Endovascular management of immediate procedure-related complications of failed hemodialysis access recanalization

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 ext...

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Bibliographic Details
Published in:Korean journal of radiology 2005-07, Vol.6 (3), p.185-195
Main Authors: Kim, Dong Hun, Goo, Dong Erk, Yang, Seung Boo, Moon, Cheul, Choi, Deuk Lin
Format: Article
Language:English
Subjects:
Adult
Aged
Angioplasty
Arteriovenous Shunt, Surgical
Asymptomatic
Catheters
Embolism - therapy
Embolisms
Extravasation of Diagnostic and Therapeutic Materials - therapy
Female
Hematoma
Hemodialysis
Hemorrhage
Humans
Male
Medical imaging
Middle Aged
Patients
Pictorial
Postoperative Complications - therapy
Renal Dialysis - methods
Retrospective Studies
Rupture, Spontaneous
Stents
Thrombosis
Veins
Veins & arteries
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Summary: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.
ISSN:1229-6929
2005-8330
DOI:10.3348/kjr.2005.6.3.185