Pathogenesis and management of upper-extremity ischemia following angioaccess surgery.


:Thirty-four patients with end-stage renal disease requiring hemodialysis developed over the course of 7 years (1987-1994) severe ischemia in the extremity carrying the angioaccess secondary to arterial 'steal'. Seven of these patients were treated with access ligation, 4 with banding reducing the flow through the access, and 23 with ligation of the artery distal to the inflow of the arteriovenous fistula and establishing of an arterial bypass from a point 5 cm proximal to the fistula to the distal artery. Of the 7 patients who underwent ligation, 5 had complete resolution of symptoms, 1 had persistent pain, and 1 patient had residual ischemic neuropathy. Of the 4 patients who underwent banding, 3 lost their access due to thrombosis shortly after the banding procedure, and in 1 patient partial resolution of symptoms was achieved. Of the 23 patients who underwent arterial ligation-bypass procedure, all showed immediate signs of improvement. One patient who presented with advanced gangrene eventually required amputation, and 3 patients had some residual symptoms. The cumulative patency of the access with this procedure was 73% at 1 year and 45.5% at 2 years. The patency for the bypass was 95.6% at 1 and 2 years. The arterial ligation-bypass procedure is currently the treatment of choice for patients developing severe ischemia secondary to 'steal' following construction of an arteriovenous fistula for dialysis.


Blood Purif


Blood purification


Haimov M,Schanzer H,Skladani M




Has Abstract


1996-01-01 00:00:00












  • The Effect of Increased Frequency of Hemodialysis on Volume-Related Outcomes: A Secondary Analysis of the Frequent Hemodialysis Network Trials.

    abstract::In previous reports of the Frequent Hemodialysis Network trials, frequent hemodialysis (HD) reduced extracellular fluid (ECF) and left ventricular mass (LVM), with more pronounced effects observed among patients with low urine volume (UVol). We analyzed the effect of frequent HD on interdialytic weight gain (IDWG) and...

    journal_title:Blood purification

    pub_type: 杂志文章,随机对照试验


    authors: Raimann JG,Chan CT,Daugirdas JT,Depner T,Gotch FA,Greene T,Kaysen GA,Kliger AS,Kotanko P,Larive B,Lindsay R,Rocco MV,Chertow GM,Levin NW,Frequent Hemodialysis Network (FHN) Trial Group.

    更新日期:2016-01-01 00:00:00

  • Microcirculation: Physiology, Pathophysiology, and Clinical Application.

    abstract::This paper briefly reviews the physiological components of the microcirculation, focusing on its function in homeostasis and its central function in the realization of oxygen transport to tissue cells. Its pivotal role in the understanding of circulatory compromise in states of shock and renal compromise is discussed....

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Guven G,Hilty MP,Ince C

    更新日期:2020-01-01 00:00:00

  • Correlation between pulse wave velocity and fluid distribution in hemodialysis patients.

    abstract:BACKGROUND:In this study, we focused on whether volume overload plays a role in the development of arterial stiffness. METHODS:Seventy-three prevalent hemodialysis patients were enrolled in a cross-sectional study. Arterial stiffness was assessed by carotid-femoral pulse wave velocity (PWV), and volume overload was as...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Zheng D,Cheng LT,Zhuang Z,Gu Y,Tang LJ,Wang T

    更新日期:2009-01-01 00:00:00

  • Regulation of the response to bacterial lipopolysaccharide by endogenous and exogenous lipopolysaccharide binding proteins.

    abstract::Bactericidal/permeability-increasing protein (BPI) is a natural constituent of human neutrophils. Recombinant BPI has been shown to bind to bacterial lipopolysaccharide (LPS), and to neutralize the ability of LPS to stimulate inflammatory cells in vitro and in vivo. BPI shares sequence homology and immunocrossreactivi...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Marra MN,Thornton MB,Snable JL,Leong S,Lane J,Wilde CG,Scott RW

    更新日期:1993-01-01 00:00:00

  • When good water goes bad: how it happens, clinical consequences and possible solutions.

    abstract::Dialysis fluid produced by state-of-the-art water preparation and distribution is contaminated with gram-negative bacteria and cytokine-inducing substances (CIS) derived from these microorganisms. The presence of a biofilm increases the risk of continuous contamination of dialysis fluid. Depending on the type of dialy...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Lonnemann G

    更新日期:2004-01-01 00:00:00

  • Management of acute decompensated heart failure: renal implications.

    abstract::Heart failure (HF) is a chronic disease process associated with significant morbidity and mortality. Hospitalizations for acute decompensation may be frequent and herald a downward trajectory for the underlying disease state and overall poor prognosis for the patient. While significant advances have been made in the r...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Virani SA

    更新日期:2008-01-01 00:00:00

  • Peritoneal Dialysis Treatment Modality Option in Acute Kidney Injury.

    abstract:BACKGROUND:Peritoneal dialysis (PD) may be a feasible and safe alternative to haemodialysis not only in the chronic but also in the acute setting. It was previously widely accepted as a modality for acute kidney injury (AKI) treatment, but its practice declined in favor of other types of extracorporeal therapies. SUMM...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Ponce D,Gobo-Oliveira M,Balbi AL

    更新日期:2017-01-01 00:00:00

  • Plasma C-reactive protein in hemodialysis patients: a cross-sectional, longitudinal clinical survey.

    abstract::In hemodialysis patients, C-reactive protein (CRP), an acute-phase reactant, is a sensitive and independent marker of malnutrition, anemia, and amyloidosis. The aim of the present studies was to evaluate CRP and interleukin 6 levels in plasma samples from long-term hemodialysis patients on different extracorporeal mod...

    journal_title:Blood purification

    pub_type: 杂志文章,多中心研究


    authors: Panichi V,Migliori M,De Pietro S,Metelli MR,Taccola D,Perez R,Palla R,Rindi P,Cristofani R,Tetta C

    更新日期:2000-01-01 00:00:00

  • Natural killer cell dysfunction in uremia: the role of oxidative stress and the effects of dialysis.

    abstract::Immune deficiency is one of the numerous consequences of chronic renal failure. We can hypothesize that an abnormal natural killer (NK) cell response is present in patients with end-stage renal disease (ESRD). To characterize the immune defect in ESRD patients, we performed a NK cell subset analysis in 66 patients wit...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Peraldi MN,Berrou J,Métivier F,Toubert A

    更新日期:2013-01-01 00:00:00

  • Erythropoietin-induced changes in protein nutrition: quantitative assessment by urea kinetic modeling analysis.

    abstract::To evaluate objectively the effects of recombinant human erythropoietin (rHuEPO) administration on nutritional status in stable dialyzed patients, we used urea kinetic modeling (UKM) analysis and dietary protein intake evaluation by dietary assessment. Fifteen patients (9 females, 6 males; mean age 46.9 +/- 15.6 years...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Canaud B,Bouloux C,Rivory JP,Taib J,Garred LJ,Florence P,Mion C

    更新日期:1990-01-01 00:00:00

  • Middle-molecule clearance at 20 and 35 ml/kg/h in continuous venovenous hemodiafiltration.

    abstract:BACKGROUND:Of 5 clinical trials testing dose response of continuous renal replacement therapy (CRRT) in acute kidney injury, 2 showed a benefit, 2 showed none, and 1 appeared equivocal. However, blood-membrane interactions may dominate macromolecule transport in continuous venovenous hemodiafiltration, reducing the imp...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Hofmann CL,Fissell WH

    更新日期:2010-01-01 00:00:00

  • Ex vivo Rezafungin Adsorption and Clearance During Continuous Renal Replacement Therapy.

    abstract:BACKGROUND/AIMS:To determine adsorption and transmembrane clearances (CLTM) of rezafungin, a novel long-acting echinocandin, in continuous venovenous hemofiltration (CVVH). METHODS:A validated ex vivo bovine blood CVVH model using polysulfone and AN69 hemodiafilters was used to evaluate urea and rezafungin CLTM at 3 d...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Jang SM,Hough G,Mueller BA

    更新日期:2018-01-01 00:00:00

  • Effects of calcitriol on type 5b tartrate-resistant acid phosphatase and interleukin-6 in secondary hyperparathyroidism.

    abstract:BACKGROUND/AIMS:Secondary hyperparathyroidism (SHP) is characterized by high bone turnover and elevated serum bone remodeling markers. Elevation of serum interleukin-6 (IL-6) levels is also characteristic of end-stage renal disease. This study investigates the effects of intravenous calcitriol on serum bone resorptive ...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Lu KC,Tseng CF,Wu CC,Yeung LK,Chen JS,Chao TY,Janckila AJ,Yam LT,Chu P

    更新日期:2006-01-01 00:00:00

  • Chronic kidney disease and the transplant recipient.

    abstract::The recent Kidney Disease Outcomes Quality Initiative (K/DOQI) classification of chronic kidney disease (CKD) includes transplant recipients. Although there are important differences between kidney transplant recipients (KTRs) and patients with native kidney disease, the inclusion of KTRs along with other CKD patients...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Gill JS,Pereira BJ

    更新日期:2003-01-01 00:00:00

  • A zebrafish model for uremic toxicity: role of the complement pathway.

    abstract::Many organic solutes accumulate in end-stage renal disease (ESRD) and some are poorly removed with urea-based prescriptions for hemodialysis. However, their toxicities have been difficult to assess. We have employed an animal model, the zebrafish embryo, to test the toxicity of uremic serum compared to control. Serum ...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章


    authors: Berman N,Lectura M,Thurman J,Reinecke J,Raff AC,Melamed ML,Reinecke J,Quan Z,Evans T,Meyer TW,Hostetter TH

    更新日期:2013-01-01 00:00:00

  • Advanced glycation end products and β(2)-microglobulin as predictors of carpal tunnel syndrome in hemodialysis patients.

    abstract:BACKGROUND/AIMS:Carpal tunnel syndrome (CTS) is a common clinical presentation of dialysis-related amyloidosis. It was determined whether β(2)-microglobulin (β2M) and advanced glycation end products in serum are predictors of CTS in dialysis patients. METHODS:A total of 385 hemodialysis patients were screened for CTS....

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Busch M,Schwenzky A,Franke S,Stein G,Wolf G

    更新日期:2012-01-01 00:00:00

  • Association between vitamin D receptor gene polymorphisms and susceptibility to chronic kidney disease and periodontitis.

    abstract:BACKGROUND/AIMS:Chronic kidney disease (CKD) and periodontitis (PD) are serious public-health concerns. Vitamin D is a fat-soluble steroid hormone that interacts with its nuclear receptor (VDR) to regulate a variety of biological processes, such as bone metabolism, immune response modulation and transcription of severa...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: de Souza CM,Braosi AP,Luczyszyn SM,Avila AR,de Brito RB Jr,Ignácio SA,Probst CM,Riella MC,Sotomaior VS,Mira MT,Pecoits-Filho R,Trevilatto PC

    更新日期:2007-01-01 00:00:00

  • Role of Lipoprotein Apheresis in Cardiovascular Disease Risk Reduction.

    abstract:BACKGROUND AND AIM:Elevated low-density lipoprotein cholesterol and/or lipoprotein(a) are established risk factors for cardiovascular disease (CVD). Management of hypercholesterolemia consists of drug therapies, including statins and proprotein convertase subtilisin/kexin type 9 inhibitors. In patients with familial hy...

    journal_title:Blood purification

    pub_type: 杂志文章,meta分析,评审


    authors: Raina R,Young C,Krishnappa V,Chanchlani R

    更新日期:2019-01-01 00:00:00

  • Daily protein intake and patient outcomes in severe acute kidney injury: findings of the randomized evaluation of normal versus augmented level of replacement therapy (RENAL) trial.

    abstract:BACKGROUND AND AIMS:We aimed to examine the association between daily protein intake (DPI) and outcomes in patients from the Randomized Evaluation of Normal versus Augmented Level (RENAL) trial. METHODS:We analyzed the association between DPI and clinical outcomes using multivariable logistic regression, Cox proportio...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Bellomo R,Cass A,Cole L,Finfer S,Gallagher M,Lee J,Lo S,McArthur C,McGuinness S,Norton R,Myburgh J,Sheinkestel C,RENAL Study Investigators.

    更新日期:2014-01-01 00:00:00

  • Complementary dialysis for daily dialysis.

    abstract::The greatest benefit of PD ist the continuous maintenance of a stable electrolyte and acid-base balance, as well as a continuous solute, sodium and water removal. Moreover, PD is effective in preserving residual renal function (RRF). However, when RRF declines, complications will occur if not compensated for by an inc...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Kawanishi H

    更新日期:2004-01-01 00:00:00

  • Clinical investigation of the new dialyzer Gambro PRO-3.

    abstract::A new plate dialyzer, Gambro PRO-3, with a polycarbonate-polyether membrane (Gambrane) was tested. The membrane thickness is 16 micron and the dialyzer surface area 0.77 m2. 11 regular hemodialysis patients who were treated 3 times per week were studied and 32 dialyses were performed. Clearances of urea, creatinine, u...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Wehle B,Oja-Pettersson K,Schyllert B,Diehl U,Bergström J

    更新日期:1986-01-01 00:00:00

  • Allopurinol as a kidney-protective, cardioprotective, and antihypertensive agent: hype or reality?

    abstract::Numerous experimental and clinical studies suggest that uric acid might have pathobiologic implications in the development and progression of hypertension, kidney disease, and coronary heart disease, among others, resulting in renewed interest in uric acid as a potential pathogenic mediator in these clinical condition...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Kanbay M,Solak Y,Gaipov A,Takir M,Weiner DE

    更新日期:2014-01-01 00:00:00

  • Improvements in technology: a path to safer and more effective hemodialysis.

    abstract::Effective dialysis therapy is now understood to encompass both small and large solute removal, using approaches that minimize intradialytic symptoms and maximize patient safety. Achieving the goal of providing effective dialysis for an expanding population of patients with increasingly complex medical problems at a ti...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Ward RA,Ronco C

    更新日期:2009-01-01 00:00:00

  • Fluid resuscitation: colloids vs. crystalloids.

    abstract::The administration of intravenous fluids is perhaps the most common treatment given in the intensive care unit. According to biologic rationale, ongoing fluid losses should be replaced to maintain fluid homeostasis and relative or absolute deficiencies in circulating blood volume should be prevented or rapidly correct...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Bellomo R

    更新日期:2002-01-01 00:00:00

  • Diffusion kinetics in blood during haemodialysis and in vivo clearance of inorganic phosphate.

    abstract::Contradictory data are reported in the literature concerning the diffusion kinetics of inorganic phosphates (iPh) between red blood cells and plasma during haemodialysis. Accordingly, we performed mass balance and equilibration studies to analyze the diffusion kinetics of iPh in vivo and in vitro. Mass balance analysi...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Descombes E,Jutzet A,Perriard F,Fellay G

    更新日期:2001-01-01 00:00:00

  • Prevention and management of dialysis catheter complications in the intensive care unit.

    abstract::Dialysis dependence at hospital discharge after acute kidney injury (AKI) requiring renal replacement therapy (RRT) in the intensive care unit (ICU) is found in 10-15% of survivors. In case of severe AKI in the ICU, it is necessary to reconcile two objectives: the creation of an adequate temporary angioaccess for RRT ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Wilson P,Lertdumrongluk P,Leray-Moragués H,Chenine-Koualef L,Patrier L,Canaud B

    更新日期:2012-01-01 00:00:00

  • Nocturnal Hemodialysis Compared with Conventional Dialysis for End-Stage Renal Disease Treatment in Polycystic Kidney Disease Patients.

    abstract:BACKGROUND:Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary cause of end-stage renal disease (ESRD). Little is known about outcomes after in-center nocturnal hemodialysis (NHD) treatment in ADPKD patients with ESRD. OBJECTIVES:This study aimed to evaluate the effects of in-center NHD ...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Xue C,Sun B,Ye X,Zhou C,Yang B,Zhang L,Yu S

    更新日期:2020-01-01 00:00:00

  • Calcimimetics versus vitamin D: what are their relative roles?

    abstract::A strict control of secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is indicated to avoid serious complications linked to osteitis fibrosa and other parathyroid-hormone (PTH)-related bodily disturbances. However, such a control is often achieved only at the price of unacceptably high plasma...

    journal_title:Blood purification

    pub_type: 杂志文章,评审


    authors: Drüeke TB

    更新日期:2004-01-01 00:00:00

  • Predialysis systolic blood pressure evolution in incident hemodialysis patients: effects of the dry weight method and prognostic value.

    abstract:BACKGROUND:The relationship between predialysis blood pressure (BP) and hemodialysis (HD) patient outcomes is controversial. We report the evolution of predialysis BP in incident patients treated with the dry weight method and its relationship with patients' outcomes. METHODS:Between January 2000 and 2009, 308 patient...

    journal_title:Blood purification

    pub_type: 杂志文章


    authors: Chazot C,Vo-Van C,Deleaval P,Lorriaux C,Hurot JM,Mayor B,Jean G

    更新日期:2012-01-01 00:00:00

  • What is the role of controls in an outpatient department on progression of renal disease?

    abstract::Evidence that protein restriction retards the progression of chronic renal failure in man is mostly derived from anecdotic data and retrospective studies with inappropriate controls and inferior methodology for evaluating renal function. Data from a prospective randomized study in Stockholm demonstrate that more frequ...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Bergström J,Alvestrand A,Bucht H,Gutierrez A

    更新日期:1988-01-01 00:00:00