Three cases of spontaneous lumbar artery rupture in hemodialysis patients

Abstract We encountered three cases of retroperitoneal hematoma caused by spontaneous lumbar artery rupture, a rare vascular complication. At the time of retroperitoneal hematoma, two patients were on anticoagulant/antiplatelet therapy. One patient was not taking any anticoagulant/antiplatelet agents but was receiving hemodialysis treatment with heparin. Lumbar artery rupture was successfully controlled by transcatheter arterial embolization in all patients, but one patient developed multiple organ failure and died. We suggest that spontaneous lumbar artery rupture may occur in patients being treated with maintenance hemodialysis or anticoagulant/antiplatelet therapy. Therefore, clinicians should suspect lumbar artery rupture in patients with unstable vital signs and rapid onset of anemia because early diagnosis and appropriate intervention are necessary to decrease the risks of morbidity and mortality.
Source: Hemodialysis International - Category: Hematology Authors: Tags: Case Report Source Type: research

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This report describes the study protocol of a randomized prospective multi-centre open-label clinical trial to evaluate whether starting renal replacement therapy with twice-weekly haemodialysis sessions preserves residual renal function better than the standard thrice-weekly regimen. We also explore other clinical parameters, such as concentrations of uremic toxins, dialysis doses, control of anaemia, removal of medium-weight uremic toxins, nutritional status, quality of life, hospital admissions and mortality. Only incident haemodialysis patients who can maintain a urea clearance rate KrU ≥ 2.5 mL/min/1.73&thin...
Source: Trials - Category: Research Source Type: clinical trials
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Source: Hematology - Category: Hematology Tags: Hematology Source Type: research
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Source: International Journal of Clinical Pharmacy - Category: Drugs & Pharmacology Source Type: research
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Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
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Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Condition:   Patient of Anemia in Chronic Renal Failure With Hemodialysis Interventions:   Drug: RD01;   Drug: Recombinant Human Erythropoiesis Injection (CHO cell);   Drug: placebo Sponsor:   Shengzhen Sciprogen Bio-pharmaceutical Co. Ltd Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: Revista da Associacao Medica Brasileira - Category: General Medicine Source Type: research
Condition:   Renal Anemia Intervention:   Sponsor:   University of Hyogo Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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