Hemodialysis international. International Symposium on Home Hemodialysis最新文献

{"title":"Analysis and Management of Perivenous Tissue Pain in the Outflow Tract of Arteriovenous Fistulas During Dialysis.","authors":"Chenwei Wang, Ruibin Zhang, Xiao Wang, Xiuxiu Liu, Xiaoping Wang, Qingzhen Gao","doi":"10.1111/hdi.13212","DOIUrl":"https://doi.org/10.1111/hdi.13212","url":null,"abstract":"<p><strong>Background: </strong>Pain is a prevalent cause of medical consultation among dialysis patients, severely impacting both treatment outcomes and quality of life. This study focuses on a specific yet underexplored type of pain-delayed and progressive perivenous tissue pain in the outflow tract of arteriovenous fistulas (AV fistula) during dialysis. The aim is to summarize its clinical features, investigate its underlying mechanisms, and evaluate the effectiveness of various treatments, ultimately providing new insights into pain management.</p><p><strong>Methods: </strong>This study included 36 patients who experienced delayed and progressive perivenous tissue pain in the outflow tract of AV fistulas during dialysis. Pain features were systematically summarized, and the AV fistula status was comprehensively evaluated through general observation, physical examination, and imaging. A series of trial interventions were employed to further explore the underlying mechanisms of pain. Based on these findings, appropriate treatment strategies were identified and implemented, with therapeutic outcomes monitored over a 12-month follow-up.</p><p><strong>Findings: </strong>The specific pain may be closely associated with venous hypertension. Ultrasonography identified high-flow fistulas in 18 patients, while angiography revealed varying degrees of outflow vein stenosis in 23 patients. Five patients with slightly elevated fistula blood flow and no significant stenosis underwent bandage compression therapy. Thirty-one patients with markedly increased blood flow and/or outflow vein stenosis received ultrasound-guided flow restriction surgery, percutaneous transluminal angioplasty, or combined therapies. All patients achieved pain relief, with no recurrence during the follow-up period.</p><p><strong>Conclusions: </strong>This study systematically investigates perivenous tissue pain in the outflow tract of AV fistula during dialysis. Venous hypertension is likely the primary underlying cause of this condition. Treatment options, including bandage compression, flow restriction surgery, percutaneous transluminal angioplasty, and combined therapies, effectively alleviate the tissue pain.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unexplained Fever in a Hemodialysis Patient Possibly due to Cat Scratch Disease Opportunistic Infection.","authors":"Beyza Doğan, İbrahim Güney, Ethem Ömeroğlu","doi":"10.1111/hdi.13223","DOIUrl":"https://doi.org/10.1111/hdi.13223","url":null,"abstract":"<p><strong>Introduction: </strong>Cat Scratch Disease, caused by the bacterium Bartonella henselae, typically manifests with fever, headache, anorexia, weight loss, tender lymphadenopathy, and other systemic symptoms. Transmission commonly occurs through a cat scratch or bite. The clinical course varies depending on the patient's immune status, notably in individuals with conditions such as renal failure. While generally localized, Cat Scratch Disease can occasionally present as a systemic illness with diverse manifestations. This report aims to elucidate the etiology of fever of unknown origin in hemodialysis patients, focusing on the case of a 30-year-old female.</p><p><strong>Methods: </strong>A 30-year-old female patient, who routinely undergoes hemodialysis (HD) three times a week for four hours at the hemodialysis unit, was admitted to our service for further evaluation and treatment due to an infectious disease clinic presentation. She is now under close observation and management in our inpatient department.</p><p><strong>Findings: </strong>The patient's presenting symptoms included fever, arthralgia, night sweats, and weight loss, refractory to empirical antibiotic and broad-spectrum antimicrobial therapy. Physical examination revealed lymphadenopathy and splenomegaly. Laboratory investigations demonstrated elevated C-reactive protein and procalcitonin levels. Ultrasound imaging revealed reactive lymphadenopathy in multiple regions. Following the exclusion of bacterial, viral, and mycobacterial infections, including tuberculosis, a diagnosis of lymphoma was considered. However, a subsequent lymph node biopsy revealed non-caseating granulomatous lymphadenitis, a histopathological finding consistent with Cat Scratch Disease.</p><p><strong>Discussion: </strong>Although rare, Cat Scratch Disease should be considered in the differential diagnosis of fever of unknown origin in patients with chronic kidney disease undergoing hemodialysis.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Bioimpedance Analysis Be Used to Estimate Absolute Blood Volume in Hemodialysis Patients?","authors":"Joachim Kron, John Volkenandt, Stefanie Broszeit, Til Leimbach, Susanne Kron","doi":"10.1111/hdi.13217","DOIUrl":"https://doi.org/10.1111/hdi.13217","url":null,"abstract":"<p><strong>Introduction: </strong>Under physiological conditions, blood volume and extracellular volume are in a ratio of 1-3, even in hemodialysis patients. The question therefore arises: can blood volume be inferred from the bioimpedance analysis data? The aim of the study was to compare the blood volumes calculated from extracellular volume determined by bioimpedance analysis data to the actually measured blood volumes.</p><p><strong>Methods: </strong>Immediately before treatment, extracellular volume and volume overload were evaluated by bioimpedance spectroscopy. The actual blood volume was determined by indicator dilution, using an on-line infusate bolus and subsequent calculation with the data from the relative blood volume monitor. Alternatively, blood volume was calculated from extracellular volume divided by 3 and compared to the measured blood volume.</p><p><strong>Findings: </strong>Overall, there were no significant differences between measured (5.56 ± 1.47 L) and calculated (5.79 ± 1.30 L) blood volumes. However, intra-individually, there were very large discrepancies with a range of -1.409 to 1.450 L. Median absolute deviation was 382 mL corresponding to 6.2 mL/kg. The differences between measured and calculated blood volumes correlated significantly (r = -0.98; p < 0.001) with the blood to extracellular volume ratio.</p><p><strong>Discussion: </strong>In almost half of patients, blood volume can be inferred from bioimpedance data with sufficient certainty. But the greater the deviation from the physiological blood to extracellular volume ratio of 1-3, the more the calculated blood volumes differ from the measured values. For this reason, bioimpedance data should not be used uncritically to set the ultrafiltration.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Purulent Pericarditis as an Initial Manifestation of Infective Endocarditis in a Hemodialysis Patient: A Case Report.","authors":"Abraham Edgar Gracia-Ramos, Antonio Cortés-Ortíz, Cecilio Morales-Flores, Lourdes Alejandra Quintero-Arias","doi":"10.1111/hdi.13219","DOIUrl":"https://doi.org/10.1111/hdi.13219","url":null,"abstract":"<p><strong>Introduction: </strong>Infective endocarditis can present with a wide range of cardiac and extra-cardiac symptoms. However, purulent pericarditis as a presenting sign has rarely been documented in the literature.</p><p><strong>Case description: </strong>We present a case of a 47-year-old woman on hemodialysis who presented to the emergency department due to dyspnea and edema in her lower extremities. A chest X-ray revealed an enlarged cardiac silhouette, while a computed tomography (CT) scan showed a large pericardial effusion. A transthoracic echocardiogram indicated vegetation on the tricuspid valve and pericardial effusion, with echocardiographic signs of cardiac tamponade. Emergent drainage of the pericardial space was performed, during which purulent material was obtained. Methicillin-resistant Staphylococcus aureus was identified in blood cultures collected upon admission and in the cultures from the pericardial effusion. The patient received intensive antibiotic therapy; however, despite the treatment and after a complicated hospital course, she succumbed to the illness.</p><p><strong>Conclusion: </strong>Diagnosing purulent pericarditis in hemodialysis patients with infective endocarditis requires a high level of suspicion because typical symptoms of pericarditis are uncommon, and there is a tendency to initially attribute nonspecific constitutional symptoms to the underlying infection itself. Aggressive treatment with pericardial drainage and appropriate antibiotic therapy may prevent catastrophic outcomes.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of Recurrent Calcium Phosphate Stones in a Patient Undergoing Renal Replacement Therapy: A Case Report and Literature Review on Renal Stone Prevention Strategies.","authors":"Parasto Asnaashari, Pran M Kar, Saif Borgan, Olga Karasik","doi":"10.1111/hdi.13211","DOIUrl":"https://doi.org/10.1111/hdi.13211","url":null,"abstract":"<p><strong>Background: </strong>Urolithiasis is a common malady afflicting 8.8% of the general population. Its occurrence is also not uncommon in patients undergoing renal replacement therapy. Despite the leaping scientific advancement achieved in managing and preventing urolithiasis in the general population, there remains limited data regarding its prevention in patients undergoing renal replacement therapy.</p><p><strong>Case presentation: </strong>We present a case of recurrent urolithiasis in a patient with end-stage renal disease on renal replacement therapy.</p><p><strong>Conclusion: </strong>We performed a literature review on urolithiasis in patients with ESKD undergoing renal replacement therapy, emphasizing evidence-based available preventative strategies.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reverse cardiac remodeling after fluid balance optimization in patients with end‐stage renal disease","authors":"R. Ursi, F. Pesce, M. Albanese, Vittoria Pavone, D. Grande, M. Ciccone, M. Iacoviello","doi":"10.1111/hdi.13019","DOIUrl":"https://doi.org/10.1111/hdi.13019","url":null,"abstract":"In patients with end‐stage renal disease (ESRD) undergoing hemodialysis, cardiovascular diseases, and in particular chronic heart failure are the leading causes of morbidity and mortality. Nevertheless, few data are available about the impact of fluid optimization on echocardiographic parameters of cardiac function in patients with ESRD.","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":"3 1","pages":"345 - 350"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79199193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of tuberculosis in dialysis and kidney transplant patients","authors":"Mahrukh Ali, Dhriti Dosani, R. Corbett, L. Johansson, R. Charif, O. Kon, N. Duncan, D. Ashby","doi":"10.1111/hdi.13010","DOIUrl":"https://doi.org/10.1111/hdi.13010","url":null,"abstract":"In patients with chronic kidney disease the risk of developing Tuberculosis is increased, while the presentation is often atypical making the diagnosis more difficult. The aim of this study is to describe the presentation of Tuberculosis in dialysis and kidney transplant patients, including the range of diagnostic approaches and the utility of different sample types.","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":"78 4 1","pages":"361 - 368"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89247027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left atrial strain is associated with adverse cardiovascular events in patients with end‐stage renal disease: Findings from the Cardiac, Endothelial Function and Arterial Stiffness in ESRD (CERES) study","authors":"Amrita Ayer, Upasana Banerjee, C. Mills, Catherine Donovan, Lauren Nelson, Sanjiv J. Shah, Ruth F Dubin","doi":"10.1111/hdi.13008","DOIUrl":"https://doi.org/10.1111/hdi.13008","url":null,"abstract":"We lack cardiovascular (CV) markers for patients with end‐stage renal disease (ESRD), and left atrial (LA) strain has not been studied definitively in this population. We examined associations of LA reservoir, conduit, and booster strain with major adverse cardiovascular events (MACE) among stable patients with ESRD on dialysis.","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":"14 1","pages":"323 - 334"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75224425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing blood stream infection in patients on hemodialysis: Incorporating patient engagement into a quality improvement activity.","authors":"Lynda K Ball,&nbsp;Cheryl A George,&nbsp;Linda Duval,&nbsp;Niloufar Nellie F Hedrick","doi":"10.1111/hdi.12463","DOIUrl":"https://doi.org/10.1111/hdi.12463","url":null,"abstract":"<p><p>Introduction Infection in our immunocompromised patients is the second leading cause of death, according to the Centers for Disease Control and Prevention (CDC). In an effort to improve quality of care, engage patients in their own care, and reduce morbidity and mortality secondary to infection, the Network designed a joint quality improvement/patient engagement activity to decrease bloodstream infection (BSI) rates. Methods Dialysis facilities were ranked utilizing 2014 National Healthcare Safety Network (NHSN) data. Selection included 20% of Network 13 facilities (n = 58) with the highest BSI rates, which captured 31% of the patient population. Findings Statistically significant (P < 0.001) improvement was reached in the reduction of BSIs; increasing patient engagement in the infection control process; and, correct completion of hand hygiene audits. Significant (P < 0.01) improvement was reached in correct completion of cannulation audits. There was also improvement in the catheter audits, but results were not significant. Discussion Involving patients in the infection control process contributed to our successful outcomes and could be replicated to meet the needs of the end stage renal disease community as a whole.</p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":"20 Suppl 1 ","pages":"S7-S11"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/hdi.12463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non catheter-related bacteremia caused by Pseudomonas oryzihabitans in a patient undergoing hemodialysis.","authors":"Elias Hellou,&nbsp;Suheil Artul,&nbsp;Sohaib Omari,&nbsp;Mohamad Taha,&nbsp;Zaher Armaly,&nbsp;William Nseir","doi":"10.1111/hdi.12150","DOIUrl":"https://doi.org/10.1111/hdi.12150","url":null,"abstract":"<p><p>Pseudomonas oryzihabitans (P. orizyhabitans) has already been reported both as a human and a zoonotic pathogen. A few cases of P. orizyhabitans bacteremia have been reported among patients who underwent peritoneal dialysis. P. orizyhabitans bacteremia has never been reported among patients on hemodialysis. We report the first case of P. orizyhabitans bacteremia in a chronic hemodialysis patient; this patient did not have a central venous catheter angioaccess as a potential portal of entry. </p>","PeriodicalId":94027,"journal":{"name":"Hemodialysis international. International Symposium on Home Hemodialysis","volume":" ","pages":"711-3"},"PeriodicalIF":1.3,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/hdi.12150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40296064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}