Effectiveness of New Push/Pull Hemodiafiltration for Arthralgia in Long-Term Hemodialysis Patients

2015 ◽  
pp. 111-118 ◽  
Author(s):  
Toru Shinzato ◽  
Masamiki Miwa ◽  
Hiroyuki Kobayakawa ◽  
Hiroyuki Morita ◽  
Shigeru Nakai ◽  
...  
Keyword(s):  
Hemodialysis Patients

MDCT angiography with 3D image reconstructions in the evaluation of failing arteriovenous fistulas and grafts in hemodialysis patients

2011 ◽  
Vol 52 (9) ◽  
pp. 935-942 ◽  
Author(s):  
Angeliki Dimopoulou ◽  
Hans Raland ◽  
Björn Wikström ◽  
Anders Magnusson
Keyword(s):  
Major Complication ◽  
Hemodialysis Patients ◽  
Transluminal Angioplasty ◽  
3D Image ◽  
Arteriovenous Fistulas ◽  
Image Postprocessing ◽  
Image Reconstructions ◽  
Reliable Diagnostic Method

Background Arteriovenous fistulas and grafts are the methods of choice for vascular access in renal failure patients in need of hemodialysis. Their major complication, however, is stenosis, which might lead to thrombosis. Purpose To demonstrate the usefulness of 16-MDCTA with 3D image reconstructions, in long-term hemodialysis patients with dysfunctional arteriovenous fistulas and grafts (AVF and AVG). Material and Methods During a 17-month period, 31 patients with dysfunctional AVF and AVG (24 AVF and seven AVG) were examined with MDCTA with 3D image postprocessing. Parameters such as comprehension of the anatomy, quality of contrast enhancement, and pathological vascular changes were measured. DSA was then performed in 24 patients. Results MDCTA illustrated the anatomy of the AVF/AVG and the entire vascular tree to the heart, in a detailed and comprehensive manner in 93.5% of the evaluated segments, and depicted pathology of AVF/ AVG or pathology of the associated vasculature. MDCTA demonstrated a total of 38 significant stenoses in 25 patients. DSA verified 37 stenoses in 24 patients and demonstrated two additional stenoses. MDCTA had thus a sensitivity of 95%. All 24 patients were treated with percutaneous transluminal angioplasty (PTA) with good technical results. Conclusion MDCTA with 3D reconstructions of dysfunctioning AVFs and AVGs in hemodialysis patients is an accurate and reliable diagnostic method helping customize future intervention.

scholarly journals Long-term reduction of plasma homocysteine levels by super-flux dialyzers in hemodialysis patients

2001 ◽  
Vol 59 (1) ◽  
pp. 342-347 ◽  
Author(s):  
Anne Van Tellingen ◽  
Muriël P.C. Grooteman ◽  
Piet C.M. Bartels ◽  
Jacques Van Limbeek ◽  
Coen Van Guldener ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Plasma Homocysteine

Long-Term Outcome After Coronary Angioplasty in Renal Transplant and Hemodialysis Patients

2005 ◽  
Vol 18 (5) ◽  
pp. 331-337 ◽  
Author(s):  
MARIA BORENTAIN ◽  
CLAUDE LE FEUVRE ◽  
GERARD HELFT ◽  
FARZIN BEYGUI ◽  
JEAN PAUL BATISSE ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Coronary Angioplasty ◽  
Hemodialysis Patients ◽  
Term Outcome ◽  
Long Term Outcome

Atrial Fibrillation and Morbidity and Mortality in a Cohort of Long-term Hemodialysis Patients

2008 ◽  
Vol 51 (2) ◽  
pp. 255-262 ◽  
Author(s):  
Simonetta Genovesi ◽  
Antonio Vincenti ◽  
Emanuela Rossi ◽  
Daniela Pogliani ◽  
Irene Acquistapace ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Hemodialysis Patients ◽  
Morbidity And Mortality

scholarly journals Early Left Ventricular Dysfunction Detected by Speckle Tracking in Long-Term Hemodialysis Patients with Valvular Calcification

2018 ◽  
Vol 9 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Jiahui Li ◽  
Aili Li ◽  
Jiali Wang ◽  
Yu Zhang ◽  
Ying Zhou
Keyword(s):  
Wall Thickness ◽  
Speckle Tracking ◽  
Heart Function ◽  
Hemodialysis Patients ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Subtle Change ◽  
Lv Mass ◽  
And Function

Purpose: Cardiac valve calcification (VC) is very common in patients on hemodialysis. However, the definite effect of VC on left ventricular (LV) geometry and function in this population is unknown, especially when LV ejection fraction (LVEF) is normal. The aim of this study was to determine the effect of VC on LV geometry and function in long-term hemodialysis patients by conventional echocardiography and two-dimensional speckle tracking echocardiography (2D-STE). Methods: A total of 47 hemodialysis patients (2–3 times weekly for 5 years or more) were enrolled in this study. Cardiac VC was defined as bright echoes of more than 1 mm on one or more cusps of the aortic valve or mitral valve or mitral annulus using echocardiography as the screening method. LV longitudinal global strain (GLS) was assessed on the apical four-chamber view and calculated as the mean strain of 6 segments. LV global circumferential strain was acquired on the LV short axis view at the level of papillary muscles. Results: Twenty-five patients with VC had higher mean values of interventricular septum thickness, LV posterior wall thickness, LV mass index, relative wall thickness, and LV mass/end-diastolic volume than 22 patients without VC (p < 0.05, respectively), indicating more obvious LV hypertrophy (LVH). VC patients had higher mitral annular E/E′ values, especially at the septal side representing increased LV filling pressure compatible with diastolic dysfunction, while only the E/E′ ratio of the septal side was significantly different between the 2 groups (16.7 ± 4.1 vs. 12.3 ± 4.4, p < 0.01). When assessed by GLS, LV longitudinal systolic function was also lower in in patients with VC compared with those without VC (–0.18 ± 0.03 vs. –0.25 ± 0.04; p < 0.01). Conclusions: Cardiac VC diagnosed by echocardiography when it occurs in long-term hemodialysis patients may indicate more severe LVH, myocardial damage, and worse heart function in comparison to those without VC. Tissue Doppler imaging and 2D-STE can detect the subtle change of heart function in this population in the early stage of LV dysfunction when LVEF is normal.

Sign in / Sign up

Export Citation Format

Share Document