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Percutaneous declotting of thrombosed dialysis grafts is performed using a variety of techniques with both mechanical devices and pharmacologic agents. Untoward events are uncommon but do occur. This article summarizes common complications and pitfalls encountered with percutaneous graft declotting. Management options are reviewed with an emphasis on those problems that can be successfully managed in the interventional radiology suite.

Problematic Declots: Complications and Irritations