Blood Pressure Recordings During Hemodialysis Access Interventions: Implications for Acute Management
A retrospective study evaluating the pattern of blood pressure and its related complications before, during, and after percutaneous hemodialysis interventions was performed in patients presenting with asymptomatic hypertension. Hemodialysis patients undergoing percutaneous interventions including tu...
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| Veröffentlicht in: | Seminars in dialysis 2013-07, Vol.26 (4), p.E30-E32 |
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| creator | Asif, Arif Castro, Hector Waheed, Ahmed Ameen Kumar, Vishesh Haqqie, Syed S Siskin, Gary Mathew, Roy O Mason, Darius Vachharajani, Tushar Nayer, Ali Merrill, Donna Akmal, Muhammad UT Salman, Loay |
| description | A retrospective study evaluating the pattern of blood pressure and its related complications before, during, and after percutaneous hemodialysis interventions was performed in patients presenting with asymptomatic hypertension. Hemodialysis patients undergoing percutaneous interventions including tunneled hemodialysis catheter insertion, percutaneous balloon angioplasty and thrombectomy procedure, and stage II hypertension (systolic blood pressure ≥160 mmHg) were included in this analysis. Blood pressure medications were not used while midazolam and fentanyl were routinely administered. Patients were followed for up to 4 weeks to monitor any complications. The mean blood pressure before, during, and after the procedures were 185 ± 18/96 ± 14, 172 ± 22/92 ± 15, and 153 ± 25/87 ± 14, respectively. There was a statistically significant difference between the blood pressure readings before and after the procedure (before = 185 ± 18/96 ± 14, after = 153 ± 25/87 ± 14; p = 0.001). None of the patients had a stroke, myocardial infarction, or acute pulmonary edema before, during, or after the procedure or during the 4‐week follow‐up period. A significant reduction in blood pressure was observed after the procedure without the administration of any antihypertensive medication. These results suggest that the reduction in blood pressure observed after percutaneous dialysis access interventions (particularly in the presence of midazolam and fentanyl) may make it unnecessary to treat asymptomatic hypertension prior to these procedures. |
| doi_str_mv | 10.1111/sdi.12083 |
| format | Article |
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Hemodialysis patients undergoing percutaneous interventions including tunneled hemodialysis catheter insertion, percutaneous balloon angioplasty and thrombectomy procedure, and stage II hypertension (systolic blood pressure ≥160 mmHg) were included in this analysis. Blood pressure medications were not used while midazolam and fentanyl were routinely administered. Patients were followed for up to 4 weeks to monitor any complications. The mean blood pressure before, during, and after the procedures were 185 ± 18/96 ± 14, 172 ± 22/92 ± 15, and 153 ± 25/87 ± 14, respectively. There was a statistically significant difference between the blood pressure readings before and after the procedure (before = 185 ± 18/96 ± 14, after = 153 ± 25/87 ± 14; p = 0.001). None of the patients had a stroke, myocardial infarction, or acute pulmonary edema before, during, or after the procedure or during the 4‐week follow‐up period. A significant reduction in blood pressure was observed after the procedure without the administration of any antihypertensive medication. These results suggest that the reduction in blood pressure observed after percutaneous dialysis access interventions (particularly in the presence of midazolam and fentanyl) may make it unnecessary to treat asymptomatic hypertension prior to these procedures.</description><identifier>ISSN: 0894-0959</identifier><identifier>EISSN: 1525-139X</identifier><identifier>DOI: 10.1111/sdi.12083</identifier><identifier>PMID: 23551213</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - methods ; Antihypertensive Agents - therapeutic use ; Blood Pressure Determination ; Blood Pressure Monitoring, Ambulatory - methods ; Cohort Studies ; Coronary Disease - complications ; Coronary Disease - diagnostic imaging ; Coronary Disease - therapy ; Female ; Follow-Up Studies ; Humans ; Hypertension - complications ; Hypertension - diagnosis ; Hypertension - drug therapy ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - diagnosis ; Kidney Failure, Chronic - therapy ; Male ; Middle Aged ; Myocardial Infarction - complications ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - therapy ; Radiography ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Treatment Outcome ; Vascular Access Devices</subject><ispartof>Seminars in dialysis, 2013-07, Vol.26 (4), p.E30-E32</ispartof><rights>2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3633-37ea86fdd7e867104504fe170d3a5fec0055ea5af82be3dc4da9a1584114a3273</citedby><cites>FETCH-LOGICAL-c3633-37ea86fdd7e867104504fe170d3a5fec0055ea5af82be3dc4da9a1584114a3273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fsdi.12083$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fsdi.12083$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23551213$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asif, Arif</creatorcontrib><creatorcontrib>Castro, Hector</creatorcontrib><creatorcontrib>Waheed, Ahmed Ameen</creatorcontrib><creatorcontrib>Kumar, Vishesh</creatorcontrib><creatorcontrib>Haqqie, Syed S</creatorcontrib><creatorcontrib>Siskin, Gary</creatorcontrib><creatorcontrib>Mathew, Roy O</creatorcontrib><creatorcontrib>Mason, Darius</creatorcontrib><creatorcontrib>Vachharajani, Tushar</creatorcontrib><creatorcontrib>Nayer, Ali</creatorcontrib><creatorcontrib>Merrill, Donna</creatorcontrib><creatorcontrib>Akmal, Muhammad UT</creatorcontrib><creatorcontrib>Salman, Loay</creatorcontrib><title>Blood Pressure Recordings During Hemodialysis Access Interventions: Implications for Acute Management</title><title>Seminars in dialysis</title><addtitle>Semin Dial</addtitle><description>A retrospective study evaluating the pattern of blood pressure and its related complications before, during, and after percutaneous hemodialysis interventions was performed in patients presenting with asymptomatic hypertension. Hemodialysis patients undergoing percutaneous interventions including tunneled hemodialysis catheter insertion, percutaneous balloon angioplasty and thrombectomy procedure, and stage II hypertension (systolic blood pressure ≥160 mmHg) were included in this analysis. Blood pressure medications were not used while midazolam and fentanyl were routinely administered. Patients were followed for up to 4 weeks to monitor any complications. The mean blood pressure before, during, and after the procedures were 185 ± 18/96 ± 14, 172 ± 22/92 ± 15, and 153 ± 25/87 ± 14, respectively. There was a statistically significant difference between the blood pressure readings before and after the procedure (before = 185 ± 18/96 ± 14, after = 153 ± 25/87 ± 14; p = 0.001). None of the patients had a stroke, myocardial infarction, or acute pulmonary edema before, during, or after the procedure or during the 4‐week follow‐up period. A significant reduction in blood pressure was observed after the procedure without the administration of any antihypertensive medication. These results suggest that the reduction in blood pressure observed after percutaneous dialysis access interventions (particularly in the presence of midazolam and fentanyl) may make it unnecessary to treat asymptomatic hypertension prior to these procedures.</description><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Blood Pressure Determination</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Cohort Studies</subject><subject>Coronary Disease - complications</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - diagnosis</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - therapy</subject><subject>Radiography</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - methods</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><subject>Vascular Access Devices</subject><issn>0894-0959</issn><issn>1525-139X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtOGzEUBmCroiohZdEXqLwsi0l8zcx0Rwi5qEARF8HOMvYZ5HZmHOwZ2rw9hgA7vDmy9J1fOj9C3ygZ0fTG0boRZaTgn9CASiYzysvbHTQgRSkyUspyF-3F-IcQylkuvqBdxqWkjPIBgmntvcXnAWLsA-ALMD5Y195HPOtDmngJjbdO15voIj40JkG8ajsIj9B2zrfxJ14169oZ_fLDlQ-J9R3gU93qe2gS-4o-V7qOsP86h-h6fnx1tMxOfi9WR4cnmeETzjOegy4mlbU5FJOcEiGJqIDmxHItKzCESAla6qpgd8CtEVaXmspCUCp0Oo0P0Y9t7jr4hx5ipxoXDdS1bsH3UVFBKCkZYzLRgy01wccYoFLr4BodNooS9dyqSq2ql1aT_f4a2981YN_lW40JjLfgn6th83GSupyt3iKz7YaLHfx_39Dhr5rkPJfq5myhxK_pbDovckX4EyGGkPI</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Asif, Arif</creator><creator>Castro, Hector</creator><creator>Waheed, Ahmed Ameen</creator><creator>Kumar, Vishesh</creator><creator>Haqqie, Syed S</creator><creator>Siskin, Gary</creator><creator>Mathew, Roy O</creator><creator>Mason, Darius</creator><creator>Vachharajani, Tushar</creator><creator>Nayer, Ali</creator><creator>Merrill, Donna</creator><creator>Akmal, Muhammad UT</creator><creator>Salman, Loay</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Blood Pressure Recordings During Hemodialysis Access Interventions: Implications for Acute Management</title><author>Asif, Arif ; Castro, Hector ; Waheed, Ahmed Ameen ; Kumar, Vishesh ; Haqqie, Syed S ; Siskin, Gary ; Mathew, Roy O ; Mason, Darius ; Vachharajani, Tushar ; Nayer, Ali ; Merrill, Donna ; Akmal, Muhammad UT ; Salman, Loay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3633-37ea86fdd7e867104504fe170d3a5fec0055ea5af82be3dc4da9a1584114a3273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Blood Pressure Determination</topic><topic>Blood Pressure Monitoring, Ambulatory - methods</topic><topic>Cohort Studies</topic><topic>Coronary Disease - complications</topic><topic>Coronary Disease - diagnostic imaging</topic><topic>Coronary Disease - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - diagnosis</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - therapy</topic><topic>Radiography</topic><topic>Renal Dialysis - adverse effects</topic><topic>Renal Dialysis - methods</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Treatment Outcome</topic><topic>Vascular Access Devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asif, Arif</creatorcontrib><creatorcontrib>Castro, Hector</creatorcontrib><creatorcontrib>Waheed, Ahmed Ameen</creatorcontrib><creatorcontrib>Kumar, Vishesh</creatorcontrib><creatorcontrib>Haqqie, Syed S</creatorcontrib><creatorcontrib>Siskin, Gary</creatorcontrib><creatorcontrib>Mathew, Roy O</creatorcontrib><creatorcontrib>Mason, Darius</creatorcontrib><creatorcontrib>Vachharajani, Tushar</creatorcontrib><creatorcontrib>Nayer, Ali</creatorcontrib><creatorcontrib>Merrill, Donna</creatorcontrib><creatorcontrib>Akmal, Muhammad UT</creatorcontrib><creatorcontrib>Salman, Loay</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in dialysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asif, Arif</au><au>Castro, Hector</au><au>Waheed, Ahmed Ameen</au><au>Kumar, Vishesh</au><au>Haqqie, Syed S</au><au>Siskin, Gary</au><au>Mathew, Roy O</au><au>Mason, Darius</au><au>Vachharajani, Tushar</au><au>Nayer, Ali</au><au>Merrill, Donna</au><au>Akmal, Muhammad UT</au><au>Salman, Loay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood Pressure Recordings During Hemodialysis Access Interventions: Implications for Acute Management</atitle><jtitle>Seminars in dialysis</jtitle><addtitle>Semin Dial</addtitle><date>2013-07</date><risdate>2013</risdate><volume>26</volume><issue>4</issue><spage>E30</spage><epage>E32</epage><pages>E30-E32</pages><issn>0894-0959</issn><eissn>1525-139X</eissn><abstract>A retrospective study evaluating the pattern of blood pressure and its related complications before, during, and after percutaneous hemodialysis interventions was performed in patients presenting with asymptomatic hypertension. Hemodialysis patients undergoing percutaneous interventions including tunneled hemodialysis catheter insertion, percutaneous balloon angioplasty and thrombectomy procedure, and stage II hypertension (systolic blood pressure ≥160 mmHg) were included in this analysis. Blood pressure medications were not used while midazolam and fentanyl were routinely administered. Patients were followed for up to 4 weeks to monitor any complications. The mean blood pressure before, during, and after the procedures were 185 ± 18/96 ± 14, 172 ± 22/92 ± 15, and 153 ± 25/87 ± 14, respectively. There was a statistically significant difference between the blood pressure readings before and after the procedure (before = 185 ± 18/96 ± 14, after = 153 ± 25/87 ± 14; p = 0.001). None of the patients had a stroke, myocardial infarction, or acute pulmonary edema before, during, or after the procedure or during the 4‐week follow‐up period. A significant reduction in blood pressure was observed after the procedure without the administration of any antihypertensive medication. These results suggest that the reduction in blood pressure observed after percutaneous dialysis access interventions (particularly in the presence of midazolam and fentanyl) may make it unnecessary to treat asymptomatic hypertension prior to these procedures.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23551213</pmid><doi>10.1111/sdi.12083</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - methods Antihypertensive Agents - therapeutic use Blood Pressure Determination Blood Pressure Monitoring, Ambulatory - methods Cohort Studies Coronary Disease - complications Coronary Disease - diagnostic imaging Coronary Disease - therapy Female Follow-Up Studies Humans Hypertension - complications Hypertension - diagnosis Hypertension - drug therapy Kidney Failure, Chronic - complications Kidney Failure, Chronic - diagnosis Kidney Failure, Chronic - therapy Male Middle Aged Myocardial Infarction - complications Myocardial Infarction - diagnostic imaging Myocardial Infarction - therapy Radiography Renal Dialysis - adverse effects Renal Dialysis - methods Retrospective Studies Risk Assessment Severity of Illness Index Treatment Outcome Vascular Access Devices |
| title | Blood Pressure Recordings During Hemodialysis Access Interventions: Implications for Acute Management |
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