Complications of Percutaneous Treatment of Thrombosed Hemodialysis Access Grafts
Stephen Ash,
Francis L. Weng,
Jeffrey S. Berns,
Stephen Ash
Section Editor
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorFrancis L. Weng
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorJeffrey S. Berns
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorStephen Ash,
Francis L. Weng,
Jeffrey S. Berns,
Stephen Ash
Section Editor
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorFrancis L. Weng
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorJeffrey S. Berns
University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
Search for more papers by this authorAddress correspondence to: Jeffrey S. Berns, MD, University of Pennsylvania School of Medicine, Renal, Electrolyte, and Hypertension Division, Presbyterian Medical Center, 240 Medical Office Building, 51 N. 39th St., Philadelphia, PA 19104, or e-mail: [email protected].
Abstract
ABSTRACT Percutaneous catheter-based thrombolysis is commonly used in association with angioplasty to treat thrombosed hemodialysis arteriovenous grafts. Although major complications of these percutaneous procedures are relatively uncommon, they can result in several potentially serious complications, including pulmonary embolism, cerebral embolism, arterial embolism, bleeding with perigraft hematoma or hemorrhage, and vein rupture. This article reviews the epidemiology, clinical significance, and management of these complications.
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