Abstract
Not infrequently, interventionalists are faced with a patient with increased blood pressure who is about to undergo a dialysis access intervention such as tunneled hemodialysis catheter, percutaneous balloon angioplasty, or declotting procedure for a clotted arteriovenous access. This can frequently create a dilemma as functional dialysis access is needed to provide dialysis therapy and delaying treatment could result in a life-threatening situation, particularly in the presence of hyperkalemia. This article investigates hypertension in patients undergoing percutaneous dialysis access interventions and provides guidance to their management.
MeSH terms
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Angioplasty, Balloon
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Antihypertensive Agents / adverse effects
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Blood Pressure* / drug effects
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Catheter Obstruction*
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Catheterization, Central Venous* / adverse effects
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Endovascular Procedures* / adverse effects
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Endovascular Procedures* / instrumentation
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Humans
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Hypertension / complications
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Hypertension / physiopathology
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Hypertension / therapy*
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Kidney Failure, Chronic / diagnosis
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Kidney Failure, Chronic / etiology
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Kidney Failure, Chronic / physiopathology
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Kidney Failure, Chronic / therapy*
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Renal Dialysis* / adverse effects
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Stents
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Thrombectomy
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Treatment Outcome
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Upper Extremity Deep Vein Thrombosis / diagnosis
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Upper Extremity Deep Vein Thrombosis / etiology
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Upper Extremity Deep Vein Thrombosis / physiopathology
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Upper Extremity Deep Vein Thrombosis / therapy*