Document Detail


Is ionic dialysance useful for early detection of vascular access dysfunction? Six illustrative cases.
MedLine Citation:
PMID:  21083869     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Continuous ionic dialysance monitoring is a useful clinical tool to determine the dialysis dose in real time in each hemodialysis session. We followed up 49 patients for 16 months. Six patients with a Kt reduction of ≥20% in >3 consecutive hemodialysis sessions were identified. Fistulography demonstrated significant stenosis in all 6 patients. Angioplasty was performed in 5 with an excellent angiographic result and optimal Kt levels were restored. Unexplained and persistent Kt reduction in patients with stable chronic kidney disease under hemodialysis could represent, together with an accurate vascular access examination, a practical and additional indirect method for the early detection of vascular access dysfunction.
Authors:
Néstor Fontseré; Miquel Blasco; Marta Arias; Francesc Maduell; Manel Vera; Marta Burrel; Marta Barrufet; Maria Isabel Real; Gaspar Mestres; Josep M Campistol
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-11-18
Journal Detail:
Title:  Hemodialysis international. International Symposium on Home Hemodialysis     Volume:  -     ISSN:  1542-4758     ISO Abbreviation:  -     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101093910     Medline TA:  Hemodial Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2010 The Authors. Hemodialysis International © 2010 International Society for Hemodialysis.
Affiliation:
Department of Nephrology Department of Interventional Radiology Department of Vascular Surgery, Vascular Access Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain.
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