Primary Patency Rates of Endovascular Interventions   in Hemodialysis Patients with Central Venous Stenosis and Occlusions

Çildağ, Mehmet Burak; Öztürk, Veli Süha; Özgür, Recep; Köseoğlu, Ömer Faruk Kutsi

doi:10.5603/aa.2021.0003

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…The analysis of the causes of death showed that the causes of cardiovascular disease accounted for 46.67%, ranking first, followed by the cause of infection, accounting for 22.22%. Cardiovascular disease is the first cause of death, which is in line with the results of several domestic studies [3][4][5]7]. This study [8] showed that the risk of death from cardiovascular disease was 10 to 20 times higher than that of the general population.…”

Section: Discussionsupporting

confidence: 83%

“…The mean time from hemodialysis start to death of the 45 deceased patients included in this study was (9.04 ± 2.16) months, which is similar to the results of several centers in the country [3][4][5]. 45 cases in the central disease is diabetic nephropathy (42.22%), followed by hypertensive renal damage (28.89%), chronic glomerulonephritis (13.33%), which suggests that diabetic nephropathy is the primary cause of elderly patients with end-stage renal disease, analysis may be related to the domestic elderly population diabetes higher than young people (55.56% of patients in this group for diabetic nephropathy or nephropathy with diabetes), and diabetic nephropathy patients with cardiovascular and other complications earlier and earlier into hemodialysis treatment [6].…”

Section: Discussionsupporting

confidence: 79%

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Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

Zhuo,

Xu,

Huang

et al. 2023

IJCEMR

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Objective: To investigate the short-term (within 3 to 12 months) survival of elderly MHD patients and analyze the mortality risk factors of patients. Methods: The clinical data of 45 elderly patients with regular MHD treatment from January 2015 to December 2022 and died within 3 to 12 months were selected as the death group. Moreover, 45 elderly patients with regular MHD treatment and the survival period was more than 12 months were selected as the control group. The cause of death, basic clinical data, and laboratory indicators were investigated. Results: The mean time from hemodialysis initiation to death for the 45 patients in the death group was (9.04 ± 2.16) months. The primary cases of diabetic nephropathy (42.22%) and hypertensive renal damage (28.89%), the causes of death: cardiovascular disease (46.67%) ranked first, and the causes of infection (22.22%) ranked second. Logistic Regression analysis, the results showed that advanced age, use of central venous catheter, low BMI, low PA, and combined diabetes were risk factors for short-term death in MHD patients (P <0.05). Conclusion: The primary disease of elderly MHD patients dying in the short term is mainly diabetic nephropathy, and the cause of death is the cause of cardiovascular disease. Early effective control of blood glucose and blood pressure, improved nutritional status, reasonable selection of vascular access, active prevention and treatment of cardiovascular disease and infection complications, which is helpful to prolong the survival time of elderly MHD patients.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 79%

Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

Zhuo,

Xu,

Huang

et al. 2023

IJCEMR

View full text Add to dashboard Cite

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“…Purified blood is then transfused back. [6,7] Although hemodialysis can effectively prolong the life of patients, MH can have a significant impact on their physical and mental health. In long-term treatment, it not only causes great pain to the patient’s body, but also increases the burden on the family.…”

Section: Introductionmentioning

confidence: 99%

Clinical effect of nursing methods integrating health belief models on self-care of maintenance hemodialysis patients: A retrospective study

Zhang,

Xia

2024

Medicine

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This study aimed to explore the clinical effectiveness of nursing methods that incorporate health belief models on the self-care practices of maintenance hemodialysis patients. The objective was to enhance patients’ health beliefs, strengthen their healthy behaviors and habits, improve their unhealthy daily behaviors, and provide robust theoretical and practical foundations for future nursing practices in this area. A retrospective analysis was conducted on 150 hemodialysis patients from our hospital, from January 2019 to February 2023. The participants were divided into 2 groups: a control group (N = 75) using routine nursing methods, and an experimental group (N = 75) using methods integrated with health belief models. Both groups were comparable in terms of demographic and baseline clinical characteristics such as gender, marital status, age, education level, total scores of self-care ability, and dialysis duration, with no significant differences observed (P > .05). Data collection tools included a general information questionnaire and a self-care ability scale, and clinical effectiveness was measured through specific indicators such as parathyroid hormone, blood phosphorus, urea, potassium, calcium, and IWGR%. Post-intervention, the experimental group demonstrated significant improvements in self-care capabilities across various dimensions and most clinical indicators compared to the control group, with the exception of parathyroid hormone and blood urea levels. The study concludes that integrating health belief models into nursing practices significantly enhances the self-care abilities of maintenance hemodialysis patients, improves several clinical parameters, and holds promise for fostering better patient outcomes and guiding future clinical nursing practices.

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Clinical Implications of Phenotypes of Hemodialysis Patients With Central Venous Occlusion or Central Venous Stenosis Defined by Cluster Analysis

Wen

Chen

Lin

et al. 2022

Front. Cardiovasc. Med.

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ObjectiveThis study aims to investigate the association between clinical factors of patients with central (superior vena cava, brachiocephalic, or subclavian) venous occlusion or central venous stenosis (CVO/CVS) and the difficulty of interventional recanalization as well as the duration of postoperative patency.MethodsA total of 103 hemodialysis patients with CVO/CVS treated with endovascular treatment were enrolled. The two-step cluster analysis was selected to differentiate the cases into distinct phenotypes automatically. Differences in characteristics, the difficulty of interventional recanalization, and the duration of postoperative primary patency time between the two clusters were statistically compared.ResultsThe 103 cases were divided into distinct two clusters by the two-step cluster analysis with 48 (46.6%) in cluster 1 and 55 (53.4%) in cluster 2. Compared to cluster 2, patients in cluster 1 have a higher proportion of blunt stump, side branches, occlusion lesions >2 cm, calcification, or organization. Moreover, the above four factors were, in turn, the most critical four predictors distinguishing 103 patients into two clusters. The remaining six factors were, in turn, occlusion located in the superior vena cava (SVC), duration of central venous catheterization (CVC), lesion location, vessel diameter, number of CVC, and previously failed lesion. Of the four most important factors, with the exception of occlusion lesions exceeding 2 cm, there were significant differences in the length of procedure time between the groups grouped by the remaining three factors. And there was a significant difference in the primary patency rate between the group with blunt stump and the group without blunt stump and also between the group with occlusion lesions ≥ 2 cm and the group with occlusion lesions <2 cm. The operation time of cluster 1 was longer than that of cluster 2. In terms of postoperative patency time, the primary patency time was significantly longer in the patients of cluster 2 compared with cluster 1 (P = 0.025).ConclusionPatients were divided into distinct two clusters. CVO/CVS of patients in cluster 1 was more challenging to be recanalized than that in cluster 2, and the primary patency time was significantly longer in the patients of cluster 2 compared with cluster 1. Blunt stump, side branches, occlusion lesions exceeding 2 cm, and calcification or organization are the four most critical predictors distinguishing 103 patients into two clusters.

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Primary Patency Rates of Endovascular Interventions in Hemodialysis Patients with Central Venous Stenosis and Occlusions

Cited by 3 publications

References 16 publications

Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

Clinical effect of nursing methods integrating health belief models on self-care of maintenance hemodialysis patients: A retrospective study

Clinical Implications of Phenotypes of Hemodialysis Patients With Central Venous Occlusion or Central Venous Stenosis Defined by Cluster Analysis

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