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Semin intervent Radiol 2022; 39(04): 373-380
DOI: 10.1055/s-0042-1757341
Review Article

Hypertensive and Hypotensive Emergencies in Interventional Radiology

Surbhi B. Trivedi
1   Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Charles E. Ray Jr.
2   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
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Abstract

Hyper- and hypotensive emergencies represent some of the most severe clinical issues that can occur during or around an interventional radiology procedure. While some patients are known to be more predisposed to cardiovascular collapse, nearly all patients are at risk for such an outcome. This is particularly true of patients undergoing moderate sedation, with the possibility of cardiovascular compromise occurring not just due to the underlying pathology for which the patient is being treated, but as a complication of sedation itself. Understanding the underlying cause of hyper- or hypotension is paramount to performing an appropriate and timely intervention. While the underlying cause is being corrected—if possible—the changes in blood pressure themselves may need to be intervened upon to maintain cardiovascular stability in these patients. Interventional radiologists must be familiar with measures taken to correct hyper- or hypotensive emergencies, including the most commonly used medications to treat these disorders. This article discusses the most common etiologies of such clinical scenarios, and the most common interventions performed for these settings.

Keywords

interventional radiology - pharmacology - complications - cardiovascular - blood pressure


Publikationsverlauf

Artikel online veröffentlicht:
17. November 2022

© 2022. Thieme. All rights reserved.

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