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.
AsifACastroHWaheedAAet al.Blood pressure recordings during hemodialysis access interventions: implications for acute management.Semin Dial2013;26(4):E30–32
2.
BlaudszunGLysakowskiCEliaNTramerMREffect of perioperative systemic alpha2 agonists on postoperative morphine consumption and pain intensity: systematic review and meta-analysis of randomized controlled trials.Anesthesiology2012; 116(6):1312–1322
3.
EpsteinMDiagnosis and management of hypertensive emergencies.Clin Cornerstone1999;2(1):41–54
