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Radiological diagnosis of dialysis-associated complications.

Zandieh S, Muin D, Bernt R, Krenn-List P, Mirzaei S, Haller J - Insights Imaging (2014)

Bottom Line: In daily clinical practice, the radiologist in the context of diagnosis often faces dialysis-associated complications.The complications are numerous and range from infections, catheter dysfunctions, haematomas, cardiovascular diseases, digital ischaemia, and pseudoaneurysms to shunt stenosis.In this pictorial essay, we take a close look at the imaging diagnostics of the most common complications in dialysis patients.

View Article: PubMed Central - PubMed

Affiliation: Institute of Radiology and Nuclear Medicine, Hanusch Hospital, Teaching Hospital of Medical University of Vienna, Vienna, EU, Austria, shahin.zandieh@chello.at.

ABSTRACT
In daily clinical practice, the radiologist in the context of diagnosis often faces dialysis-associated complications. The complications are numerous and range from infections, catheter dysfunctions, haematomas, cardiovascular diseases, digital ischaemia, and pseudoaneurysms to shunt stenosis. In this pictorial essay, we take a close look at the imaging diagnostics of the most common complications in dialysis patients. Teaching Points • The occurrence of venous stenosis in haemodialysis patients is up to 41 %. • Catheters usually have a fibrin sheath that can be rinsed but not aspirated. • The steal phenomenon occurs in 75-90 % of patients with a shunt system. • Arterial pseudoaneurysms can cause a number of complications.

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Chest x-ray depicts left ventricular hypertrophy in a 79-year-old male patient with a dialysis shunt and increased cardiac output (black arrow)
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Fig19: Chest x-ray depicts left ventricular hypertrophy in a 79-year-old male patient with a dialysis shunt and increased cardiac output (black arrow)

Mentions: Another group of possible complications during dialysis affects the heart. Cardiovascular diseases are common causes of death among dialysis patients [60]. During dialysis, pericarditis with the accumulation of fluid in the pericardium can occur. This leads to a compression of the heart, which then can no longer move optimally [61, 62]. In such cases the pericardial effusion should be punctured. Cardiac arrhythmias and left ventricular hypertrophy often arise in dialysis [63] (Fig. 20).Fig. 20


Radiological diagnosis of dialysis-associated complications.

Zandieh S, Muin D, Bernt R, Krenn-List P, Mirzaei S, Haller J - Insights Imaging (2014)

Chest x-ray depicts left ventricular hypertrophy in a 79-year-old male patient with a dialysis shunt and increased cardiac output (black arrow)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195842&req=5

Fig19: Chest x-ray depicts left ventricular hypertrophy in a 79-year-old male patient with a dialysis shunt and increased cardiac output (black arrow)
Mentions: Another group of possible complications during dialysis affects the heart. Cardiovascular diseases are common causes of death among dialysis patients [60]. During dialysis, pericarditis with the accumulation of fluid in the pericardium can occur. This leads to a compression of the heart, which then can no longer move optimally [61, 62]. In such cases the pericardial effusion should be punctured. Cardiac arrhythmias and left ventricular hypertrophy often arise in dialysis [63] (Fig. 20).Fig. 20

Bottom Line: In daily clinical practice, the radiologist in the context of diagnosis often faces dialysis-associated complications.The complications are numerous and range from infections, catheter dysfunctions, haematomas, cardiovascular diseases, digital ischaemia, and pseudoaneurysms to shunt stenosis.In this pictorial essay, we take a close look at the imaging diagnostics of the most common complications in dialysis patients.

View Article: PubMed Central - PubMed

Affiliation: Institute of Radiology and Nuclear Medicine, Hanusch Hospital, Teaching Hospital of Medical University of Vienna, Vienna, EU, Austria, shahin.zandieh@chello.at.

ABSTRACT
In daily clinical practice, the radiologist in the context of diagnosis often faces dialysis-associated complications. The complications are numerous and range from infections, catheter dysfunctions, haematomas, cardiovascular diseases, digital ischaemia, and pseudoaneurysms to shunt stenosis. In this pictorial essay, we take a close look at the imaging diagnostics of the most common complications in dialysis patients. Teaching Points • The occurrence of venous stenosis in haemodialysis patients is up to 41 %. • Catheters usually have a fibrin sheath that can be rinsed but not aspirated. • The steal phenomenon occurs in 75-90 % of patients with a shunt system. • Arterial pseudoaneurysms can cause a number of complications.

No MeSH data available.


Related in: MedlinePlus