{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T04:14:18Z","timestamp":1783311258233,"version":"3.54.6"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemodialysis access thrombosis is the primary cause of access failure. Thrombus removal is an effective strategy to restore access function. Although both open surgical and endovascular procedures enable thrombus clearance, endovascular thrombus reduction therapy is widely adopted in clinical practice for this condition due to its minimally invasive and effective properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe a novel separator\u2010assisted catheter thrombectomy technique for the management of hemodialysis access thrombosis. In this procedure, a large\u2010bore catheter is used for negative\u2010pressure thrombus aspiration, with an embolus separator concurrently utilized to disrupt intraluminal thrombus and maintain catheter patency during aspiration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This approach effectively enhances thrombus clearance efficiency and shortens procedural time. In our reported thrombectomy cases involving arteriovenous fistula (AV fistula), arteriovenous graft (AV graft), and central venous catheters, the SWAM (\n                      <jats:italic>S<\/jats:italic>\n                      eparator\n                      <jats:italic>W<\/jats:italic>\n                      ith\n                      <jats:italic>A<\/jats:italic>\n                      spirator for\n                      <jats:italic>M<\/jats:italic>\n                      echanical Thrombectomy) technique achieved favorable therapeutic efficacy for acute thrombus and, to a certain extent, for chronic thrombus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This technique provides a novel therapeutic alternative for the management of hemodialysis access thrombosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70111","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T03:21:54Z","timestamp":1783308114000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of the\n                    <scp>SWAM<\/scp>\n                    (Separator With Aspirator for Mechanical Thrombectomy) Device in Managing Hemodialysis Access Thrombosis"],"prefix":"10.1111","author":[{"given":"Lin","family":"Li","sequence":"first","affiliation":[{"name":"First College of Clinical Medicine Shandong University of Traditional Chinese Medicine  Jinan City Shandong Province China"},{"name":"Department of Vascular Surgery Center Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao Traditional Chinese Medicine Hospital  Qingdao City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongwang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Center Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao Traditional Chinese Medicine Hospital  Qingdao City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Center Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao Traditional Chinese Medicine Hospital  Qingdao City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1031-7822","authenticated-orcid":false,"given":"Mingdi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Center Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao Traditional Chinese Medicine Hospital  Qingdao City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Center Qingdao Hiser Hospital Affiliated of Qingdao University, Qingdao Traditional Chinese Medicine Hospital  Qingdao City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4633-4683","authenticated-orcid":false,"given":"Zheng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Peripheral Vascular Disease Affiliated Hospital of Shandong University of Traditional Chinese Medicine  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"S299","DOI":"10.21037\/cdt.2017.09.08","article-title":"Hemodialysis Access Thrombosis","volume":"7","author":"Quencer K. B.","year":"2017","journal-title":"Cardiovascular Diagnosis and Therapy"},{"issue":"15","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1001\/jama.2024.0535","article-title":"Arteriovenous Access for Hemodialysis: A Review","volume":"331","author":"Lok C. E.","year":"2024","journal-title":"JAMA"},{"issue":"3","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1111\/sdi.12658","article-title":"The Pathogenesis of Hemodialysis Vascular Access Failure and Systemic Therapies for Its Prevention: Optimism Unfulfilled","volume":"31","author":"Viecelli A. K.","year":"2018","journal-title":"Seminars in Dialysis"},{"issue":"5","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/j.jvs.2013.11.092","article-title":"Early Surgical Thrombectomy Improves Salvage of Thrombosed Vascular Accesses","volume":"59","author":"Sadaghianloo N.","year":"2014","journal-title":"Journal of Vascular Surgery"},{"issue":"1","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1177\/11297298251326979","article-title":"Retrospective Study of Vacuum Aspiration Mechanical Thrombectomy Device in the Treatment of Arteriovenous Fistula Thrombosis and Patient Is on Hemodialysis","volume":"27","author":"Pires G. L. O.","year":"2026","journal-title":"Journal of Vascular Access"},{"issue":"1","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.crad.2010.05.010","article-title":"The Radiological Management of the Thrombosed Arteriovenous Dialysis Fistula","volume":"66","author":"Bent C.","year":"2011","journal-title":"Clinical Radiology"},{"issue":"1","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/1526602814566378","article-title":"Percutaneous Rheolytic Thrombectomy of Thrombosed Autogenous Dialysis Fistulas: Technical Results, Clinical Outcome, and Factors Influencing Patency","volume":"22","author":"Maleux G.","year":"2015","journal-title":"Journal of Endovascular Therapy"},{"issue":"1","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s00270-004-0080-y","article-title":"Declotting a Thrombosed Brescia\u2010Cimino Fistula by Manual Catheter\u2010Directed Aspiration of the Thrombus","volume":"28","author":"Turmel\u2010Rodrigues L. A.","year":"2005","journal-title":"Cardiovascular and Interventional Radiology"},{"issue":"11","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1016\/j.jvir.2007.07.012","article-title":"Pharmacomechanical Thrombectomy With the Castaneda Brush Catheter in Thrombosed Hemodialysis Grafts and Native Fistulas","volume":"18","author":"Heye S.","year":"2007","journal-title":"Journal of Vascular and Interventional Radiology"},{"issue":"2","key":"e_1_2_12_11_1","first-page":"150","article-title":"Fogarty Balloon Application Technique in Dislodging Residual Thrombus on the Single Sheath Entry Point at the Apex of Thrombosed Loop Grafts","volume":"19","author":"Goo D. E.","year":"2013","journal-title":"Diagnostic and Interventional Radiology"},{"issue":"5","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"873","DOI":"10.9734\/ijpss\/2024\/v36i54583","article-title":"Soil Health and Nutrient Management","volume":"36","author":"Pandao M. R.","year":"2024","journal-title":"International Journal of Plant & Soil Science"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/02683555261425286"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.avsg.2026.01.046","article-title":"Procedural Determinants of Aspiration Thrombectomy Performance in Femoral and Iliac Artery Models: An In\u00a0Vitro Study","volume":"127","author":"Huang J.","year":"2026","journal-title":"Annals of Vascular Surgery"},{"issue":"6","key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1177\/1129729818761277","article-title":"Haemodialysis Access Thrombosis: Outcomes After Surgical Thrombectomy Versus Catheter\u2010Directed Thrombolytic Infusion","volume":"19","author":"Koraen\u2010Smith L.","year":"2018","journal-title":"Journal of Vascular Access"},{"issue":"9","key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1093\/ndt\/gfac036","article-title":"Surgical Versus Endovascular Intervention for Vascular Access Thrombosis: A Nationwide Observational Cohort Study","volume":"37","author":"Lundstr\u00f6m U. H.","year":"2022","journal-title":"Nephrology, Dialysis, Transplantation"},{"issue":"1","key":"e_1_2_12_17_1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.21037\/cdt-21-523","article-title":"Thrombectomy Approach for Access Maintenance in the End Stage Renal Disease Population: A Narrative Review","volume":"13","author":"Wu V.","year":"2021","journal-title":"Cardiovascular Diagnosis and Therapy"},{"issue":"7","key":"e_1_2_12_18_1","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.jvir.2018.02.030","article-title":"Mechanical Thrombectomy in Acute Thrombosis of Dialysis Arteriovenous Fistulae and Grafts Using a Vacuum\u2010Assisted Thrombectomy Catheter: A Multicenter Study","volume":"29","author":"Marcelin C.","year":"2018","journal-title":"Journal of Vascular and Interventional Radiology"},{"issue":"2","key":"e_1_2_12_19_1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s00270-008-9478-2","article-title":"AngioJet Thrombectomy for Occluded Dialysis Fistulae: Outcome Data","volume":"32","author":"Littler P.","year":"2009","journal-title":"Cardiovascular and Interventional Radiology"},{"issue":"3","key":"e_1_2_12_20_1","first-page":"393","article-title":"Advantages to Indigo Mechanical Thrombectomy for ALI: Device and Technique","volume":"56","author":"Yamada R.","year":"2015","journal-title":"Journal of Cardiovascular Surgery"},{"issue":"4","key":"e_1_2_12_21_1","doi-asserted-by":"crossref","first-page":"S192","DOI":"10.1016\/j.jvir.2018.01.498","article-title":"Abstract No. 453 Mechanical Thrombectomy in Acute Thrombosis of Dialysis Fistulas Using the Indigo Aspiration System: A Multi\u2010Center Study","volume":"29","author":"Marcelin C.","year":"2018","journal-title":"Journal of Vascular and Interventional Radiology"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/15266028251388741"},{"key":"e_1_2_12_23_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/sdi.13251","article-title":"The Optimal Time of Percutaneous Pharmacomechanical Thrombolysis for the Treatment of Thrombosed Hemodialysis Arteriovenous Graft","volume":"38","author":"Hongsakul K.","year":"2025","journal-title":"Seminars in Dialysis"},{"issue":"1","key":"e_1_2_12_24_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3348\/jkrs.2004.51.1.45","article-title":"Usefulness of Thromboaspiration With Desilets\u2010Hoffman Sheath in Thrombosed Hemodialysis Access Graft","volume":"51","author":"Goo D. E.","year":"2004","journal-title":"Journal of the Korean Radiological Society"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70111","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T03:21:59Z","timestamp":1783308119000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,5]]},"references-count":23,"alternative-id":["10.1111\/hdi.70111"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70111","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,5]]},"assertion":[{"value":"2026-04-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hdi.70111"}}