| Nota di contenuto |
Intro -- Contents -- Contributors -- 1: Preoperative Evaluation: History -- Introduction -- Conscious Sedation -- Medications, Allergies, Preexisting Conditions, and Contraindications -- Hemodialysis Catheter Procedures -- Angiogram and Angioplasty Procedures -- Thrombectomy -- Stent Placement -- Fistula Salvage Procedure for Lack of Maturation -- Peritoneal Dialysis (PD) Catheter Placement -- References -- 2: Preoperative Evaluation: Physical Examination -- Introduction -- General Examination -- Examination of Dialysis Access -- Physical Examination Prior to Access Placement -- Physical Examination Prior to Interventional Procedures on Arteriovenous Fistulae and Early Fistula Failure -- Inflow Problems -- Augmentation Test -- Accessory Veins -- Late Fistula Failure -- Outflow Venous Stenosis -- Fistula Collapse or Arm Elevation Test -- Aneurysm Formation -- High-Output Heart Failure -- Distal Ischemia -- Thrombosed Access -- Physical Examination Prior to Interventional Procedures on Arteriovenous Grafts -- Determining the Direction of Flow -- Venous Stenosis -- Pseudoaneurysms -- Infections -- Thrombosed Access -- Physical Examination Prior to Interventional Procedures on Central Venous Catheters -- Central Venous Stenosis -- Infections -- Conclusions -- References -- 3: Admission After Intervention: When and Why -- Which Patients Require Hospitalization Before a Procedure? -- Procedures Requiring Inpatient Care -- Percutaneous Needle Biopsy of Kidney -- Vascular Dialysis Access Interventions -- Angiogram, Angioplasty, and Stent Placements -- Central Vein Catheter Placement/Tunneled/Port -- Peritoneal Dialysis [PD] Catheter Placement Using Fluoroscopy -- Peripheral Arterial Interventions -- Endovascular AVF Creation -- Recording Procedure-Related Complications [PRC] -- Conclusion -- References.
4: Communicating Effectively for Interventional Nephrologists -- Introduction: Why a Chapter on Communication in an Interventional Text? -- What Is Good Communication and How Does It Impact Care? -- Strategies for Excellent Communication -- Active Listening -- Use of Questions -- Feedback Model -- Communicating with Referral Sources -- The Patient -- Nephrologists -- Surgeons -- Dialysis Units -- Payers -- Organizational Communication -- Conclusion -- References -- 5: Anticoagulants and Thrombolytics -- Introduction -- Heparin -- Bleeding Risk During Interventional Procedures -- Dialysis Catheter Procedures -- Heparin-Induced Thrombocytopenia -- Planning Interventions in Patients Receiving Warfarin -- Warfarin to Prevent Thrombosis of Dialysis Accesses -- Newer Anticoagulant Medications -- Thrombolytics -- Summary and Recommendations -- References -- 6: Noninvasive Screening and Testing for PAD in CKD Patients -- Introduction -- Pathophysiology of PAD in CKD -- Epidemiology of PAD in CKD Population -- Noninvasive Screening Methods -- Physical Exam and History -- Noninvasive Testing -- Invasive Testing -- References -- 7: Overview of PAD Treatment in the CKD Population: Indications, Medical Strategies, and Endovascular Techniques -- Introduction -- Indications -- Medical Treatment of PKD -- Invasive Diagnostics of PKD -- Interventional Approach -- Precautions -- Conclusion -- References -- 8: Unconventional Venous Access: Percutaneous Translumbar and Transhepatic Venous Access for Hemodialysis -- Introduction -- Catheter-Based Hemodialysis -- Patient Selection -- Indications -- Contraindications -- Technique -- Translumbar IVC Catheter Placement -- Transhepatic Catheter Placement -- Complications -- Conclusion -- References -- 9: Approach to a Nonfunctioning Catheter -- Introduction -- Initial Evaluation and Treatment.
Diagnostic Evaluation in an Interventional Suite -- Interventions Directed at Specific Causes of Catheter Dysfunction -- Catheter Damage -- Catheter Kinking -- Tip Malposition -- Catheter Thrombosis -- Fibrin Sheath -- TDC Exchange -- Percutaneous Fibrin Sheath Stripping -- Angioplasty Disruption -- Internal Snare -- Central Vein Stenosis -- References -- 10: Approach to the Infected Catheter -- Introduction -- Background -- Risk Factors for Infection -- Mechanisms of Infection -- Suspecting an Infection -- Diagnosis of Suspected Catheter-Related Bloodstream Infection (CRBSI) -- Management of Confirmed Infections -- Catheter Management -- Identifying the Organism -- Duration of Antibiotics -- Prevention -- Sterile Technique in Placement of Catheter -- Vascular Access Team -- Antibiotic Impregnated Catheters -- Daily Handling -- Exit-Site Care -- Catheter Lock -- Scheduled Catheter Exchange -- Summary -- References -- 11: Approach to Patient Referred for Vascular Mapping -- Introduction -- The Techniques -- Physical Examination -- Ultrasound Examination -- Arterial Examination -- Venous Examination -- Angiography -- CO2 Angiography -- Which Technique Should Be Used? -- Physical Exam -- Ultrasound (US) -- Angiography -- Summary and Future Directions -- References -- 12: Approach to Arteriovenous Access -- Introduction -- Types of Vascular Access -- AV Fistulae (AVF) -- Synthetic Arteriovenous Grafts (AVG) -- Tunneled Cuffed Hemodialysis Catheters (TDC) -- Pre-dialysis Evaluation -- Timing of AVF Creation -- Patient Evaluation Prior to Access Placement -- Arterial Evaluation -- Venous Evaluation -- Alternative Strategies for Arteriovenous Fistula Creation -- Endovascular AVF Creation (Endo-AVF) -- Factors Related to Successful Fistula Use -- Assessment of AV Access by Physical Examination -- Special Considerations Related to AVG Examination.
Detection of Direction of Flow -- Detecting Recirculation -- Diagnosis of Venous Stenosis -- Secondary AV Fistula Creation -- Conclusions -- References -- 13: Approach to a Patient with Non-maturing AV Fistula -- Introduction -- Failure to Mature (FTM): Definition -- Risk Factors for Failure of Maturation -- Causes of Early Fistula Failure -- Inflow Problems -- Outflow Problems -- Identification and Management of Early AVF Failure -- Specific Interventions -- Angioplasty -- Accessory/Branching Vein Ligation -- Sequential Dilation -- Surgical Techniques -- Stents in AV Access -- Thrombectomy -- Prevention of Early FTM -- Conclusion -- References -- 14: Approach to an Arteriovenous Access with a Faint Thrill -- Segments of an Arteriovenous Fistula -- Physical Examination of an Arteriovenous Fistula -- Normal Findings -- Augmentation Test -- Etiology of a Faint Thrill -- New AVF -- Established AVF -- Summary -- References -- 15: Approach to an Arteriovenous Access with Hyperpulsatile Pulse -- Defining Hyperpulsatile Pulse -- Etiology of Hyperpulsatile AVF -- Clinical Findings Associated with Hyperpulsatile AVF -- Arm Elevation Test -- Thrill -- High-Pitched Bruit -- Prolonged Bleeding -- High Dialysis Venous Pressures -- Development of Aneurysm -- References -- 16: Approach to an Arteriovenous Access with No Thrill, Bruit, or Pulse -- Introduction -- Clinical Considerations -- Precautions -- General Approach -- Specific Approach -- Initial Cannulation -- Cross the Vein-Graft Anastomosis -- Perform Central Venography -- Administer Medications -- Treat Clot -- Angioplasty of Vein-Graft Anastomosis -- Remove Arterial Platelet-Fibrin Plug -- Evaluate Arterial Inflow -- Evaluate Venous Outflow -- Perform Completion Angiogram -- Autogenous Fistula Thrombectomy -- Anatomy -- Anastomosis -- Lesions -- Thrombectomy -- Angioplasty -- Clot Volume.
HeRO® Graft Thrombectomy -- Removal of Thrombus -- Angioplasty -- Anticoagulation -- Summary -- References -- 17: Approach to Patient with Arteriovenous Access Presenting with Hand Pain -- Introduction -- History-Taking -- Neurogenic Pain -- Vascular Pain -- Musculoskeletal Pain -- Physical Examination -- Differential Diagnosis and Pathophysiology -- Ischemic Monomelic Neuropathy -- Distal Hypoperfusion Ischemic Syndrome -- Investigations -- Ultrasonography -- Hemodynamic Studies -- Catheter-Based Contrast Arteriography -- Imaging Using Computed Tomography Angiography (CTA) -- Electrophysiology Study -- Management -- Flow Reduction Intervention -- Reconfiguration of the AV Access -- Distal Revascularization with Interval Ligation (DRIL) -- Revision Using Distal Inflow Procedure (RUDI) -- Proximalization of Arterial Inflow -- Ligation -- Prevention of DHIS -- Conclusion -- References -- 18: Central Venous Stenosis -- Management of Central Venous Stenosis -- Conclusion -- References -- 19: Approach to a Patient with Pseudoaneurysm -- Introduction -- Pseudoaneurysm Development -- Clinical Features -- Diagnosis -- Management -- References -- 20: Approach to Chest Pain During Dialysis -- Introduction -- Initial Evaluation of Chest Pain -- History-Taking -- Nature and Location of Pain -- Radiation of Chest Pain -- Timing of Chest Pain -- Associated Symptoms -- Vascular Access -- Physical Examination -- Differential Diagnosis and Pathophysiology -- Diagnostic Approach to Chest Pain -- Management -- Coronary Artery Disease -- Interventional Therapy for Coronary Artery Disease -- Medical Therapy for Coronary Artery Disease -- Subclavian Coronary Steal Syndrome -- Technical Details -- Conclusion -- References -- 21: Approach to Cyanotic Digits and Hand Paresis -- Introduction -- Cyanotic Fingers and Hand Ischemia -- Management.
Ischemic Monomelic Neuropathy (Nerve Injury).
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Frailty and Kidney Disease : A Practical Guide to Clinical Management / / edited by Carlos Guido Musso, José Ricardo Jauregui, Juan Florencio Macías-Núñez, Adrian Covic
