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Source: Techniques in Vascular and Interventional Radiology
Condition: Pulmonary Thromboembolism
Therapy: Dialysis
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Declotting the Thrombosed Access
Because a patent access is the lifeline for a dialysis patient, access declotting is extremely important. Before embarking on a declot, it is important to evaluate the patient for potential contraindications such as pulmonary hypertension, right-to-left shunts and access infection in order to be able to avoid potential complications such as symptomatic pulmonary embolism, stroke, and sepsis. Multiple methods to perform a percutaneous declot exist. Four common methods are described here. We also discuss how to avoid causing an arterial embolism and how to treat it if it does occur.
Source: Techniques in Vascular and Interventional Radiology - January 18, 2017 Category: Radiology Authors: Keith B. Quencer, Tamir Friedman Source Type: research
