Document Detail

The effect of type and vascular access quality on the outcome of chronic hemodialysis treatment.
MedLine Citation:
PMID:  20797559     Owner:  NLM     Status:  MEDLINE    
The function of vascular access has a key significance in hemodialysis treatment results. An overview of factors contributing to successful arteriovenous fistula (AVF) constructions and the effect of vascular access quality on the outcome of renal replacement therapy were analyzed, including our study observations. On the basis of the data obtained in the study, the creation of autogenous AVF was reported to be possible in 92.9% of the 213 investigated patients. In 81.2% of the patients, vascular access was found to be located on the forearm. Comorbidities, especially congestive heart failure and peripheral vascular disease, were the main factors that had a negative effect on AVF construction and quality. AVF abnormalities were detected on physical examination in 37% of the patients. Results from the physical examination were found to be consistent with those obtained from Doppler ultrasound, thermodilution, and intra-access pressure measurement. AVF stenosis significantly increased the risk for access thrombosis, catheter insertion, and vascular access-related hospitalization.
Krzysztof Letachowicz; Wacław Weyde; Waldemar Letachowicz; Marian Klinger
Related Documents :
12169869 - Relation between interdialytic weight gain, body weight and nutrition in hemodialysis p...
3940689 - Intra-erythrocytic sodium in uremic patients, as determined by "high-resolution" 23na n...
8821199 - Serum soluble interleukin 2 receptor in hemodialysis patients treated with recombinant ...
25032169 - Agreement of cerebral state index and glasgow coma scale in brain-injured patients.
10968689 - The outcome of tuberculosis in patients on chronic hemodialysis.
18446709 - Uremic pruritus in chronic hemodialysis patients.
16530789 - Assessment of mri abnormalities of the brainstem from patients with migraine and multip...
23315609 - High-sensitivity cardiac troponin t levels are increased in stable copd.
20824279 - Serum ccl23 levels are increased in patients with systemic sclerosis.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation     Volume:  20     ISSN:  1532-8503     ISO Abbreviation:  J Ren Nutr     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-27     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9112938     Medline TA:  J Ren Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S118-21     Citation Subset:  IM    
Copyright Information:
Copyright 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Department of Nephrology and Transplantation Medicine, Medical University, Wrocław, Poland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arteriovenous Shunt, Surgical
Catheters, Indwelling* / adverse effects
Quality Control
Renal Dialysis* / instrumentation,  methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Hydrogen sulfide, the third gaseous signaling molecule with cardiovascular properties, is decreased ...
Next Document:  Progress toward novel treatments for chronic kidney disease.