title: Flash pulmonary oedema after relief of haemodialysis graft stenosis.
abstract: Heart failure (HF) and chronic kidney disease (CKD) are undoubtedly very much interrelated, especially in patients with end-stage renal disease (ESRD) who are dependent on renal replacement therapy. Haemodialysis (HD) is of particular interest in cardiovascular patients due to the creation of a haemodialysis vascular access and the haemodynamic changes associated with it. Adequate HD though is very dependent on a properly functioning vascular access. Unfortunately, these surgical vascular accesses are vulnerable to stenoses and occlusions. Percutaneous endovascular treatment of these stenoses is often performed and has been found to be safe and effective. Despite its frequent use, acute medical complications of this percutaneous procedure have not been well-documented. In this report, we describe a patient who developed flash pulmonary oedema after balloon angioplasty treatment of an arteriovenous graft (AVG) stenosis.
authors.affiliation: Cardiology Division, UT Southwestern Medical Center at Dallas, Dallas, TX 75390, USA. mariella.velez-martinez@phhs.org
authors.forename: Mariella
authors.initials: M
authors.lastname: Vélez-Martínez
authors.forename: Brent D
authors.initials: BD
authors.lastname: Weinberg
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Mishkin
mesh_terms: D000800:Angioplasty, Balloon; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology / Q000628:therapy*; D006435:Renal Dialysis / Q000009:adverse effects*; D062666:Vascular Access Devices / Q000009:adverse effects*