Endovascular Management of Immediate Procedure-Related Complications of Failed Hemodialysis Access Recanalization.
- Author:
Dong Hun KIM
1
;
Dong Erk GOO
;
Seung Boo YANG
;
Cheul MOON
;
Deuk Lin CHOI
Author Information
- Publication Type:Case Report
- Keywords: Hemodialysis; Transluminal angioplasty
- MeSH: Veins; Stents; Rupture, Spontaneous; Retrospective Studies; Renal Dialysis/*methods; Postoperative Complications/therapy; Middle Aged; Male; Humans; Female; Extravasation of Diagnostic and Therapeutic Materials/therapy; Embolism/therapy; *Arteriovenous Shunt, Surgical; Aged; Adult
- From:Korean Journal of Radiology 2005;6(3):185-195
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
