Chronic Hemodialysis Using Venipuncture and a Surgically Created Arteriovenous Fistula

Brescia, Michael J.; Cimino, James E.; Appel, Kenneth E.; Hurwich, Baruch J.

doi:10.1056/nejm196611172752002

Cited by 1,545 publications

(656 citation statements)

References 5 publications

Supporting

Mentioning

574

Contrasting

Unclassified

Order By: Relevance

“…There are many explanations for the apparent diminution of effect noted in this study, several of which are related to the different psychologies of open versus blinded studies. The overall duration of therapy was slightly shorter in this study although the number of procedures done (18,15,14, and 14 in the earlier study) was similar and the efficacy of lymphocyte removal was superior, namely 13.7 versus 11.1 X 10" lymphocytes removed.…”

Section: Discussionmentioning

confidence: 43%

See 1 more Smart Citation

Lymphapheresis in rheumatoid arthritis

Karsh

Klippel

Plötz

et al. 1981

Arthritis & Rheumatism

131

View full text Add to dashboard Cite

The antirheumatic effects of lymphocyte depletion in rheumatoid arthritis were confirmed in a randomized, double-blind trial. Six patients assigned to lymphapheresis demonstrated statistically significant decrements in counts of active joints, swollen joints, and a graded articular index compared to 6 patients similarly treated by a control procedure restricted to the removal of the volume of plasma incidentally lost during lymphapheresis. All patients treated by lymphapheresis developed lymphopenia, and in 4 the percentage of circulating T cells fell disproportionately by 26-58%. Serum IgM declined by 30% in lymphocyte depleted patients. Despite these changes in measures of cellular and humoral immunity, the mechanism of action of lymphapheresis remains obscure. The magnitude of change in synovitis did not correlate with the absolute numbers of mononuclear cells removed nor with the percent reduction in circulating lymphocytes, T cells, or IgM.Lymphocytes appear to be involved in both the initiation and perpetuation of the inflammatory events that underlie the manifestations of rheumatoid arthritis. They are the predominant cell type infiltrating rheumatoid synovium and nodules (1-3). Circulating lymphoFrom the Arthritis and Rheumatism Branch, National Institute of Arthritis, Metabolism and Digestive Disease, National Institutes of Health,

show abstract

Section: Discussionmentioning

confidence: 43%

“…Access to the circulation was provided by forearm end-to-side arteriovenous fistulae (15) in the Erst 7 patients and peripheral antecubital veins in the last 5. Lymphapheresis was initiated only after the fistula was fully mature or, in the last 5 patients, after a similar period of prehospitalization observation.…”

Section: Methodsmentioning

confidence: 99%

Lymphapheresis in rheumatoid arthritis

Karsh

Klippel

Plötz

et al. 1981

Arthritis & Rheumatism

131

View full text Add to dashboard Cite

show abstract

“…The arteriovenous fistula (AVF) was first described and used as a reliable form of hemodialysis (HD) vascular access (VA) by Brescia et al (1) in 1966. Improvements in dialysis technology and the expansion of dialysis eligibility (e.g., inclusion of patients with diabetes) resulted in a rapid growth of the ESRD population.…”

Section: Vascular Access Care Before 1997mentioning

confidence: 99%

Fistula First Initiative

Lok¹

2007

Clinical Journal of the American Society of Nephrology

276

231

View full text Add to dashboard Cite

“…[9] Bununla birlikte, kronik süreç içerisinde tromboz, lokal enfeksiyon ve venöz anevrizma gibi komplikasyonların görülme olasılı¤ı az de¤ildir. [10] Enfeksiyon, kanama, psödoanevrizma, kalp yetersizli¤i ve ekstremitede venöz yetersizlik görülen di¤er komplikasyonlardır.…”

Section: Tartimaunclassified

Evaluation of clinical follow-up of patients with arteriovenous fistula

Erdoğan¹,

Akın²,

Demirhan³

2016

FNG & Bilim Tıp Dergisi

View full text Add to dashboard Cite

Objectives: This study aims to investigate the demands of the patients whether to close down or not to close down the working arteriovenous fistulas (AVF) subsequent to kidney transplantation, determining the reasons for decision, and relationships of these decision with other parameters. Patients and methods: The sampling of the study consists of 100 patients (60 males, 40 females; mean age 41.3±10.6 years; range 22 to 65 years), on whom AVF was opened before kidney transplantation and continued to work in the postoperative period in Istanbul Şişli FNH between January 2009 -December 2015. Sociodemographic and fistula-related characteristics of the patients were questioned using a 25-item Data Collection Form. Results: Analyses revealed that patients with fistulas showed differences with respect to the problems they experienced after kidney transplantation. Female patients requested closure of the fistula because they were disturbed by its appearance. Daily activities were affected more in patients with a lower education level and whose ages were between 22-40. The patients who showed the greatest demand for closure of the fistula after transplantation were the ones between ages 22-40 and had the fistulas in the left arm. Patients with the fistula on the left arm had a greater rate of heart problems. There was no significant relationship between the BUN and creatinine values and the demand to close or not to close the fistulas. Conclusion: Our study revealed that the daily lives of our patients, their conditions in the workplace, and their educational levels affected their demands concerning closure of the AVF. Also the age group had an effect on whether the fistula would be closed or not. Analizler sonucunda fistülü olan hastaların böbrek nakli sonrasında yaşadıkları problemler arasında farklılık görüldü. Kadın hastalar daha çok fistülün görüntüsünden rahatsız oldukları için kapatılmasını istemişlerdi. Eğitim düzeyi düşük ve 22-40 yaş arası olan hastalarda günlük aktivitelerin daha çok etkilediği görüldü. Nakil sonrası fistülünün kapatılmasını en çok isteyenler 22-40 yaş arası ve fistülü sol kolunda bulunan hastalardı. Fistülü sol kolunda olan bireylerin daha çok kalp problemi yaşadıkları görüldü. BUN ve kreatin değerlerinin fistülün kapatılmasını isteme veya istememe durumları arasında anlamlı bir ilişki bulunamadı. Sonuç: Yaptığımız çalışmada, kişilerin günlük yaşamlarının, iş hayatındaki çalışma koşulları, eğitim durumları AVF'yi kapatma isteklerini etkilediği belirlendi. Ayrıca kişilerin yaş aralıklarının da fistülü kapatma ya da kapatmama üzerindeki etkisi olduğu saptandı.

show abstract

Chronic Hemodialysis Using Venipuncture and a Surgically Created Arteriovenous Fistula

Cited by 1,545 publications

References 5 publications

Lymphapheresis in rheumatoid arthritis

Lymphapheresis in rheumatoid arthritis

Fistula First Initiative

Evaluation of clinical follow-up of patients with arteriovenous fistula

Contact Info

Product

Resources

About