Abstract
Regardless of what intervention is performed, unless the access thromboses, hemostasis remains the final post procedural access issue to deal with. Management partially is dependent on sedation status, puncture hole size, and if thrombolytics and/or heparin were used during interventions. Also, if high flow sheaths have been used for intervention, the patient may be transferred to the dialysis unit and dialysis commenced through these sheaths.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Vorwerk D, Konner K, Schurmann K, Gunther RW. A simple trick to facilitate bleeding control after percutaneous hemodialysis fistula and graft interventions. Cardiovasc Intervent Radiol. 1997;20(2):159–60.
Vesely TM. Use of a purse string suture to close a percutaneous access site after hemodialysis graft interventions. J Vasc Interv Radiol. 1998;9(3):447–50.
Zaleski GX, Funaki B, Gentile L, Garofalo RS. Purse-string sutures and miniature tourniquet to achieve immediate hemostasis of percutaneous grafts and fistulas: a simple trick with a twist. AJR Am J Roentgenol. 2000;175(6):1643–5.
Simons ME, Rajan DK, Clark TW. The woggle technique for suture closure of hemodialysis access catheterization sites. J Vasc Interv Radiol. 2003;14(4):485–8.
Clark TW, Haji-Momenian S, Kwak A, et al. Angiographic changes following the use of a purse-string suture hemostasis device in hemodialysis access interventions. J Vasc Interv Radiol. 2009;20(1):61–5.
Barzel E. Use of a simple compression dressing to obtain hemostasis after pharmacologic thrombolysis of dialysis grafts. J Vasc Interv Radiol. 1999;10(8):1039–42.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Clark, T.I., Rajan, D.K. (2011). Puncture Site Management. In: Rajan, D. (eds) Essentials of Percutaneous Dialysis Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5657-6_23
Download citation
DOI: https://doi.org/10.1007/978-1-4419-5657-6_23
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-5656-9
Online ISBN: 978-1-4419-5657-6
eBook Packages: MedicineMedicine (R0)