BLOOD FLOW IN THE LARGE VESSELS OF THE FOREARM AND IN THE MICROVESSELS OF THE HAND IN PATIENTS ON PROGRAMMED HEMODIALYSIS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper gives the data obtained by laser Doppler flowmetry on microcirculatory blood flow in the distal limb of patients with chronic renal failure after forming an arteriovenous fistula for programmed hemodialysis. Nervous regulation is shown to be unable to maintain the required value of blood flow along the exchange-type vessels in some patients with both high and moderate volume velocity of blood flow along the fistula.

Full Text

Restricted Access

About the authors

A. Gurkov

V.A. Almazov Federal Heart, Blood, and Endocrinology Center

Saint Petersburg

G. Lobov

I.P. Pavlov Institute of Physiology, Russian Academy of Sciences

Email: gilobov@yandex.ru
Professor MD Saint Petersburg

K. Gurevich

Fresenius Medical Care Co. in Russia

Professor MD Saint Petersburg

References

  1. Козлов В.И., Корси Л.В., Соколов В.Г. Лазерная допплеровская флоуметрия и анализ коллективных процессов в системе микроциркуляции // Физиология человека. - 1998; 24 (6): 112-21.
  2. Крупаткин А.И., Сидоров В.В. Методические аспекты диагностики состояния микроциркуляции крови / В кн.: Лазерная допплеровская флоуметрия микроциркуляции крови. Под. ред. А.И. Крупаткина, В.В. Сидорова. - М.: Медицина, 2005; с. 6-25.
  3. Мойсюк Я.Г., Беляев А.Ю. Постоянный сосудистый доступ для гемодиализа. - Тверь: Триада. - 2004; с. 152.
  4. Fagrell B. Problems using laser Doppler on the skin in clinical practice. In: Fagrell B., ed. Laser Doppler // London, Los Angeles, Nicosia. Med-Orion Publishing Company. - 1994; р. 49-54.
  5. Gradman W., Cohen W, Haji-Aghaii M. Arteriovenous fistula construction in the thigh with transposed superficial femoral vein: our initial experience // J. Vasc. Surg. - 2001; 33 (5): 968-75.
  6. Holowatz L., Kenney W. Peripheral mechanisms of thermoregulatory control of skin blood flow in aged humans // J. Appl. Physiol. - 2010; 109 (5): 1538-44.
  7. Jennings W., Brown R., Ruiz C. Primary arteriovenous fistula inflow proximalization for patients at high risk for dialysis access-associated ischemic steal syndrome // J. Vasc. Surg. - 2011; 54 (2): 554-8.
  8. Kimball T., Barz K., Dimond K. et al. Efficiency of the kidney disease outcomes quality initiative guidelines for preemptive vascular access in an academic setting // J. Vasc. Surg. - 2011; 54 (3): 760-6.
  9. Kvandal P., Stefanovska A., Veber M. Regulation of human cutaneous circulation evaluated by laser Doppler flowmetry, iontophoresis, and spectral analysis: importance of nitric oxide and prostangladines // Microvasc. Res. - 2003; 65: 160-71.
  10. Nasser G., Rhee E., Achkar K. Endovascular treatment of the ‘failing to mature’ arteriovenous fistula // Clin. J. Am. Soc. Nephrol. - 2006; 1: 275-80.
  11. Paun M., Beach K., Ahmad S. et al. New ultrasound approaches to dialysis access monitoring // Am. J. Kidney Dis. - 2000; 35 (3): 477-81.
  12. Robbin M., Chamberlain N., Lockhart M. et al. Hemodialysis arteriovenous fistula maturity: US evaluation // Radiology. - 2002; 225: 59-64.
  13. Rossi M., Carpi A., Galetta F. et al. Skin vasomotion investigation: a useful tool for clinical evaluation of microvascular endothelial function? // Biomed. Pharmacother. - 2008; 62: 541-45.
  14. Ruocco I., Cuello A., Parent A. et al. Skin blood vessels are simultaneously innervated by sensory, sympathetic, and parasympathetic fibers // J. Comp. Neurol. - 2002; 448 (4): 323-36.
  15. Saucy F., Haesler E., Haller C. et al. Is intra-operative blood flow predictive for early failure of radiocephalic arteriovenous fistula? // Nephrol. Dial. Transplant. - 2010; 25 (3): 862-7.
  16. Schanzer H., Eisenberg D. Management of steal syndrome resulting from dialysis access // Semin. Vasc. Surg. - 2004; 17: 45-9.
  17. Sivanesan S., How T., Bakran A. Characterizing flow distributions in AV fistulae for haemodialysis access // Nephrol. Dial. Transplant. - 1998; 13 (12): 3108-10.
  18. Tordoir J., Leunissen K. Arterial perfusion disorders of the hand in 9 patients with artenovenous fistula for hemodialysis // Ned. Tijdschr. Geneeskd. - 1999; 143 (21): 1093-8.
  19. Wixon C., Hughes J., Mills J. Understanding strategies for the treatment of ischemic steal syndrome after hemodialysis access // J. Am. Coll. Surg. - 2000; 191 (3): 301-10.
  20. Yvonne-Tee G. Noninvasive assessment of cutaneous vascular function in vivo using capillaroscopy, plethysmography and laser-Doppler instruments: its strengths and weaknesses // Clin. Hemorheol. Microcirc. - 2006; 34: 457-73

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2012 Russkiy Vrach Publishing House

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies