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The Management of Serious Adverse Events Associated with Interventional Procedures

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Abstract

Dialysis access management procedures are increasingly performed by interventional nephrologists working in freestanding clinics. As with any type of procedure, these cases may be associated with adverse events. These events can be classified as mechanical complications that are procedure related, complications associated with sedation/analgesia, and idiosyncratic or hypersensitivity reactions associated with the administration of radiocontrast and other drugs. It is important that the interventionalist managing dialysis access problems be in a position to deal with these adverse occurrences. This means being knowledgeable in complication recognition and management and having the proper equipment and supplies readily at hand to do what needs to be done. It is also important that policies be in place within these freestanding clinics to avoid these situations to the degree that avoidance is possible by identifying situations where there is a significant risk that the complication might occur. The goal of this chapter is to discuss these issues.

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Correspondence to Gerald A. Beathard MD, PhD, FASN .

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Beathard, G.A. (2014). The Management of Serious Adverse Events Associated with Interventional Procedures. In: Yevzlin, A., Asif, A., Salman, L. (eds) Interventional Nephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8803-3_30

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