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Vascular Injury During Interventions

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Interventional Nephrology

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Abstract

Vascular rupture encountered during vascular access intervention is a potentially serious adverse event which needs to be managed appropriately to avoid escalating morbidity and mortality. A majority of vascular ruptures encountered during interventions can be handled effectively by the performing interventionalist.

Proper patient selection including a thorough history and physical examination as well as advanced anatomical and pathophysiological knowledge are vital to prevent and treat vascular rupture. Rapid control of hemorrhage, rapid restoration of blood flow to an ischemic vascular bed, and prevention of further injury such as extremity compartment syndrome are the goals of therapy. Management techniques include conventional manual compression, endovascular methods including balloon tamponade, stent placement, and open surgical techniques. Skilled performance of endovascular techniques as well as establishing proper procedures and protocols for higher level of care assistance when appropriate are vital. The availability of technologically advanced equipment with high-quality medical devices as well as a well-trained interdisciplinary team is essential to ensure technical success.

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Author information

Authors and Affiliations

  1. Division of Nephrology, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA

    Rajiv Dhamija MD

  2. Internal Medicine, Western University of Health Sciences, Pomona, CA, USA

    Rajiv Dhamija MD

Authors
  1. Rajiv Dhamija MD
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Correspondence to Rajiv Dhamija MD .

Editor information

Editors and Affiliations

  1. Department of Medicine (CHS), Division of Nephrology, Madison, Wisconsin, USA

    Alexander S. Yevzlin

  2. Medicine, Nephrology and Hypertension, Albany Medical College, Albany, New York, USA

    Arif Asif

  3. Interventional Nephrology Nephrology and Hypertension, University of Miami Miller School of Med, Miami, Florida, USA

    Loay Salman

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Dhamija, R. (2014). Vascular Injury During Interventions. In: Yevzlin, A., Asif, A., Salman, L. (eds) Interventional Nephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8803-3_25

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  • DOI: https://doi.org/10.1007/978-1-4614-8803-3_25

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8802-6

  • Online ISBN: 978-1-4614-8803-3

  • eBook Packages: MedicineMedicine (R0)

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