Reliability of delivered dialysate sodium concentration
Conclusion It is assumed when setting a dialysate sodium concentration that this sodium concentration is delivered. However we found that the dialysate sodium concentration delivered was greater than that set, despite the dialysis machines reporting a conductivity measurement in keeping with a lower sodium dialysate. Trials of lowered dialysate sodium therefore need to measure dialysate sodium concentrations to ensure what has been set is delivered.
Authors: Kim MS, Kim GH, Lee CH, Park JS, Lee JY, Tae K Abstract Objectives: The aim of this study was to evaluate the effectiveness of subtotal parathyroidectomy for patients with renal hyperparathyroidism. Methods: We studied 25 patients with renal hyperparathyroidism who underwent subtotal parathyroidectomy from October 2002 to October 2017. We analyzed serum intact parathyroid hormone (iPTH), calcium, and inorganic phosphorus levels before and at multiple time points following surgery, and evaluated the surgical outcomes and complications. Results: Of the 25 patients, 13 (52%) were male and 12 (48%) wer...
Publication date: Available online 21 February 2020Source: Urology Case ReportsAuthor(s): Tomotaka Yamazaki, Hiroyuki Shirai, Jun Yashima, Tamotsu TojimbaraAbstractThe patient was a 41-year-old male who had been maintained on extended-hours hemodialysis for 297 months. Despite of long-term hemodialysis vintage, he had no vascular calcification and ectopic calcification. His kidney graft did not experience rejection or other complications 18 months after the cadaveric kidney transplant. Previous reports indicated that graft survival of extended-hours hemodialysis patients did not differ from conventional hemodialysis. Howev...
CONCLUSION: In patients with ESRD undergoing dialysis, PD had lowered risks of new onset of AF compared to HD. Subsequently, these AF patients in PD group had comparable incidence of ischemic stroke but decreased incidence of hemorrhagic stroke compared to AF patients in HD group. PD could be the most suitable modality in patients at risk for the onset of AF. PMID: 32086785 [PubMed - as supplied by publisher]
This study investigated a wearable device that enables remote monitoring of AVF function as well as physiologic parameters. The aim of the study was to evaluate the ability of the device to assess AVF function as well as to measure hemoglobin (Hgb) and hematocrit (Hct), markers that can have an impact on dialysis fluid management.
Vascular access issues are an important cause of morbidity within the hemodialysis population, with significant associated health care costs related to dialysis access stenosis. Previous studies have demonstrated the beneficial role of endovascular drug coated balloon angioplasty (DCB) procedures in de novo hemodialysis access stenosis complications. However, there is limited data that directly compares the longevity of DCB and plain old balloon angioplasty (POBA) interventions in stenotic hemodialysis access lesions in patients with single preceding POBA intervention.
In an effort to reduce radiation exposure to patients, this study aims to evaluate the efficacy of initiating the procedure using 3 versus 1 frame per second (fps) fluoroscopy rates in patients undergoing hemodialysis access interventions for dysfunctional dialysis access.
Patients with end-stage renal disease may use peritoneal dialysis (PD) for convenience and flexibility. However, PD catheters may have associated adverse outcomes, including discomfort, inadequate dialysis, malfunction, and infection. Some of them may transition to Hemodialysis or possibly get a kidney transplant during their lifetime. Our study sought to determine the outcomes of patients who had PD catheters placed by Interventional radiologists over a 2-year period.
We present our experience using the VIATORR stent graft (Gore VIATORR TIPS Endoprosthesis) to treat stenosis and/or occlusion at the thoracic outlet and central veins in hemodialysis patients.
Authors: Marshall MR Abstract There are a number of misconceptions around the identified early survival benefit of peritoneal dialysis (PD) relative to hemodialysis (HD), including that such benefits "even out in the end" since the relative risk of death over time eventually encompasses 1.0 (or even an estimate that is unfavorable to PD); that the early benefit is, in fact, most likely due to unmeasured confounding; and such benefits are only due to the influence of central venous catheters and "crash starters" in the HD group. In fact, the early survival benefit results in a substantial gain of...
CONCLUSION: Long-term survival following EPS managed conservatively with nutritional support is feasible, with the majority no longer requiring nutritional support and having a quality of life similar to other patients with ESKD. PMID: 32067553 [PubMed - as supplied by publisher]