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Vascular Access Complication

MedGen UID:
182525
•Concept ID:
C0920165
•
Pathologic Function

Definition

Complications related to damage at the vascular access site. Examples include bleeding, formation of hematoma, aneurysm, pseudoaneurysm, or arteriovenous fistula, development of infection, and catheter thrombosis. [from NCI]

Professional guidelines

PubMed

Covered Stents as a First-Line Treatment for Vascular Access Complications During Transfemoral Transcatheter Aortic Valve Implantation: Eight-Year Experience From a Single Center.
Ben Abdallah I, Urena M, Sutter W, Bezard C, Pellenc Q, Cerceau P, Nguyen TH, Himbert D, Castier Y
Angiology 2021 Jan;72(1):70-77. Epub 2020 Aug 19 doi: 10.1177/0003319720950148. PMID: 32812435
The management of vascular access in hemodialysis patients during the coronavirus disease 2019 epidemic: A multicenter cross-sectional study.
Shi J, Yan JJ, Chen J, Zhang QH, Yang Y, Xing X, Cheng AY, Wang YN, Xu G, He F
J Vasc Access 2021 Mar;22(2):280-287. Epub 2020 Jul 4 doi: 10.1177/1129729820937484. PMID: 32623945
Treatment of subacute and chronic thrombotic occlusions of lower extremity peripheral arteries with the excimer laser: a feasibility study.
Shammas NW, Weissman NJ, Coiner D, Shammas GA, Dippel E, Jerin M
Cardiovasc Revasc Med 2012 Jul-Aug;13(4):211-4. Epub 2012 Jun 27 doi: 10.1016/j.carrev.2012.05.004. PMID: 22743208

Recent clinical studies

Etiology

A rare hemodialysis vascular access complication-Internal jugular vein reflux.
Xiong X, Zhang H
J Clin Ultrasound 2024 May;52(4):456-463. Epub 2024 Jan 3 doi: 10.1002/jcu.23633. PMID: 38169054
Vascular Access Complications and Clinical Outcomes of Vascular Surgical Repairs Following Transcatheter Aortic Valve Implantation (TAVI).
Sinclair N, Mordhorst A, Yang GK, MacDonald PS, Sidhu R, Reid JDS
Ann Vasc Surg 2021 Jul;74:258-263. Epub 2021 Feb 4 doi: 10.1016/j.avsg.2020.12.032. PMID: 33549772
Ultrasound guided vascular access site management and left ventricular pacing are associated with improved outcomes in contemporary transcatheter aortic valve replacement: Insights from the OxTAVI registry.
Kotronias RA, Scarsini R, De Maria GL, Rajasundaram S, Sayeed R, Krasopoulos G, Grebenik C, Keiralla A, Newton JD, Banning AP, Kharbanda RK
Catheter Cardiovasc Interv 2020 Aug;96(2):432-439. Epub 2019 Nov 19 doi: 10.1002/ccd.28578. PMID: 31742885
Radial Access for Peripheral Interventions.
Fanaroff AC, Rao SV, Swaminathan RV
Interv Cardiol Clin 2020 Jan;9(1):53-61. Epub 2019 Oct 21 doi: 10.1016/j.iccl.2019.08.005. PMID: 31733741
Fatal Dialysis Vascular Access Hemorrhage.
Jose MD, Marshall MR, Read G, Lioufas N, Ling J, Snelling P, Polkinghorne KR
Am J Kidney Dis 2017 Oct;70(4):570-575. Epub 2017 Jun 30 doi: 10.1053/j.ajkd.2017.05.014. PMID: 28673467

Diagnosis

Posterior wall ablation by pulsed-field ablation: procedural safety, efficacy, and findings on redo procedures.
Kueffer T, Tanner H, Madaffari A, Seiler J, Haeberlin A, Maurhofer J, Noti F, Herrera C, Thalmann G, Kozhuharov NA, Reichlin T, Roten L
Europace 2023 Dec 28;26(1) doi: 10.1093/europace/euae006. PMID: 38225174Free PMC Article
Arterial vascular access complication in osteogenesis imperfecta.
Chughtai A, Dey R, Chattopadhyay S
J Vasc Access 2022 Sep;23(5):822-824. Epub 2021 Apr 12 doi: 10.1177/11297298211009989. PMID: 33845668
The management of vascular access in hemodialysis patients during the coronavirus disease 2019 epidemic: A multicenter cross-sectional study.
Shi J, Yan JJ, Chen J, Zhang QH, Yang Y, Xing X, Cheng AY, Wang YN, Xu G, He F
J Vasc Access 2021 Mar;22(2):280-287. Epub 2020 Jul 4 doi: 10.1177/1129729820937484. PMID: 32623945
Vascular complications after balloon aortic valvuloplasty in recent years: Incidence and comparison of two hemostatic devices.
Dall'Ara G, Santarelli A, Marzocchi A, Bacchi Reggiani ML, Sabattini MR, Moretti C, Marrozzini C, Taglieri N, Baldazzi F, Franco N, Ortolani P, Chiarabelli M, Rodinò G, Piovaccari G, Rapezzi C, Saia F
Catheter Cardiovasc Interv 2018 May 1;91(6):E49-E55. Epub 2017 Oct 5 doi: 10.1002/ccd.27328. PMID: 28980387
Surveillance of arteriovenous accesses with the use of duplex Doppler ultrasonography.
Malik J, Kudlicka J, Novakova L, Adamec J, Malikova H, Kavan J
J Vasc Access 2014;15 Suppl 7:S28-32. Epub 2014 Apr 17 doi: 10.5301/jva.5000240. PMID: 24817451

Therapy

Posterior wall ablation by pulsed-field ablation: procedural safety, efficacy, and findings on redo procedures.
Kueffer T, Tanner H, Madaffari A, Seiler J, Haeberlin A, Maurhofer J, Noti F, Herrera C, Thalmann G, Kozhuharov NA, Reichlin T, Roten L
Europace 2023 Dec 28;26(1) doi: 10.1093/europace/euae006. PMID: 38225174Free PMC Article
Arterial vascular access complication in osteogenesis imperfecta.
Chughtai A, Dey R, Chattopadhyay S
J Vasc Access 2022 Sep;23(5):822-824. Epub 2021 Apr 12 doi: 10.1177/11297298211009989. PMID: 33845668
Vascular Access Complications and Clinical Outcomes of Vascular Surgical Repairs Following Transcatheter Aortic Valve Implantation (TAVI).
Sinclair N, Mordhorst A, Yang GK, MacDonald PS, Sidhu R, Reid JDS
Ann Vasc Surg 2021 Jul;74:258-263. Epub 2021 Feb 4 doi: 10.1016/j.avsg.2020.12.032. PMID: 33549772
Fatal Dialysis Vascular Access Hemorrhage.
Jose MD, Marshall MR, Read G, Lioufas N, Ling J, Snelling P, Polkinghorne KR
Am J Kidney Dis 2017 Oct;70(4):570-575. Epub 2017 Jun 30 doi: 10.1053/j.ajkd.2017.05.014. PMID: 28673467
Vascular access complications during outpatient parenteral antimicrobial therapy at home: a retrospective cohort study.
Shrestha NK, Shrestha J, Everett A, Carroll D, Gordon SM, Butler RS, Rehm SJ
J Antimicrob Chemother 2016 Feb;71(2):506-12. Epub 2015 Oct 28 doi: 10.1093/jac/dkv344. PMID: 26510718

Prognosis

Ultrasound guided vascular access site management and left ventricular pacing are associated with improved outcomes in contemporary transcatheter aortic valve replacement: Insights from the OxTAVI registry.
Kotronias RA, Scarsini R, De Maria GL, Rajasundaram S, Sayeed R, Krasopoulos G, Grebenik C, Keiralla A, Newton JD, Banning AP, Kharbanda RK
Catheter Cardiovasc Interv 2020 Aug;96(2):432-439. Epub 2019 Nov 19 doi: 10.1002/ccd.28578. PMID: 31742885
Vascular Access Choice, Complications, and Outcomes in Children on Maintenance Hemodialysis: Findings From the International Pediatric Hemodialysis Network (IPHN) Registry.
Borzych-Duzalka D, Shroff R, Ariceta G, Yap YC, Paglialonga F, Xu H, Kang HG, Thumfart J, Aysun KB, Stefanidis CJ, Fila M, Sever L, Vondrak K, Szabo AJ, Szczepanska M, Ranchin B, Holtta T, Zaloszyc A, Bilge I, Warady BA, Schaefer F, Schmitt CP
Am J Kidney Dis 2019 Aug;74(2):193-202. Epub 2019 Apr 19 doi: 10.1053/j.ajkd.2019.02.014. PMID: 31010601
Vascular access complications during outpatient parenteral antimicrobial therapy at home: a retrospective cohort study.
Shrestha NK, Shrestha J, Everett A, Carroll D, Gordon SM, Butler RS, Rehm SJ
J Antimicrob Chemother 2016 Feb;71(2):506-12. Epub 2015 Oct 28 doi: 10.1093/jac/dkv344. PMID: 26510718
Surveillance of arteriovenous accesses with the use of duplex Doppler ultrasonography.
Malik J, Kudlicka J, Novakova L, Adamec J, Malikova H, Kavan J
J Vasc Access 2014;15 Suppl 7:S28-32. Epub 2014 Apr 17 doi: 10.5301/jva.5000240. PMID: 24817451
Prevalence and predictors of complications of radiofrequency catheter ablation for atrial fibrillation.
Baman TS, Jongnarangsin K, Chugh A, Suwanagool A, Guiot A, Madenci A, Walsh S, Ilg KJ, Gupta SK, Latchamsetty R, Bagwe S, Myles JD, Crawford T, Good E, Bogun F, Pelosi F Jr, Morady F, Oral H
J Cardiovasc Electrophysiol 2011 Jun;22(6):626-31. Epub 2011 Jan 15 doi: 10.1111/j.1540-8167.2010.01995.x. PMID: 21235674Free PMC Article

Clinical prediction guides

Posterior wall ablation by pulsed-field ablation: procedural safety, efficacy, and findings on redo procedures.
Kueffer T, Tanner H, Madaffari A, Seiler J, Haeberlin A, Maurhofer J, Noti F, Herrera C, Thalmann G, Kozhuharov NA, Reichlin T, Roten L
Europace 2023 Dec 28;26(1) doi: 10.1093/europace/euae006. PMID: 38225174Free PMC Article
Measuring the Validity and Reliability of the Vascular Access Complication Staging and Treatment Instrument in a Pediatric Population.
Cline GJ, Pohlod V, Burger KJ, Amankwah EK
J Infus Nurs 2021 Jul-Aug 01;44(4):225-243. doi: 10.1097/NAN.0000000000000431. PMID: 34197352
Ultrasound guided vascular access site management and left ventricular pacing are associated with improved outcomes in contemporary transcatheter aortic valve replacement: Insights from the OxTAVI registry.
Kotronias RA, Scarsini R, De Maria GL, Rajasundaram S, Sayeed R, Krasopoulos G, Grebenik C, Keiralla A, Newton JD, Banning AP, Kharbanda RK
Catheter Cardiovasc Interv 2020 Aug;96(2):432-439. Epub 2019 Nov 19 doi: 10.1002/ccd.28578. PMID: 31742885
Vascular Access Choice, Complications, and Outcomes in Children on Maintenance Hemodialysis: Findings From the International Pediatric Hemodialysis Network (IPHN) Registry.
Borzych-Duzalka D, Shroff R, Ariceta G, Yap YC, Paglialonga F, Xu H, Kang HG, Thumfart J, Aysun KB, Stefanidis CJ, Fila M, Sever L, Vondrak K, Szabo AJ, Szczepanska M, Ranchin B, Holtta T, Zaloszyc A, Bilge I, Warady BA, Schaefer F, Schmitt CP
Am J Kidney Dis 2019 Aug;74(2):193-202. Epub 2019 Apr 19 doi: 10.1053/j.ajkd.2019.02.014. PMID: 31010601
Surveillance of arteriovenous accesses with the use of duplex Doppler ultrasonography.
Malik J, Kudlicka J, Novakova L, Adamec J, Malikova H, Kavan J
J Vasc Access 2014;15 Suppl 7:S28-32. Epub 2014 Apr 17 doi: 10.5301/jva.5000240. PMID: 24817451

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