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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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Hemodialysis II: Procedure and Complications01:24

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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Cardiac Catheterization III: Left Heart Catheterization01:24

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Hemodialysis III: Nursing Management01:25

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The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
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Heart Failure VI: Adjunct Therapies01:22

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Dialysis access intervention: Techniques for the interventional cardiologist.

John A Bittl1

  • 1Interventional Cardiology Program, AdventHealth Ocala, Ocala, Florida 34474, United States of America.

Progress in Cardiovascular Diseases
|February 15, 2021
PubMed
Summary
This summary is machine-generated.

Interventional cardiologists can improve care for end-stage kidney disease (ESKD) patients by performing urgent dialysis access procedures. This collaboration ensures patients don't miss vital hemodialysis sessions, preventing the need for temporary catheters.

Keywords:
AngioplastyChronic kidney disease stage VChronic kidney disease stage VIEnd-stage renal diseaseHemodialysisPaclitaxel-eluting balloonStent-graft

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Area of Science:

  • Cardiology
  • Nephrology
  • Vascular Access

Background:

  • Patients with end-stage kidney disease (ESKD) rely on hemodialysis accesses for survival.
  • Malfunctioning dialysis accesses can lead to missed treatments and complications.
  • Interventional nephrologists currently manage most routine access procedures.

Purpose of the Study:

  • To highlight the crucial role of interventional cardiologists in managing malfunctioning hemodialysis accesses.
  • To define the collaborative potential between interventional cardiologists and nephrologists for ESKD patient care.
  • To review the pathophysiology and catheter-based treatment of dialysis access failure.

Main Methods:

  • Review of the pathophysiology of dialysis access failure.
  • Illustration of catheter-based treatment approaches.
  • Discussion of collaborative care models between cardiology and nephrology.

Main Results:

  • Interventional cardiologists can address urgent/emergent access issues outside routine schedules.
  • Collaboration ensures timely treatment, preventing missed hemodialysis sessions.
  • Catheter-based interventions offer effective solutions for access malfunction.

Conclusions:

  • Interventional cardiologists are vital in managing complex dialysis access problems in ESKD patients.
  • Collaborative efforts enhance patient care by bridging gaps in access management.
  • Timely intervention by interventional cardiologists prevents treatment interruption and catheterization.