Seminars in Dialysis最新文献_第3页

Proximalization of Arterial Inflow for the Treatment of Limb Ischemia in a Transposed Femoral Arteriovenous Fistula-A Case Report. 为治疗经股动静脉瘘的肢体缺血而进行动脉导流近端化--病例报告。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13209

Carlos Filipe Pinho Veterano, Paulo Jorge Carvalho de Almeida, Duarte Nuno Cunha Rego, Luís Pedro Martins Macedo Alvarenga Loureiro, Pedro Jorge Sá Pinto, Rui Manuel Vieira Mota Machado

{"title":"Proximalization of Arterial Inflow for the Treatment of Limb Ischemia in a Transposed Femoral Arteriovenous Fistula-A Case Report.","authors":"Carlos Filipe Pinho Veterano, Paulo Jorge Carvalho de Almeida, Duarte Nuno Cunha Rego, Luís Pedro Martins Macedo Alvarenga Loureiro, Pedro Jorge Sá Pinto, Rui Manuel Vieira Mota Machado","doi":"10.1111/sdi.13209","DOIUrl":"10.1111/sdi.13209","url":null,"abstract":"Introduction: Femoral vein transposition is one of the final resorts for vascular access in patients with exhaustion of upper limb venous patrimony and central venous occlusive disease. Its major pitfalls include hemodialysis access-induced distal ischemia and infection. Surgical procedures may be warranted to preserve vascular access if ischemia develops. Several techniques are reported in the literature for femoral vein transposition.Case report: We expose an endoscopic femoral vein harvesting as an alternative to the single thigh incision in order to avoid its associated complications. In the setting of ischemia, proximalization of arterial inflow was used to manage femoral vein transposition associated limb ischemia.Conclusion: This case report aims to expose the aforementioned unreported surgical techniques for lower limb arteriovenous fistula, its advantages, and pitfalls, as well as considerations on its future use.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"399-403"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Correlation Between Major Adverse Cardiovascular and Cerebrovascular Events (MACCE) and miR-142-3p in Maintenance Hemodialysis Patients With End-Stage Renal Disease. 终末期肾病维持性血液透析患者的主要心脑血管不良事件 (MACCE) 与 miR-142-3p 之间的相关性。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI: 10.1111/sdi.13221

Jiaxiang Jiang, Meiling Zhou, Qiong Zhang, Huajuan Shen, Yanqing Jia, Yanfang Chen, Xiujun Xu, Hongfang Jiang

{"title":"The Correlation Between Major Adverse Cardiovascular and Cerebrovascular Events (MACCE) and miR-142-3p in Maintenance Hemodialysis Patients With End-Stage Renal Disease.","authors":"Jiaxiang Jiang, Meiling Zhou, Qiong Zhang, Huajuan Shen, Yanqing Jia, Yanfang Chen, Xiujun Xu, Hongfang Jiang","doi":"10.1111/sdi.13221","DOIUrl":"10.1111/sdi.13221","url":null,"abstract":"Background: Patients with end-stage renal disease (ESRD) on maintenance hemodialysis (MHD) are at high risk for major adverse cardiovascular and cerebrovascular events (MACCE), which are prone to be detrimental to patients' lives. Identifying risk factors for MACCE can help target measures to prevent or reduce the occurrence of MACCE.Objective: The aim was to investigate the correlation between miR-142-3p and MACCE in ESRD patients on MHD and to provide a new predictor for MACCE occurrence.Methods: Blood samples were collected from subjects to detect the expression of miR-142-3p using RT-qPCR. The correlation of miR-142-3p with HDL-C and hs-CRP was assessed by the Pearson method. The occurrence of MACCE in patients during the 36-month follow-up period was recorded. The clinical value of miR-142-3p in MACCE occurrence was analyzed by the Kaplan-Meier curve, multivariate logistic regression, and ROC curve.Results: In ESRD patients on MHD, miR-142-3p was downregulated, and it showed a positive correlation with HDL-C but a negative correlation with hs-CRP. The cumulative incidence of MACCE at 1, 2, and 3 years was 8.9%, 20.0%, and 30.4%, respectively. miR-142-3p levels were reduced in patients who developed MACCE and were associated with the cumulative incidence of MACCE. miR-142-3p was a risk factor for MACCE and showed a predictive value with specificity and sensitivity of 89.36% and 56.10%, respectively.Conclusions: miR-142-3p was a risk factor of MACCE in ESRD patients undergoing MHD.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"373-379"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choosing the Right Question is as Crucial as Timing for Urgent-Start Peritoneal Dialysis. 选择正确的问题与紧急启动腹膜透析的时机同样关键。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-06-07 DOI: 10.1111/sdi.13211

Tuncay Sahutoglu

引用次数: 0

Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Syndrome to Hemodialysis Polysulfone Membrane. 血液透析聚砜膜引起的嗜酸性粒细胞增多症和全身症状（DRESS）药物反应综合征。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13207

Masatoshi Inoue, Momoko Sasamoto, Ryosuke Ichihara

引用次数: 0

Resolution of Peritoneal Dialysis-Associated Peritonitis From Weissella confusa Combined Gastric Hookworm Disease: A Case Report and Literature Review. 腹膜透析相关腹膜炎（由魏氏梭菌合并胃钩虫病引起）的缓解：病例报告与文献综述

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1111/sdi.13218

Xiujuan Wu, Shaorui Wu, Juanping Shan, Shuijuan Shen, Xuan Deng

引用次数: 0

Feeling gutted in chronic kidney disease (CKD): Gastrointestinal disorders and therapies to improve gastrointestinal health in individuals CKD, including those undergoing dialysis. 慢性肾脏病（CKD）患者的肠胃不适：慢性肾脏病（CKD）患者（包括透析患者）的胃肠功能紊乱和改善胃肠道健康的疗法。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2021-10-27 DOI: 10.1111/sdi.13030

Annabel Biruete, Andrea Shin, Brandon M Kistler, Sharon M Moe

{"title":"Feeling gutted in chronic kidney disease (CKD): Gastrointestinal disorders and therapies to improve gastrointestinal health in individuals CKD, including those undergoing dialysis.","authors":"Annabel Biruete, Andrea Shin, Brandon M Kistler, Sharon M Moe","doi":"10.1111/sdi.13030","DOIUrl":"10.1111/sdi.13030","url":null,"abstract":"Chronic kidney disease (CKD) affects 9.1% of the population worldwide. CKD may lead to structural and functional gastrointestinal alterations, including impairment in the intestinal barrier, digestion and absorption of nutrients, motility, and changes to the gut microbiome. These changes can lead to increased gastrointestinal symptoms in people with CKD, even in early grades of kidney dysfunction. Gastrointestinal symptoms have been associated with lower quality of life and reduced nutritional status. Therefore, there has been considerable interest in improving gastrointestinal health in this clinical population. Gastrointestinal health can be influenced by lifestyle and medications, particularly in advanced grades of kidney dysfunction. Therapies focused on gastrointestinal health have been studied, including the use of probiotics, prebiotics, and synbiotics, yielding limited and conflicting results. This review summarizes the alterations in the gastrointestinal tract structure and function and provides an overview of potential nutritional interventions that kidney disease professionals can provide to improve gastrointestinal health in individuals with CKD.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"334-349"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043041/pdf/nihms-1779482.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9410093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment. 纵观全局：评估全谷物对接受透析治疗的肾衰竭患者体内磷暴露的影响。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2024-02-28 DOI: 10.1111/sdi.13195

Dillon Winkelman, Kathleen Hill Gallant, Sharon Moe, David E St-Jules

{"title":"Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment.","authors":"Dillon Winkelman, Kathleen Hill Gallant, Sharon Moe, David E St-Jules","doi":"10.1111/sdi.13195","DOIUrl":"10.1111/sdi.13195","url":null,"abstract":"Excessive dietary phosphorus is a concern among patients with kidney failure undergoing dialysis treatment because it may contribute to hyperparathyroidism and hyperphosphatemia. A long-standing but untested component of the low-phosphorus diet is the promotion of refined grains over whole grains. This paper reviews the scientific premise for restricting whole grains in the dialysis population and estimates phosphorus exposure from grain products based on three grain intake patterns modeled from reported intakes in the general US population, adjusting for the presence of phosphorus additives and phosphorus bioavailability: (1) standard grain intake, (2) 100% refined grain intake, and (3) mixed (50/50 whole and refined grain) intake. Although estimated phosphorus exposure from grains was higher with the mixed grain pattern (231 mg/day) compared to the 100% refined grain pattern (127 mg/day), the amount of additional phosphorus from grains was relatively low. Given the lack of strong evidence for restricting whole grains in people with CKD, as well as the potential health benefits of whole grains, clinical trials are warranted to address the efficacy and health impact of this practice.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"326-333"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Controversies in Kidney Nutrition. 肾脏营养的当前争议。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2024-03-04 DOI: 10.1111/sdi.13204

David E St-Jules

引用次数: 0

Safety and Feasibility of Regional Citrate Anticoagulation for Continuous Renal Replacement Therapy With Calcium-Containing Solutions: A Randomized Controlled Trial. 使用含钙溶液进行连续性肾脏替代治疗时区域性枸橼酸盐抗凝剂的安全性和可行性：随机对照试验

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2024-05-01 Epub Date: 2024-03-05 DOI: 10.1111/sdi.13200

Shan Huang, Guangfeng Sun, Penglong Wu, LinJing Wu, Hongfei Jiang, Xixing Wang, Liyuan Li, Lingling Gao, Fanqi Meng

{"title":"Safety and Feasibility of Regional Citrate Anticoagulation for Continuous Renal Replacement Therapy With Calcium-Containing Solutions: A Randomized Controlled Trial.","authors":"Shan Huang, Guangfeng Sun, Penglong Wu, LinJing Wu, Hongfei Jiang, Xixing Wang, Liyuan Li, Lingling Gao, Fanqi Meng","doi":"10.1111/sdi.13200","DOIUrl":"10.1111/sdi.13200","url":null,"abstract":"Background: Calcium-free (Ca-free) solutions are theoretically the most ideal for regional citrate anticoagulation (RCA) in continuous renal replacement therapy (CRRT). However, the majority of medical centers in China had to make a compromise of using commercially available calcium-containing (Ca-containing) solutions instead of Ca-free ones due to their scarcity. This study was designed to probe into the potential of Ca-containing solution as a secure and efficient substitution for Ca-free solutions.Methods: In this prospective, randomized single-center trial, 99 patients scheduled for CRRT were randomly assigned in a 1:1:1 ratio to one of three treatment groups: continuous veno-venous hemodialysis Ca-free dialysate (CVVHD Ca-free) group, continuous veno-venous hemodiafiltration calcium-free dialysate (CVVHDF Ca-free) group, and continuous veno-venous hemodiafiltration Ca-containing dialysate (CVVHDF Ca-containing) group at cardiac intensive care unit (CICU). The primary endpoint was the incidence of metabolic complications. The secondary endpoints included premature termination of treatment, thrombus of filter, and bubble trap after the process.Results: The incidence of citrate accumulation (18.2% vs. 12.1% vs. 21.2%) and metabolic alkalosis (12.1% vs. 0% vs. 9.1%) did not significantly differ among three groups (p > 0.05 for both). The incidence of premature termination was comparable among the groups (18.2% vs. 9.1% vs. 9.1%, p = 0.582). The thrombus level of the filter and bubble trap was similar in the three groups (p > 0.05 for all).Conclusions: In RCA-CRRT for CICU population, RCA-CVVHDF with Ca-containing solutions and traditional RCA with Ca-free solutions had a comparable safety and feasibility.Trial registration: ChiCTR2100048238 in the Chinese Clinical Trial Registry.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"249-258"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140028836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Deep learning-based prediction of coronary artery calcium scoring in hemodialysis patients using radial artery calcification. 基于深度学习的桡动脉钙化预测血液透析患者冠状动脉钙化评分。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2024-05-01 Epub Date: 2024-01-04 DOI: 10.1111/sdi.13191

Yuankai Xu, Wen Li, Yanli Yang, Shiyi Dong, Fulei Meng, Kaidi Zhang, Yuhuan Wang, Lin Ruan, Lihong Zhang

{"title":"Deep learning-based prediction of coronary artery calcium scoring in hemodialysis patients using radial artery calcification.","authors":"Yuankai Xu, Wen Li, Yanli Yang, Shiyi Dong, Fulei Meng, Kaidi Zhang, Yuhuan Wang, Lin Ruan, Lihong Zhang","doi":"10.1111/sdi.13191","DOIUrl":"10.1111/sdi.13191","url":null,"abstract":"Objective: This study used random forest model to explore the feasibility of radial artery calcification in prediction of coronary artery calcification in hemodialysis patients.Material and methods: We enrolled hemodialysis patients and performed ultrasound examinations on their radial arteries to evaluate the calcification status using a calcification index. All involved patients received coronary artery computed tomography scans to generate coronary artery calcification scores (CACS). Clinical variables were collected from all patients. We constructed both a random forest model and a logistic regression model to predict CACS. Logistic regression model was used to identify the risk factors of radial artery calcification.Results: One hundred eighteen patients were included in our analysis. In random forest model, the radial artery calcification index, age, serum C-reactive protein, body mass index (BMI), diabetes, and hypertension history were related to CACS based on the average decrease of the Gini coefficient. The random forest model achieved a sensitivity of 76.9%, specificity of 75.0%, and area under receiver operating characteristic of 0.869, while the logistic regression model achieved a sensitivity of 75.2%, specificity of 68.7%, and area under receiver operating characteristic of 0.742 in prediction of CACS. Sex, BMI index, smoking history, hypertension history, diabetes history, and serum total calcium were all the risk factors related to radial artery calcification.Conclusions: A random forest model based on radial artery calcification could be used to predict CACS in hemodialysis patients, providing a potential method for rapid screening and prediction of coronary artery calcification.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"234-241"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139098599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0