Is ionic dialysance useful for early detection of vascular access dysfunction? Six illustrative cases

Autor:	Néstor Fontseré, Gaspar Mestres, Manel Vera, Marta Barrufet, Maria Isabel Real, Francesc Maduell, Marta Burrel, Marta Arias, Josep M. Campistol, Miquel Blasco
Rok vydání:	2010
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Vascular access Early detection Hematology medicine.disease Surgery Stenosis Nephrology Internal medicine Angioplasty medicine Cardiology In patient Hemodialysis business Dialysis Kidney disease
Zdroj:	Hemodialysis International. 15:108-111
ISSN:	1492-7535
DOI:	10.1111/j.1542-4758.2010.00501.x
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::97e8047865ed1cb1d124f0e8b2a3b1d2 https://doi.org/10.1111/j.1542-4758.2010.00501.x Zobrazit plný text záznamu Plný text