Interventional Nephrology: Principles and Practice

319 Pages·2014·9.51 MB·English

by  Marius C. Florescu MD

Alexander S. Yevzlin
Arif Asif
Loay Salman
Editors
Interventional
Nephrology
Principles and Practice
123
Interventional Nephrology

Alexander S. Yevzlin (cid:129) Arif Asif (cid:129) Loay Salman

Editors
Interventional Nephrology

Principles and Practice
Editors
Alexander S. Yevzlin, MD Loay Salman, MD
Division of Nephrology Interventional Nephrology
Department of Medicine (CHS) University of Miami Miller School of Medicine
University of Wisconsin Miami , FL
Madison, WI USA
USA
Arif Asif, MD, FASN, FNKF
Division of Nephrology and Hypertension
Albany Medical College
Albany , NY
USA
ISBN 978-1-4614-8802-6 ISBN 978-1-4614-8803-3 (eBook)
DOI 10.1007/978-1-4614-8803-3
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013956233
© Springer Science+Business Media New York 2014
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This textbook is dedicated to my children, Alana, Margarita, and Shayna,
whose light shines even on these pages.
– Alexander S. Yevzlin
Dedicated to my sister, Azra Asif, for her love, kindness, devotion and endless
support.
– Arif Asif
“To my dear parents, my wonderful wife Rama, and my beautiful children, Zane
and Jude, for their endless inspiration.”
– Loay Salman

Contents
1 Preoperative Evaluation: History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Marius C. Florescu and Troy J. Plumb
2 Preoperative Evaluation: Physical Examination. . . . . . . . . . . . . . . . . . . . . . . . . 7
Vandana Dua Niyyar
3 Admission After Intervention: When and Why . . . . . . . . . . . . . . . . . . . . . . . . . 15
Bharat Sachdeva
4 Communicating Effectively for Interventional Nephrologists. . . . . . . . . . . . . . 21
Jamie Ross and Talia Eisen
5 Anticoagulants and Thrombolytics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
K.M.L.S.T. Moorthi
6 Noninvasive Screening and Testing for PAD in CKD Patients . . . . . . . . . . . . . 35
Alexander S. Yevzlin and Peter J. Mason
7 Overview of PAD Treatment in the CKD Population: Indications,
Medical Strategies, and Endovascular Techniques. . . . . . . . . . . . . . . . . . . . . . . 41
Alexander S. Yevzlin and Micah R. Chan
8 Unconventional Venous Access: Percutaneous Translumbar
and Transhepatic Venous Access for Hemodialysis . . . . . . . . . . . . . . . . . . . . . . 49
Jason W. Pinchot
9 Approach to a Nonfunctioning Catheter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Roman Shingarev and Alexander S. Yevzlin
10 Approach to the Infected Catheter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Laura Maursetter
11 Approach to Patient Referred for Vascular Mapping . . . . . . . . . . . . . . . . . . . . 75
Vandana Dua Niyyar
12 Approach to Arteriovenous Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Ravish Shah and Anil K. Agarwal
13 Approach to a Patient with Non-m aturing AV Fistula. . . . . . . . . . . . . . . . . . . . 93
Ravish Shah and Anil K. Agarwal
14 Approach to an Arteriovenous Access with Hyperpulsatile Pulse . . . . . . . . . . 101
Tushar J. Vachharajani
15 Approach to an Arteriovenous Access with a Faint Thrill. . . . . . . . . . . . . . . . . 105
Tushar J. Vachharajani
vii
viii Contents
16 Approach to an Arteriovenous Access with No Thrill,
Bruit, or Pulse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Aris Q. Urbanes
17 Approach to Patient with Arteriovenous Access Presenting
with Hand Pain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Chieh Suai Tan, Diego A. Covarrubias, and Steven Wu
18 Central Vein Stenosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Davinder Wadehra
19 Approach to a Patient with Pseudoaneurysm. . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Marius C. Florescu and Troy J. Plumb
20 Approach to Chest Pain During Dialysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Chieh Suai Tan, Diego A. Covarrubias, and Steven Wu
21 Approach to Cyanotic Digits and Hand Paresis . . . . . . . . . . . . . . . . . . . . . . . . . 159
Arif Asif
22 Approach to an Abnormal Surveillance Measurement . . . . . . . . . . . . . . . . . . . 163
Loay Salman
23 Arterial Stenosis Affecting Arteriovenous Fistulae and Grafts
in Hemodialysis Patients: Approach to Diagnosis and Management . . . . . . . . 169
Diego A. Covarrubias, Chieh Suai Tan, and Steven Wu
24 Approach to the Patient with Suspected Renal Artery Stenosis . . . . . . . . . . . . 179
Alexander S. Yevzlin and Micah R. Chan
25 Vascular Injury During Interventions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Rajiv Dhamija
26 Pulmonary Embolism Associated with Dialysis Access Procedure. . . . . . . . . . 195
Gerald A. Beathard
27 Stent Migration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Ramanath Dukkipati
28 Foreign Body Retrieval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Karthik Ramani and Davinder Wadehra
29 Contrast and Medication Allergic Reactions . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Adrian Sequeira, Zulqarnain Abro, and Kenneth Abreo
30 The Management of Serious Adverse Events Associated
with Interventional Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Gerald A. Beathard
31 Preoperative Evaluation of a Patient for Peritoneal Dialysis Catheter. . . . . . . 281
Mary Buffi ngton and Kenneth Abreo
32 Operative Considerations for Peritoneal Dialysis Catheter. . . . . . . . . . . . . . . . 293
Stephen R. Ash, Rajeev Narayan, Anil K. Agarwal, and John H. Crabtree
33 Approach to a Patient with Visceral Perforation . . . . . . . . . . . . . . . . . . . . . . . . 319
Arif Asif

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Contributors
Kenneth Abreo , MD Nephrology Section, Department of Medicine ,
Louisiana State University Health Sciences Center , Shreveport , LA , USA
Zulqarnain Abro Nephrology Section, Department of Medicine ,
Louisiana State University Health Sciences Center , Shreveport , LA , USA
Anil K. Agarwal , MD, FACP, FASN, FNKF Division of Nephrology ,
The Ohio State University , Columbus , OH , USA
Stephen R. Ash , MD, FACP Indiana University Health Arnett,
Lafayette, Indiana , USA
HemoCleanse, Inc. and Ash Access Technology, Inc., Lafayette, Indiana , USA
Arif Asif , MD, FASN, FNKF Division of Nephrology and Hypertension ,
Albany Medical College , Albany , NY , USA
Gerald A. Beathard , MD, PhD, FASN Department of Internal Medicine,
University of Texas Medical Branch , Galveston , TX , USA
Mary Buffi ngton , MD, JD Nephrology Section, Department of Medicine, Louisiana State
University Health Sciences Center , Shreveport , LA , USA
Micah R. Chan Division of Nephrology, Department of Medicine ,
University of Wisconsin College of Medicine and Public Health , Madison , WI , USA
Diego A. Covarrubias , MD Vascular Interventional Radiology , Massachusetts General
Hospital, Harvard Medical School , Boston , MA , USA
Department of Radiology , Massachusetts General Hospital, Harvard Medical School ,
Boston , MA , USA
John H. Crabtree Department of Surgery , Kaiser Permanente , Bellfl ower , CA , USA
Rajiv Dhamija , MD Division of Nephrology , Rancho Los Amigos National
Rehabilitation Center , Downey , CA , USA
Internal Medicine , Western University of Health Sciences , Pomona , CA , USA
Ramanath Dukkipati , MD Division of Nephrology, University of California ,
Torrance, Los Angeles , CA , USA
Talia Eisen , MD Division of Nephrology, Department of Internal Medicine ,
University of California Davis Medical Center , Sacramento , CA , USA
Marius C. Florescu , MD Division of Nephrology, Department of Internal Medicine ,
University of Nebraska Medical Center , Omaha , NE , USA
Peter J. Mason Division of Cardiovascular Medicine, Department of Medicine ,
University of Wisconsin College of Medicine and Public Health , Madison , WI , USA
ix