Management of pulmonary hypertension in patients on dialysis

PH: pulmonary hypertension; ESKD-PH: end-stage kidney disease-related pulmonary hypertension; HD: hemodialysis; PD: peritoneal dialysis; AV: arteriovenous.

* Examples of flow reduction procedures include precision banding, ligation of contributing vessels, and AV access revision. The selection of reduction procedure depends on symptoms, type of AV access, access flow rate, and contribution of AV access to PH, among other factors.

¶ Refer to UpToDate content on AV access management.

Δ Some experts perform manual compression of the AV access with a right heart catheter in place to evaluate the contribution of AV access flow to PH, which may help with any decisions regarding AV access management.