Electrophysiological Abnormalities in Upper Extremities After Brachiocephalic A‐V Fistulas Construction in Predialysis Patients
| العنوان: | Electrophysiological Abnormalities in Upper Extremities After Brachiocephalic A‐V Fistulas Construction in Predialysis Patients |
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| المؤلفون: | Mahmoud Haj, Batya Kristal, Saab Amir, Waleed Simri, Kamal Hassan, Sulla Michael, Shaul M. Shasha |
| المصدر: | Renal Failure. 26:111-117 |
| بيانات النشر: | Informa UK Limited, 2004. |
| سنة النشر: | 2004 |
| مصطلحات موضوعية: | Adult, Male, Nephrology, Resuscitation, medicine.medical_specialty, Fistula, Neural Conduction, Critical Care and Intensive Care Medicine, Risk Assessment, Nerve conduction velocity, Cohort Studies, Upper Extremity, Arteriovenous Shunt, Surgical, Renal Dialysis, Internal medicine, Humans, Medicine, Diabetic Nephropathies, Prospective Studies, Prospective cohort study, Brachiocephalic Trunk, Aged, Probability, Electromyography, business.industry, Peripheral Nervous System Diseases, General Medicine, Middle Aged, medicine.disease, Surgery, Peripheral neuropathy, Kidney Failure, Chronic, Female, business, Complication, Follow-Up Studies, Kidney disease |
| الوصف: | Peripheral neuropathy is considered a common complication in patients suffering from advanced chronic kidney disease (CKD). Superimposed peripheral multiple neuropathies may complicate arteriovenous (A-V) fistulas construction.To evaluate, prospectively, the influence of brachiocephalic A-V fistulas construction on the peripheral nerves of the same extremity and to characterize the patients at risk for developing ischemic and neurological complications.Twenty patients suffering from advanced CKD were enrolled in the study: 10 diabetic and 10 non-diabetic patients. All patients underwent electrophysiological evaluation one week before, 3 weeks and 3 months after surgery. Median, ulnar and radial nerves were studied.In non-diabetic patients MNCV was normal before and after surgery, but were significantly lower and reduced progressively and significantly after surgery in diabetic patients (por =0.02). In both non-diabetic and diabetic patients SNCV was reduced, but were significantly lower in diabetic patients before and after surgery (por =0.03). In diabetic patients it reduced progressively and significantly after surgery (p0.01). Thirty percent of patients developed local edema and significant decrease of CMAP of median nerve three weeks after surgery (p=0.02) with complete resolution at three months.Diabetic uremic patients are at increased risk to develop disabling neurological complications after the construction of A-V fistulas. Diabetes was the only predictive risk factor for developing these complications. Prevention requires careful preoperative electrophysiological evaluation and postoperative follow-up. |
| تدمد: | 1525-6049 0886-022X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fba4234f6488a14d29e296331da85743 https://doi.org/10.1081/jdi-120038484 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fba4234f6488a14d29e296331da85743 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 15256049 0886022X |
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