Hypersensitive Reactions During Hemodialysis Treatment: What Do We Need to Know?
Semin Dial. 2024 Mar 4. doi: 10.1111/sdi.13197. Online ahead of print.ABSTRACTKidney replacement therapies (KRTs) including hemodialysis (HD) are one of the treatment options for most of the patients with end-stage kidney disease. Although HD is vital for these patients, it is not hundred percent physiological, and various adverse events including hypersensitivity reactions may occur. Fortunately, these reactions are rare in total and less when compared to previous decades, but it is still very important for at least two reasons: First, the number of patients receiving kidney replacement treatment is increasing globally; a...
Source: Seminars in Dialysis - March 4, 2024 Category: Urology & Nephrology Authors: Baris Afsar Rengin Elsurer Afsar Source Type: research
An Improvised Cost-Effective Repair Technique for Management of Broken Luer Connections of Tunneled Dialysis Catheter and Salvage Existing Catheter
Semin Dial. 2024 Mar 3. doi: 10.1111/sdi.13199. Online ahead of print.ABSTRACTMechanical problems like break or crack in Luer connectors or hubs, clamps, and tubings are common non-infectious complications of tunneled dialysis catheters (TDC), which may lead to other TDC complications and the need to insert a new catheter. These can be tackled using TDC repair kits or spare parts, which are often not available, resulting in the insertion of a new TDC that increases morbidity, TDC-related procedures, and healthcare costs. We discuss two cases of broken Luer connections of TDC, which were managed by exchanging the broken Lue...
Source: Seminars in Dialysis - March 3, 2024 Category: Urology & Nephrology Authors: Vineet Behera Giddaluru Gireesh Reddy C G Shreedhara A Kishan Kapil Kalra R Ananthakrishnan J Subramaniam J Balasubramaniam Source Type: research
An Improvised Cost-Effective Repair Technique for Management of Broken Luer Connections of Tunneled Dialysis Catheter and Salvage Existing Catheter
Semin Dial. 2024 Mar 3. doi: 10.1111/sdi.13199. Online ahead of print.ABSTRACTMechanical problems like break or crack in Luer connectors or hubs, clamps, and tubings are common non-infectious complications of tunneled dialysis catheters (TDC), which may lead to other TDC complications and the need to insert a new catheter. These can be tackled using TDC repair kits or spare parts, which are often not available, resulting in the insertion of a new TDC that increases morbidity, TDC-related procedures, and healthcare costs. We discuss two cases of broken Luer connections of TDC, which were managed by exchanging the broken Lue...
Source: Seminars in Dialysis - March 3, 2024 Category: Urology & Nephrology Authors: Vineet Behera Giddaluru Gireesh Reddy C G Shreedhara A Kishan Kapil Kalra R Ananthakrishnan J Subramaniam J Balasubramaniam Source Type: research
Peritoneal Protein Loss With Time in Peritoneal Dialysis
Semin Dial. 2024 Feb 29. doi: 10.1111/sdi.13194. Online ahead of print.ABSTRACTLongitudinal evolution of peritoneal protein loss (PPL), a reflection of hydrostatic pressure-driven leak of plasma proteins through the large-pore pathway, is not clear. Time on PD causes loss of mesothelial cells, vasculopathy, and increased thickness of the submesothelial fibrous layer. Are these structural changes associated with progressive increase of PPL, in a parallel with the rise in the D/P creatinine? The aim of the present study was to identify longitudinal changes of PPL over time. This single-center, longitudinal study included 52 ...
Source: Seminars in Dialysis - February 29, 2024 Category: Urology & Nephrology Authors: Anabela Malho Guedes Roberto Cal ças Marques Ana Teresa Domingos C éu Laranjo Ana Paula Silva Anabela Rodrigues Raymond T Krediet Source Type: research
Peritoneal Protein Loss With Time in Peritoneal Dialysis
Semin Dial. 2024 Feb 29. doi: 10.1111/sdi.13194. Online ahead of print.ABSTRACTLongitudinal evolution of peritoneal protein loss (PPL), a reflection of hydrostatic pressure-driven leak of plasma proteins through the large-pore pathway, is not clear. Time on PD causes loss of mesothelial cells, vasculopathy, and increased thickness of the submesothelial fibrous layer. Are these structural changes associated with progressive increase of PPL, in a parallel with the rise in the D/P creatinine? The aim of the present study was to identify longitudinal changes of PPL over time. This single-center, longitudinal study included 52 ...
Source: Seminars in Dialysis - February 29, 2024 Category: Urology & Nephrology Authors: Anabela Malho Guedes Roberto Cal ças Marques Ana Teresa Domingos C éu Laranjo Ana Paula Silva Anabela Rodrigues Raymond T Krediet Source Type: research
Peritoneal Protein Loss With Time in Peritoneal Dialysis
Semin Dial. 2024 Feb 29. doi: 10.1111/sdi.13194. Online ahead of print.ABSTRACTLongitudinal evolution of peritoneal protein loss (PPL), a reflection of hydrostatic pressure-driven leak of plasma proteins through the large-pore pathway, is not clear. Time on PD causes loss of mesothelial cells, vasculopathy, and increased thickness of the submesothelial fibrous layer. Are these structural changes associated with progressive increase of PPL, in a parallel with the rise in the D/P creatinine? The aim of the present study was to identify longitudinal changes of PPL over time. This single-center, longitudinal study included 52 ...
Source: Seminars in Dialysis - February 29, 2024 Category: Urology & Nephrology Authors: Anabela Malho Guedes Roberto Cal ças Marques Ana Teresa Domingos C éu Laranjo Ana Paula Silva Anabela Rodrigues Raymond T Krediet Source Type: research
Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment
Semin Dial. 2024 Feb 28. doi: 10.1111/sdi.13195. Online ahead of print.ABSTRACTExcessive 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, adj...
Source: Seminars in Dialysis - February 28, 2024 Category: Urology & Nephrology Authors: Dillon Winkelman Kathleen Hill Gallant Sharon Moe David E St-Jules Source Type: research
A Cost-Effective Approach to Resistant AV Fistula Stenosis: Successful Treatment Using Coronary OPN NC ® Balloon in a Low-Income Setting
Semin Dial. 2024 Feb 28. doi: 10.1111/sdi.13196. Online ahead of print.ABSTRACTStenosis in the anastomotic site or venous limb of an arteriovenous fistula (AVF) is the most frequent cause of AVF failure. Percutaneous angioplasty with a standard or high-pressure balloon is the first-line treatment for AVF stenosis due to its higher technical success rate (90%) and lower complication rate (4%). Almost 20% of stenosis cases are resistant or undilatable by regular-pressure balloon angioplasty due to fibrosis, leading to technical failure or restenosis. Alternative therapies, such as atherectomy devices or cutting balloons, are...
Source: Seminars in Dialysis - February 28, 2024 Category: Urology & Nephrology Authors: Kanhai Lalani M Sudhakar Rao M Harsha Sagar Padmakumar R Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
Spontaneous tendon or ligament ruptures in patients undergoing dialysis: First pediatric case report and literature review
In this study, we present the first documented case of a spontaneous rupture of the medial patellofemoral ligament (MPFL) in a pediatric patient. The patient was undergoing long-term peritoneal dialysis (PD) and had a history of severe secondary hyperparathyroidism. Additionally, we discussed spontaneous tendon and ligament ruptures associated with CKD or dialysis through a comprehensive literature review. This case report highlights the importance of recognizing that spontaneous tendon or ligament injuries are not exclusive to adults; children with CKD can also be affected. Several factors including poor parathyroid hormo...
Source: Seminars in Dialysis - January 16, 2024 Category: Urology & Nephrology Authors: Behruz Huseynli Bahar B üyükkaragöz Emre Levento ğlu Kibriya Fidan Sevcan A Bakkalo ğlu Akif Muhtar Öztürk O ğuz Söylemezoğlu Source Type: research
