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BackTable Vascular & Interventional cover image

Ep. 420 The Art and Science of Declotting the Dialysis Circuit with Dr. Omar Chohan and Dr. Harris Chengazi

BackTable Vascular & Interventional

NOTE

Optimizing techniques in D-clots procedure

Optimizing techniques in D-clots procedure involves considering heparinization for anticoagulation. The decision to administer heparin and the dosage is based on the size of the patient and the extent of the clot, typically ranging between three and five thousand units. Different interventional radiologists have varied approaches and techniques in D-clots procedures, with some opting for TPA and a mixture of flows instead of heparin, depending on patient factors and clot conditions. The administration of heparin usually occurs after the first pullback and venogram, with a personalized approach to anticoagulation depending on individual preferences and patient specifics.

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