A Patient-centered, System-based Approach to Improve Informed Dialysis Choice and Outcomes in Veterans With CKD
Conditions: Chronic Kidney Disease; End Stage Renal Disease; Hemodialysis; Peritoneal Dialysis Interventions: Other: Comprehensive Pre-ESRD Patient Education (CPE); Other: Provision of the freely available resources for Kidney Disease Education Sponsor: VA Office of Research and Development Not yet recruiting
Authors: Kanno M, Tanaka K, Akaihata H, Terawaki H, Kazama JJ Abstract A case of acute kidney injury due to reflex anuria that was caused by retrograde pyelography and required temporary hemodialysis is reported. An 83-year-old Japanese woman presented with anuria 2 days after undergoing bilateral retrograde pyelography for the investigation of gross hematuria. Retrograde pyelography showed no apparent abnormality, such as malignancy or urolithiasis, but pyelorenal extravasation of contrast medium was remarkable. Her anuria improved promptly after hemodialysis, allowing her treatment to conclude with only one hemod...
Publication date: Available online 30 August 2019Source: Clinical Lymphoma Myeloma and LeukemiaAuthor(s): Laura Nanni, Cinzia Pellegrini, Vittorio Stefoni, Lisa Argnani, Michele Cavo, Pier Luigi Zinzani
Authors: Wu PH, Lin YT, Wu PY, Huang JC, Chen SC, Chang JM, Chen HC Abstract Patients with end-stage renal disease (ESRD) have an increased risk of both impaired cognitive function and peripheral artery disease (PAD) than the general population. The association between PAD and dementia is recognized, but there are limited studies in patients with ESRD. The aim of this study was to evaluate the relationship between ankle-brachial index (ABI) and brachial-ankle pulse wave velocity (baPWV) and cognitive impairment in patients receiving hemodialysis (HD). We enrolled 136 prevalent HD patients (mean age 59.3 ± 10...
Conclusion: Cases of chronic kidney disease mineral and bone disorder with pronounced clinical sequelae occur uncommonly in contemporary practice because of early detection and effective therapies. To our knowledge, this report is the first case in the literature of severe thoracic involvement manifesting as respiratory failure. PMID: 31528143 [PubMed]
ConclusionsArrhythmias, including clinically significant abnormal rhythms, were common. Tachyarrhythmias were more frequent during dialysis and the immediate postdialytic period. The relevance of these findings to clinical outcomes requires additional study.
Publication date: Available online 19 September 2019Source: American Journal of Kidney DiseasesAuthor(s): Jakub Grabowski, Alicja Kubanek
A 53-year-old woman with no significant medical history presented with nausea, vomiting, shortness of breath, epistaxis, unintentional 20-lb weight loss, and acute kidney injury with a creatinine level of 33.0 mg/dl, requiring hemodialysis. Physical examination was unremarkable. The radiographs revealed multiple lytic lesions of the hip and skull. Laboratory evaluation revealed a monoclonal serum spike, a serum free kappa to lambda light chain ratio of 0.002, a serum calcium level of 9.2 mg/dl, a hematocrit level of 22%, a platelet count of 160,000/ μl, and a white blood cell count of 8400/μl.
Arteriovenous access (AV) using either a fistula (AVF) or graft (AVG) for hemodialysis (HD) access is often complicated by poor function requiring revision. We investigated the risk factors and durability of revision on AV access sites for patients on chronic HD.
The decision to perform hemodialysis (HD) via arteriovenous access (AV) using either a fistula (AVF) or graft (AVG) or tunneled central venous catheter (CVC) is not well-informed by functional durability data. We investigated the functional durability of the first HD access site for patients on chronic HD.
CONCLUSION: Within a short implantation period, with limited animal numbers, this proof-of-concept study showed that Biotubes may have a high potential for use in vascular access. PMID: 31530219 [PubMed - as supplied by publisher]