{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:23Z","timestamp":1788815363249,"version":"build-2803163510"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Objective:<\/jats:title>\n To compare modified balloon thrombectomy (BT) without thrombolytic agents versus hybrid surgery for arteriovenous graft thrombosis in hemodialysis patients.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Single-center retrospective comparative study.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Thrombosed AVGs underwent thrombectomy between July 2016 and January 2024 were divided into BT and hybrid groups. Thrombosis events were categorized as first and recurrent thrombosis subgroups. Primary and primary-assisted patency rates were assessed using Kaplan-Meier analysis, and prognostic factors were identified via multivariate Cox regression.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n We analyzed 158 patients with 304 AVG thrombotic events. Primary patency rates at 6 and 12\u2009months were 41.7% and 20.3% for 161 BTs versus 41.1% and 13.8% for 134 hybrid procedures (\n p<\/jats:italic>\n \u2009=\u20090.51). In the first AVG thrombosis subgroup (73 BTs and 69 hybrids), primary patency rates were 39.3% and 14.7% for BTs versus 51.7% and 23.6% for hybrids (\n p<\/jats:italic>\n \u2009=\u20090.096). For recurrent thrombosis, primary patency rates at 6 and 12\u2009months were 43.6% and 24.6% for 88 BTs versus 30.5% and 4.8% for 65 hybrids (\n p<\/jats:italic>\n \u2009=\u20090.007). Multivariate Cox regression analysis revealed that the number of prior interventions (hazard ratios (HR)\u2009=\u20091.14, 95.0% confidence interval (CI) 1.05\u20131.23,\n p<\/jats:italic>\n \u2009=\u20090.002) and age of AVG (HR\u2009=\u20090.77, 95.0% CI 0.66\u20130.89,\n p<\/jats:italic>\n \u2009<\u20090.001) significantly influenced the primary patency of recurrent thrombosis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n BT is a safe and effective intervention for thrombosed AVGs, particularly for patients with recurrent thrombosis. The number of prior interventions and age of AVGs primarily influenced patency rates in recurrent thrombosis cases.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11297298261428893","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T10:57:23Z","timestamp":1775300243000},"page":"2135-2143","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of balloon thrombectomy without thrombolytic agents with hybrid surgery in treating arteriovenous graft thrombosis"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4157-5268","authenticated-orcid":false,"given":"Chenliang","family":"Yao","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-153X","authenticated-orcid":false,"given":"Peng","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwen","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaping","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5179-5745","authenticated-orcid":false,"given":"Zhengya","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengli","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2013.76"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.01.049"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.02.001"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.0535"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61908-3"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2012.13.3.300"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-017-1813-z"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.09.3095"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1583\/07-2239.1"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-004-2422-1"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.09.031"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.11.011"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.07.090"}],"container-title":["The Journal of Vascular 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