Percutaneous treatment of complications occurring during hemodialysis graft recanalization

Sofocleous, Constantinos T.; Schur, Israel; Koh, Elsie; Hinrichs, Clay; Cooper, Stanley G.; Welber, Adam; Brountzos, Elias; Kelekis, D.

doi:10.1016/s0720-048x(02)00087-6

Cited by 29 publications

(19 citation statements)

References 37 publications

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“…As a result, the thrombus tends to form within the graft. 20,25,32 In order to ensure satisfactory inflow and outflow in such cases, sheaths are inserted from opposite sides of the graft on the upstream and downstream sides to perform PTA and thrombectomy. In cases in which the sheath insertion sites are limited and lesions are present on the upstream and/or downstream sides, it may be difficult to insert two sheaths.…”

Section: Avgmentioning

confidence: 99%

“…Patients will complain of pain at the dilation site after balloon deflation following the completion of the balloon dilation procedure. 22,32 Procedures used to manage damage differ depending upon 1) The juxta-anastomotic site, 2) The vein from the forearm to the upper arm, and 3) The central vein. Regardless of the location of the damage, the guidewire must first not be removed.…”

Section: Descriptionmentioning

confidence: 99%

“…If a guidewire and the catheter are passed through the ruptured blood vessel later, there is high risk that the guidewire or catheter will be misplaced outside of the blood vessel from the ruptured site. 32 In addition, neutralization must be immediately performed in cases of heparinization. If possible, activated clotting time (ACT) is measured in order to determine the appropriate dose of protamine sulfate.…”

Section: Descriptionmentioning

confidence: 99%

“…22,32,37,45,46,53 In cases in which the artery is dissected and occluded due to the damage, stent placement is considered. 15,22,32,45,50 However, since the radial artery has a small diameter, no stent for peripheral use can be used in this vessel. Therefore, in order to achieve bailout, a coronary artery stent must be used.…”

Section: Descriptionmentioning

confidence: 99%

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Guidelines for basic techniques in vascular access intervention therapy (VAIVT)

Matsuura

Gotoh²,

Sadaoka

et al. 2018

Interventional Radiology

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Vascular access intervention therapy (VAIVT) is an interventional therapy that is an essential part of dialysis as it allows for long-term continuous vascular access (VA). This Guideline is intended to serve as an aid for solving of actual technical problems encountered when performing VAIVT. After reviewing the basics of VAIVT, we listed the various VAIVT techniques in clinical question (CQ) format and provided descriptions. Specifically, these descriptions contain the indications, contraindications, VA tests, methods of using VAIVT devices, complications associated with VAIVT, and most of the issues related to VAIVT measures and practices. We also ensured that contents were consistent with the Guideline of Vascular Access Construction and Repair for Chronic Hemodialysis produced by the Japanese Society for Dialysis Therapy. We hope that this Guideline is useful to medical practitioners involved in VAIVT and contribute to maintaining vascular access for dialysis patients.

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Section: Avgmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

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Guidelines for basic techniques in vascular access intervention therapy (VAIVT)

Matsuura

Gotoh²,

Sadaoka

et al. 2018

Interventional Radiology

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“…A procedure with an excessive complication rate suggests the need for critical evaluation of the technique and procedure. The interventionist performing the basic procedure must be prepared to manage any complications as they occur (3, 4). The purpose of this article is to discuss the complications that can occur during the treatment of vascular access problems requiring additional endovascular therapy for management.…”

mentioning

confidence: 99%

Endovascular Management of Immediate Procedure-Related Complications of Failed Hemodialysis Access Recanalization

et al. 2005

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Endovascular procedures are becoming the standard type of care for the management of hemodialysis vascular access dysfunction. As with any type of medical procedure, these techniques can result in procedure-related complications, although the expected number of complications is low. The clinical extent of these complications varies from case to case. Management of these cases depends on the clinical presentation. Major complications such as vein rupture, arterial embolism, remote site bleeding or hematoma, symptomatic pulmonary embolism and puncture site complications necessitating treatment require major therapy. Minor complications such as non-flow compromising small puncture site hematoma or pseudoaneurysms require little or no therapy. It is essential that the interventionist be prepared to manage these complications appropriately when they arise.

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Venous rupture during percutaneous treatment of hemodialysis fistulas and grafts

Bittl¹

2009

Cathet Cardio Intervent

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Percutaneous treatment of complications occurring during hemodialysis graft recanalization

Cited by 29 publications

References 37 publications

Guidelines for basic techniques in vascular access intervention therapy (VAIVT)

Guidelines for basic techniques in vascular access intervention therapy (VAIVT)

Endovascular Management of Immediate Procedure-Related Complications of Failed Hemodialysis Access Recanalization

Venous rupture during percutaneous treatment of hemodialysis fistulas and grafts

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