Abstract:
:Vascular stenosis is most often the culprit behind hemodialysis vascular access dysfunction, and although percutaneous transluminal angioplasty remains the gold standard treatment for vascular stenosis, over the past decade the use of stents as a treatment option has been on the rise. Aside from the 2 Food and Drug Administration-approved stent grafts for the treatment of venous graft anastomosis stenosis, use of all other stents in vascular access dysfunction is off-label. Kidney Disease Outcomes Quality Initiative recommends limiting stent use to specific conditions, such as elastic lesions and recurrent stenosis; otherwise, additional adapted indications are in procedure-related complications, such as grade 2 and 3 hematomas. Published reports have shown the potential use of stents in a variety of conditions leading to vascular access dysfunction, such as venous graft anastomosis stenosis, cephalic arch stenosis, central venous stenosis, dialysis access aneurysmal elimination, cardiac implantable electronic device-induced stenosis, and thrombosed arteriovenous grafts. Although further research is needed for many of these conditions, evidence for recommendations has been clear in some; for instance, we know now that stents should be avoided along cannulation sites and should not be used in eliminating dialysis access aneurysms. In this review article, we evaluate the available evidence for the use of stents in each of the aforementioned conditions leading to hemodialysis vascular access dysfunctions.
journal_name
Adv Chronic Kidney Disjournal_title
Advances in chronic kidney diseaseauthors
El Kassem M,Alghamdi I,Vazquez-Padron RI,Asif A,Lenz O,Sanjar T,Fayad F,Salman Ldoi
10.1053/j.ackd.2015.02.001subject
Has Abstractpub_date
2015-11-01 00:00:00pages
453-8issue
6eissn
1548-5595issn
1548-5609pii
S1548-5595(15)00035-Xjournal_volume
22pub_type
杂志文章,评审abstract::Optimal care of the pediatric end-stage renal disease (ESRD) patient on chronic dialysis is complex and requires multidisciplinary care as well as patient/caregiver involvement. The dialysis team, along with the family and patient, should all play a role in choosing the dialysis modality which best meets the patient's...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2017.09.008
更新日期:2017-11-01 00:00:00
abstract::Hypertensive disorders of pregnancy are increasing in incidence and are major causes of maternal morbidity and mortality both in the United States and worldwide. An understanding of these diseases is essential for the practicing nephrologist, as preexisting kidney disease is an important risk factor. In addition, the ...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2020.05.006
更新日期:2020-11-01 00:00:00
abstract::Acute kidney injury (AKI) is a common problem in hospitalized patients and is associated with significant morbidity and mortality. Two large trials showed no benefit from increased doses of renal replacement therapy (RRT) despite previous clinical data suggesting that increased clearance from RRT has beneficial effect...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2012.10.004
更新日期:2013-01-01 00:00:00
abstract::Infectious complications resulting from catheter use in the hemodialysis population remain as the significant cause of morbidity and mortality in this patient population. Because conservation of vascular access sites remains a therapeutic mainstay for chronic hemodialysis patients, clinical investigators have evaluate...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2006.04.003
更新日期:2006-07-01 00:00:00
abstract::Living kidney donation is a common procedure in the United States. Substantial variation exists between transplant centers in their protocols and exclusion criteria for potential living donors. In the absence of clinical trial data to guide decisions about exclusion criteria, knowledge of current practices is an impor...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2012.04.010
更新日期:2012-07-01 00:00:00
abstract::Traditional medical education paradigms tend not to focus on health economics and economic evaluation. This has led to a culture in which bedside clinicians simply allocate health care resources made available to them, with often minimal input as to what these resources are at the population or health care system leve...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2009.02.006
更新日期:2009-05-01 00:00:00
abstract::Over the last few decades, much of the world has experienced an epidemic of obesity. In the year 2008, 1.4 billion people worldwide were overweight, and 500 million were obese. Even more alarming is a fact that in the year 2010, 40 million children under the age of 5 years were overweight or obese. In the same time pe...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2012.12.006
更新日期:2013-03-01 00:00:00
abstract::In 2002, the Kidney Disease Outcomes Quality Initiative guidelines for identifying and treating CKD recommended that clinical laboratories report estimated glomerular filtration rate (eGFR) with every creatinine result to assist clinical practitioners to identify people with early-stage CKD. At that time, the original...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2017.09.013
更新日期:2018-01-01 00:00:00
abstract::The kidney biopsy advanced our understanding of kidney disease in systemic lupus erythematosus. It allowed for better recognition and classification of lupus nephritis (LN). Several LN classifications have been devised in an effort to inform treatment decision and predict prognosis, and these are being further updated...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2019.08.015
更新日期:2019-09-01 00:00:00
abstract::Accumulating research suggests that oxidative stress is a significant contributor to the pathogenesis of diabetic nephropathy. The normal kidney generates a substantial amount of oxidative stress because of its high metabolic activity that is balanced by an extensive antioxidant system. However, in pathologic states s...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2005.01.001
更新日期:2005-04-01 00:00:00
abstract::Since 1958, thousands of women with kidney transplants have become pregnant. Although most pregnancies in kidney transplant recipients are successful, they are high-risk endeavors. This seems more a function of the associated issues and comorbidities that often affect individuals with kidney transplants (eg, hypertens...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2013.06.005
更新日期:2013-09-01 00:00:00
abstract::Diabetes, cardiovascular disease, and chronic kidney disease present many challenges to clinicians as separate disease entities. Management and optimization of care of diabetic kidney-disease patients requires a proactive and integrated approach for all 3 disease states. To optimize the assessment, monitoring, and int...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2005.01.006
更新日期:2005-04-01 00:00:00
abstract::Dysregulation of metabolism and utilization of iron can lead to the development and maintenance of anemia of CKD. Anemia is prevalent among patients with CKD. The markers of iron sufficiency or availability of iron are far from perfect which results in inaccurate diagnosis and treatment of anemia with poor outcomes. H...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2019.04.005
更新日期:2019-07-01 00:00:00
abstract::Despite greater access to health care and advances in medicine and technology, the morbidity and mortality among patients diagnosed with chronic kidney disease (CKD) remain unacceptably high. Discrepancies in patient care outcomes exist between the United States and other industrialized countries and are partly explai...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2004.10.012
更新日期:2005-01-01 00:00:00
abstract::A woman's body undergoes a myriad of changes throughout the course of a normal gestation. The kidneys play a central role in driving adjustments that guarantee maternal and fetal well-being, including a dramatic increase in glomerular filtration rate, alterations in tubular function, and changes in electrolyte and aci...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2020.07.006
更新日期:2020-11-01 00:00:00
abstract::CKD is a common condition with well-documented associated morbidity and mortality. Given the substantial disease burden of CKD and the cost of ESRD, interventions to delay progression and decrease comorbidity remain an important part of CKD care. Early referral to nephrologists has been shown to delay progression of C...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2011.10.006
更新日期:2011-11-01 00:00:00
abstract::Patients with CKD are often prescribed heterogeneous medications to treat disease-associated comorbidities, to slow down progression of the disease, and to minimize morbidity and mortality rates. However, the medication regimens of this population are very complex, leading to an increased potential for medication-rela...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2010.06.004
更新日期:2010-09-01 00:00:00
abstract::The increase in prevalence and severity of vascular calcification in chronic kidney disease is a result of complex interactions between changes in the vascular bed, mineral metabolites, and other uremic factors. Vascular calcification can occur in the intima and the media of arterial wall. Under permissive conditions,...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2019.08.014
更新日期:2019-11-01 00:00:00
abstract::Continuous renal replacement therapy (CRRT) use continues to expand globally. Despite improving technology, CRRT remains a complex intervention. Delivery of high-quality CRRT requires close collaboration of a multidisciplinary team including members of the critical care medicine, nephrology, nursing, pharmacy, and nut...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2017.05.003
更新日期:2017-07-01 00:00:00
abstract::Recent advances in genomics and sequencing technology have led to a better understanding of genetic risk in CKD. Genetics could account in part for racial differences in treatment response for medications including antihypertensives and immunosuppressive medications due to its correlation with ancestry. However, there...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2016.01.017
更新日期:2016-03-01 00:00:00
abstract::Contrast-induced nephropathy (CIN) has been considered to be a cause of renal failure for over 50 years, but careful review of past and recent studies reveals the risks of CIN to be overestimated. Older studies frequently cited the use of high-osmolality contrast media, which have since been replaced by low-osmolality...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2017.03.001
更新日期:2017-05-01 00:00:00
abstract::The objective of the study was to assess, from a health service perspective, whether a systematic program to modify kidney and cardiovascular disease reduced the costs of treating end-stage kidney failure. The participants in the study were 1,800 aboriginal adults with hypertension, diabetes with microalbuminuria or o...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章
doi:10.1053/j.ackd.2004.10.001
更新日期:2005-01-01 00:00:00
abstract::Focal and segmental glomerulosclerosis (FSGS) represents a group of glomerular disorders, identified on kidney biopsy, that progress in the histopathologic pattern of sclerosis in parts of some glomeruli. Damage to podocytes usually marks the beginning of the disease, most evident in primary FSGS. In addition to genet...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2014.05.010
更新日期:2014-09-01 00:00:00
abstract::Nutrition plays an important role in CKD outcomes. One of the strongest factors that affects nutrition is socioeconomic status as evidenced by the large body of epidemiologic data showing that income and education are directly associated with diet quality. Apart from individual-level markers of socioeconomic status su...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2014.05.005
更新日期:2015-01-01 00:00:00
abstract::Diabetes mellitus (DM) is a complex systemic disease with complications that result from both genetic predisposition and dysregulated metabolic pathways. It is highly prevalent, with current estimates stating that there are 17.5 million diagnosed and 6.6 million undiagnosed patients with diabetes in the United States....
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2010.09.001
更新日期:2010-11-01 00:00:00
abstract::Extracorporeal membrane oxygenation (ECMO) use in adults is rapidly increasing in its use for both cardiac and respiratory failure. ECMO exists in 2 primary configurations: veno-venous ECMO, used in the setting of isolated respiratory failure, and veno-arterial ECMO, which can be used in respiratory failure but is man...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2016.02.004
更新日期:2016-05-01 00:00:00
abstract::Social support is an understudied, yet important, modifiable risk factor in a number of chronic illnesses, including end-stage renal disease (ESRD). Increased social support has the potential to positively affect outcomes through a number of mechanisms, including decreased levels of depressive affect, increased patien...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2007.04.007
更新日期:2007-10-01 00:00:00
abstract::The number of individuals with CKD and end-stage kidney disease continues to rise as the interest in nephrology as a career choice is declining among internal medicine residents. Simultaneously, the emergence of integrated healthcare delivery models encompassing multiple levels of nonphysician healthcare workers plus ...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2020.07.007
更新日期:2020-07-01 00:00:00
abstract::Chronic kidney disease remains highly prevalent and exerts a heavy economic burden. The practice of nephrology has come a long way in managing this disease, though there remains room for improvement. The private domain, where more than half of the adult nephrology workforce operates, faces serious challenges. Interest...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2020.08.004
更新日期:2020-07-01 00:00:00
abstract::Magnesium is an essential ion in the human body, playing an important role in practically every major metabolic and biochemical process, supporting and maintaining cellular processes critical for human life. Magnesium plays an important physiological role, particularly in the brain, heart, and skeletal muscles. As the...
journal_title:Advances in chronic kidney disease
pub_type: 杂志文章,评审
doi:10.1053/j.ackd.2018.03.002
更新日期:2018-05-01 00:00:00