr. Sabeen Dhand

From the Exhibitor's Hall at SIR 2018 in Los Angeles, Dr. Christopher Beck and Dr. Sabeen Dhand describe their declot techniques, with an emphasis on when and how they use the Argon Cleaner device for these cases.

Sponsored by:

Argon Medical
Declots with the Argon Cleaner Device with Dr. Sabeen Dhand on the BackTable VI Podcast)
Ep 25 Declots with the Argon Cleaner Device with Dr. Sabeen Dhand
00:00 / 01:04

BackTable, LLC (Producer). (2018, March 21). Ep. 25 – Declots with the Argon Cleaner Device [Audio podcast]. Retrieved from https://www.backtable.com

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Sabeen Dhand discusses Declots with the Argon Cleaner Device on the BackTable 25 Podcast

Dr. Sabeen Dhand

Dr. Sabeen Dhand is a practicing interventional radiologist with PIH Health in Los Angeles.

Dr. Christopher Beck discusses Declots with the Argon Cleaner Device on the BackTable 25 Podcast

Dr. Christopher Beck

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Show Notes

In this episode, Dr. Sabeen Dhand joins Dr. Christopher Beck to discuss arteriovenous access declot procedure with the Argon Cleaner device. We review the routine declot procedure and the different methods to get access. Dr. Dhand explains why he starts out using the Argon Cleaner device and what his endpoint is. We discuss the nuances of the device in addition to tips and tricks for using the device with declots, including external massaging the fistula and an unsheathing trick.

Transcript Preview

[Chris Beck]
Alright, so let's first go through a routine declot procedure. Sabeen, you want to start it out?

[Sabeen Dhand]
Yeah. What I do, which is now a little bit different than how I trained, is I get access towards the heart, integrate towards the heart, and I determine the clot burden by just going central and pulling back a five french end-hole catheter. Then through that catheter and through the clot burden, I mix Alteplase into the clot and usually I put some contrast in there too so I can see the actual clot on fluoro. Then, immediately, I use - in each case I use an orbital thrombectomy, mostly the Cleaner. I'll use that to make a clot milkshake, you can say, clot Alteplase milkshake while I still haven't pulled the arterial plug.

That allows the TPA to kind of sit and dwell and then about five minutes of doing the Cleaner, I'll get a retrograde access through the arterial anastomosis and pull the plug. Usually that really takes care of most of the clot. Then I'll address the critical lesions, whether there's a stenosis, unless I saw something really severe initially that would maybe hold up my clot.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Earn CME When You Listen to BackTable CMEfy

Up Next

Cholecystostomy Tubes with Dr. Christopher Beck on the BackTable VI Podcast)
Discussing the Complications Survey Results with the BackTable Team on the BackTable VI Podcast)
Mediport Placement with Dr. Christopher Beck and Dr. Aaron Fritts on the BackTable VI Podcast)
DEB vs. Balloon Angioplasty Alone for Dysfunctional Hemodialysis Access with Dr. Eric Therasse on the BackTable VI Podcast)
AV Fistula & Graft Maintenance with Dr. Ari Kramer on the BackTable VI Podcast)
New Tools to Treat Severe Distal Femoropopliteal Disease with Dr. John Rundback on the BackTable VI Podcast)

Articles

Argon Cleaner thrombectomy declot device

Pros & Cons of the Argon Cleaner Thrombectomy System for Dialysis Access Declots

Argon Cleaner rotational thrombectomy device used to declot an artery

Shorter Declot Procedure Time Using the Argon Cleaner Thrombectomy System

Topics

Declot Procedure in Arteriovenous Fistulae & Grafts
Dialysis Access Procedure Prep

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.