Septicæmia and Pulmonary Embolism Complicating Maintenance Hæmodialysis

Schmidt, Philip H; Zazgórnik, J; Kopsa, H; Kotzaurek, R

doi:10.1016/s0140-6736(72)91480-8

Cited by 6 publications

(1 citation statement)

References 3 publications

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“…Most reports of venous embolic disease in ESRD patients have described events related to HD vascular access, such as emboli arising from thrombosed or infected AV accesses (127)(128)(129)(130)(131)(132)(133)(134)(135)(136). Several studies have evaluated the risk of PE following percutaneous repair of thrombosed AV grafts (137)(138)(139)(140).…”

Section: Hd Vascular Access-associated Thromboembolic Diseasementioning

confidence: 99%

Thrombosis in End‐Stage Renal Disease

Casserly

Dember

2003

Seminars in Dialysis

146

122

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Although renal failure has classically been associated with a bleeding tendency, thrombotic events are common among patients with end-stage renal disease (ESRD). A variety of thrombosis-favoring hematologic alterations have been demonstrated in these patients. In addition, "nontraditional" risk factors for thrombosis, such as hyperhomocysteinemia, endothelial dysfunction, inflammation, and malnutrition, are present in a significant proportion of chronic dialysis patients. Hemodialysis (HD) vascular access thrombosis, ischemic heart disease, and renal allograft thrombosis are well-recognized complications in these patients. Deep venous thrombosis and pulmonary embolism are viewed as rare in chronic dialysis patients, but recent studies suggest that this perception should be reconsidered. Several ESRD treatment factors such as recombinant erythropoietin (EPO) administration, dialyzer bioincompatibility, and calcineurin inhibitor administration may have prothrombotic effects. In this article we review the pathogenesis and clinical manifestations of thrombosis in ESRD and evaluate the evidence that chronic renal failure or its management predisposes to thrombotic events.

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Section: Hd Vascular Access-associated Thromboembolic Diseasementioning

confidence: 99%

Thrombosis in End‐Stage Renal Disease

Casserly

Dember

2003

Seminars in Dialysis

146

122

View full text Add to dashboard Cite

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Pulmonary embolism in end stage renal disease

1990

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Clinically significant pulmonary embolism is considered to be rare in patients with end stage renal disease. Two cases with long standing renal disease on dialysis, are reported where pulmonary embolism contributed significantly to morbidity and mortality. One patient had hypotension during dialysis. The differential diagnosis of sustained hypotension during dialysis or in the ICU should include pulmonary embolism. Establishing the diagnosis may require pulmonary angiography.

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