Dialysis access intervention: Techniques for the interventional cardiologist.

Abstract

Interventional cardiologists who treat malfunctioning hemodialysis accesses play an important role in the life of patients with end-stage kidney disease (ESKD). By collaborating with interventional nephrologists who currently perform the bulk of routine access angiographic procedures, interventional cardiologists can fill an important gap in the care of ESKD patients by performing urgent or emergent procedures that fall outside the schedule of an outpatient interventional nephrology laboratory to ensure that hemodialysis patients will not miss a hemodialysis session or get a temporary catheter. This paper reviews the pathophysiology of dialysis access failure and illustrates the catheter-based approaches used by interventional cardiologists to treat malfunctioning dialysis accesses.

• Authors: John A Bittl
• Journal: Progress in cardiovascular diseases (Prog Cardiovasc Dis) 2021 Mar-Apr Vol. 65 Pg. 84-88 ISSN: 1873-1740 [Electronic] United States
• PMID: 33587962 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2021. Published by Elsevier Inc.

Topics

• Angiography (adverse effects)
• Arteriovenous Shunt, Surgical (adverse effects)
• Endovascular Procedures (adverse effects)
• Graft Occlusion, Vascular (diagnostic imaging, etiology, physiopathology, therapy)
• Humans
• Kidney Failure, Chronic (diagnostic imaging, physiopathology, therapy)
• Predictive Value of Tests
• Radiography, Interventional (adverse effects)
• Renal Dialysis
• Thrombectomy (adverse effects)
• Thrombosis (diagnostic imaging, etiology, physiopathology, therapy)
• Treatment Outcome
• Vascular Patency