{"id":"https://openalex.org/W46708241","doi":null,"title":"Recombinant tissue plasminogen activator to declot dialysis fistulas.","display_name":"Recombinant tissue plasminogen activator to declot dialysis fistulas.","publication_year":1997,"publication_date":"1997-03-01","ids":{"openalex":"https://openalex.org/W46708241","mag":"46708241","pmid":"https://pubmed.ncbi.nlm.nih.gov/9238617"},"language":"en","primary_location":{"id":"pmid:9238617","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9238617","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of nephrology","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110240175","display_name":"Yousif Boobes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087867","display_name":"Tawam Hospital","ror":"https://ror.org/007a5h107","country_code":"AE","type":"healthcare","lineage":["https://openalex.org/I4210087867"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Y Boobes","raw_affiliation_strings":["Department of Nephrology, Tawam Hospital, Al Ain United Arab Emirates"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, Tawam Hospital, Al Ain United Arab Emirates","institution_ids":["https://openalex.org/I4210087867"]}]},{"author_position":"middle","author":{"id":null,"display_name":"H al Hassan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H al Hassan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042568482","display_name":"Peter Negl\u00e9n","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P Neglen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034285686","display_name":"Khaled Obeid","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K Obeid","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5052694126","display_name":"N Denour","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N Denour","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9292,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.73937262,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"2","first_page":"107","last_page":"10"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12067","display_name":"Renal and Vascular Pathologies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/alteplase","display_name":"alteplase","score":0.9959999918937683},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.7170000076293945},{"id":"https://openalex.org/keywords/arteriovenous-fistula-thrombosis","display_name":"arteriovenous fistula thrombosis","score":0.8989999890327454},{"id":"https://openalex.org/keywords/hemodialysis-vascular-access","display_name":"hemodialysis vascular access","score":0.8209999799728394},{"id":"https://openalex.org/keywords/clot-lysis","display_name":"clot lysis","score":0.6940000057220459},{"id":"https://openalex.org/keywords/angiography","display_name":"angiography","score":0.6000000238418579},{"id":"https://openalex.org/keywords/surgical-revision","display_name":"surgical revision","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9689286947250366},{"id":"https://openalex.org/C2781267111","wikidata":"https://www.wikidata.org/wiki/Q652297","display_name":"Catheter","level":2,"score":0.6296353936195374},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.6061615347862244},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5799415707588196},{"id":"https://openalex.org/C2779978075","wikidata":"https://www.wikidata.org/wiki/Q202301","display_name":"Dialysis","level":2,"score":0.557091236114502},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.5566598773002625},{"id":"https://openalex.org/C2911092318","wikidata":"https://www.wikidata.org/wiki/Q416351","display_name":"Recombinant tissue plasminogen activator","level":5,"score":0.5396975874900818},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5205832123756409},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.5066009759902954},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.4803146719932556},{"id":"https://openalex.org/C2779063477","wikidata":"https://www.wikidata.org/wiki/Q707837","display_name":"Arteriovenous fistula","level":2,"score":0.47973528504371643},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.46537965536117554},{"id":"https://openalex.org/C2776825266","wikidata":"https://www.wikidata.org/wiki/Q1410794","display_name":"Fibrinolysis","level":2,"score":0.46289294958114624},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.447643518447876},{"id":"https://openalex.org/C2781454130","wikidata":"https://www.wikidata.org/wiki/Q656261","display_name":"Dialysis catheter","level":3,"score":0.43459486961364746},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.32211291790008545},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.26161491870880127},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.063495934009552},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.0},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.0},{"id":"https://openalex.org/C2780931571","wikidata":"https://www.wikidata.org/wiki/Q568775","display_name":"Modified Rankin Scale","level":4,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001166","descriptor_name":"Arteriovenous Shunt, Surgical","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010959","descriptor_name":"Tissue Plasminogen Activator","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D011994","descriptor_name":"Recombinant Proteins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D013927","descriptor_name":"Thrombosis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:9238617","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9238617","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of nephrology","raw_type":"Journal Article"},{"id":"mag:46708241","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9238617","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2129982520","https://openalex.org/W2075604528","https://openalex.org/W7097573586","https://openalex.org/W2145055208","https://openalex.org/W1959794694","https://openalex.org/W2060573978","https://openalex.org/W2156335381","https://openalex.org/W186772659","https://openalex.org/W2566533236","https://openalex.org/W4400281981"],"abstract_inverted_index":{"BACKGROUND:":[0],"Thrombosis":[1],"is":[2],"the":[3,15,32,55,79,92,95,121,125,143,146,167,179],"most":[4],"common":[5],"complication":[6,183],"of":[7,17,34,69,94,113,157,172,178],"hemodialysis":[8],"access.":[9,28,128],"Few":[10],"reports":[11],"are":[12],"available":[13],"concerning":[14],"use":[16,33],"recombinant":[18],"tissue":[19],"plasminogen":[20],"activator":[21],"(rt-PA)":[22],"to":[23,65],"declot":[24],"an":[25],"arterio-venous":[26],"(A-V)":[27],"This":[29],"report":[30],"describes":[31],"rt-PA":[35,196],"for":[36,204],"this":[37],"purpose":[38],"in":[39,58,90,132,176,190],"17":[40],"A-V":[41,56,127,162],"accesses.":[42],"METHODS:":[43],"The":[44,72,98],"rt-PV":[45],"was":[46,74,138,174,188],"infused":[47],"manually":[48],"using":[49,124],"a":[50,66,160],"small":[51],"catheter":[52],"directly":[53],"into":[54],"access":[57,163],"10-mg":[59],"doses":[60],"at":[61],"1-2":[62],"hour":[63],"intervals,":[64],"maximum":[67],"dose":[68],"40":[70],"mg.":[71],"procedure":[73],"followed":[75],"by":[76],"angiography,":[77],"through":[78],"same":[80],"catheter.":[81],"RESULTS:":[82],"One":[83],"fistula":[84],"could":[85],"not":[86],"be":[87,198],"cannulated,":[88],"and":[89,104,115,135,155,202],"three":[91],"lysis":[93,110],"clot":[96],"failed.":[97],"other":[99,147],"13":[100],"cases":[101],"(3":[102],"fistulas,":[103],"10":[105],"grafts":[106],"81%)":[107],"had":[108,119],"successful":[109],"with":[111],"return":[112],"bruit":[114],"thrill.":[116],"Most":[117],"patients":[118,134,149,192],"dialysis":[120],"next":[122],"day":[123],"declotted":[126],"Angiogram":[129],"detected":[130],"stenosis":[131],"six":[133,156],"surgical":[136],"revision":[137],"done":[139],"1-8":[140],"days":[141,165],"after":[142,166],"treatment.":[144],"In":[145],"seven":[148],"no":[150],"organic":[151],"lesions":[152],"were":[153],"found,":[154],"them":[158],"have":[159],"functioning":[161],"50-395":[164],"lysis.":[168],"Only":[169],"10-20":[170],"mg":[171],"rt-Pa":[173],"needed":[175],"60%":[177],"cases.":[180],"No":[181],"major":[182],"occurred;":[184],"minor":[185],"local":[186],"bleeding":[187],"noted":[189],"five":[191],"(5/16,":[193],"31%).":[194],"CONCLUSION:":[195],"can":[197],"considered":[199],"safe,":[200],"effective,":[201],"fast":[203],"declotting":[205],"thrombosed":[206],"arteriovenous":[207],"fistulas.":[208]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}
