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50th ERA-EDTA Congress

 

May 18-21 2013 Istanbul
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Discussion forum - 50th ERA-EDTA Congress
    Topic - Vascular access

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Poster: 491
Visits: 46
Title: VARIABILITY OF ACCESS BLOOD FLOW RATE WITHIN AND BETWEEN HEMODIALYSIS SESSIONS
Authors: Csaba Rikker , Csaba Rikker,1 Edina Juhász,1 László Tornóci,3 Szilveszter Tóvárosi,2 Judit Greguschik,1 László Rosivall.3
Centre: FMC Dialysis Center Peterfy Hospital

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VARIABILITY OF ACCESS BLOOD FLOW RATE WITHIN AND BETWEEN HEMODIALYSIS SESSIONS

Csaba Rikker
Thread initiator
Subspeciality Dialysis
Reg: 5/9/2012 9:39:00 PM

Comment# 1

Decrease in vascular access blood flow (Qa) is a common sign of stenosis, albeit attenuation up to 2025 can be in the physiological range and change in Qa requiring intervention can be up to 33 . Reduction in blood pressure is a common consequence of ultrafiltration generated by a hemodialysis (HD) session. Although the impact of this on Qa is controversial, the Qa measurement is suggested to be performed within the first 90 minutes of dialysis treatment (NKF K/DOQI Guidelines 2006 Updates). However differences in needle placement and haemodynamics may cause larger variability between the dialysis sessions than within the sessions. The aim of our study is to clarify: 1. Is there a clinically relevant change in Qa during HD? 2. Is there any correlation between the Qa and blood pressure during treatment? 3. Comparison of the variability of Qa within and between the sessions.

Comment added on 4/25/2013 9:08:00 PM 
     
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