Hemodialysis access placement with preoperative noninvasive vascular mapping: Comparison between patients with and without diabetes
| Autor: | Victoria J. Teodorescu, Jaime Uribarri, Joseph A. Vassalotti, Martin Sedlacek, Abigail Falk |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Systole Fistula medicine.medical_treatment Arteriovenous fistula Hemodynamics Veins Arteriovenous Shunt Surgical Catheters Indwelling Sex Factors Renal Dialysis Diabetes mellitus Humans Medicine Retrospective Studies Ultrasonography business.industry Racial Groups Calcinosis Arteries Middle Aged medicine.disease Myocardial Contraction Surgery Catheter Blood pressure Nephrology Hypertension Female Hemodialysis business Diabetic Angiopathies Kidney disease |
| Zdroj: | American Journal of Kidney Diseases. 38:560-564 |
| ISSN: | 0272-6386 |
| DOI: | 10.1053/ajkd.2001.26873 |
| Popis: | c We retrospectively analyzed data on preoperative vascular mapping in 195 consecutive patients to investigate the common belief that patients with diabetes are poor candidates to have an arteriovenous fistula placed as dialysis access because they lack suitable blood vessels. There was no difference in venous diameter, arterial diameter, and arterial peak systolic velocity measurements between patients with and without diabetes. Patients with diabetes had a greater prevalence of vascular calcifications and greater cuff measurements of systolic segmental arterial pressure. In 140 of 195 patients, subsequent vascular access surgery had been performed in our institution, and 127 of these patients were on hemodialysis therapy at the end of the study period. There was no difference in the prevalence of fistula placement (66% versus 60%; chi-square5 2.6; df 5 2; P 5 0.28, not significant [NS]) and percentage of functioning fistulae between patients with and without diabetes (67% versus 62%; chi-square 5 0.27; df 5 1; P 5 0.61, NS). The percentage of patients dialyzed through a temporary catheter was equal in patients with and without diabetes (18%). In summary, patients with diabetes seem to be as good candidates for arteriovenous fistula placement as patients without diabetes. Additional studies are required to determine the long-term outcome of fistulae in patients with diabetes. © 2001 by the National Kidney Foundation, Inc. |
| Databáze: | OpenAIRE |
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