Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-brachial Stiffness Than Those in the Forearm: Study of Gender Differences

Overview

Journal Int J Nephrol

Publisher Wiley

Specialty Nephrology

Date 2012 May 9

PMID 22567282

Citations 8

Authors

Daniel Bia

Edmundo I Cabrera-Fischer

Yanina Zocalo

Cintia Galli

Sebastian Graf

Rodolfo Valtuille

Hector Perez-Campos

Maria Saldias

Ines Alvarez

Ricardo L Armentano

Affiliations

Soon will be listed here.

Abstract

Purpose. To evaluate in chronically haemodialysed patients (CHPs), if: (1) the vascular access (VA) position (upper arm or forearm) is associated with differential changes in upper limb arterial stiffness; (2) differences in arterial stiffness exist between genders associated with the VA; (3) the vascular substitute (VS) of choice, in biomechanical terms, depends on the previous VA location and CHP gender. Methods. 38 CHPs (18 males; VA in upper arm: 18) were studied. Left and right carotid-brachial pulse wave velocity (PWV(c-b)) was measured. In in vitro studies, PWV was obtained in ePTFE prostheses and in several arterial and venous homografts obtained from donors. The biomechanical mismatch (BM) between CHP native vessel (NV) and VS was calculated. Results/Conclusions. PWV(c-b) in upper limbs with VA was lower than in the intact contralateral limbs (P < 0.05), and differences were higher (P < 0.05) when the VA was performed in the upper arm. Differences between PWV(c-b) in upper limbs with VA (in the upper arm) with respect to intact upper limbs were higher (P < 0.05) in males. Independently of the region in which the VA was performed, the homograft that ensured the minimal BM was the brachial artery. The BM was highly dependent on gender and the location in the upper limb in which the VA was performed.

Citing Articles

Quantitative Vascular Evaluation: From Laboratory Experiments to Point-of-Care Patient (Clinical Approach).

Armentano R, Cymberknop L Curr Hypertens Rev. 2018; 14(2):86-94.

PMID: 29651956 PMC: 6142407. DOI: 10.2174/1573402114666180413144119.

Reference intervals and percentiles for carotid-femoral pulse wave velocity in a healthy population aged between 9 and 87 years.

Diaz A, Zocalo Y, Bia D, Wray S, Fischer E J Clin Hypertens (Greenwich). 2018; 20(4):659-671.

PMID: 29532992 PMC: 8031202. DOI: 10.1111/jch.13251.

The effects of age on pulse wave velocity in untreated hypertension.

Diaz A, Tringler M, Wray S, Ramirez A, Cabrera Fischer E J Clin Hypertens (Greenwich). 2017; 20(2):258-265.

PMID: 29267992 PMC: 8030931. DOI: 10.1111/jch.13167.

The first fistula: influence of location on catheter use and the influence of catheter use on maturation.

Diskin C, Stokes T, Dansby L, Radcliff L, Carter T, Lazenby A Int Urol Nephrol. 2015; 47(9):1571-5.

PMID: 26238945 DOI: 10.1007/s11255-015-1062-5.

Hydration Status Is Associated with Aortic Stiffness, but Not with Peripheral Arterial Stiffness, in Chronically Hemodialysed Patients.

Bia D, Galli C, Valtuille R, Zocalo Y, Wray S, Armentano R Int J Nephrol. 2015; 2015:628654.

PMID: 26167301 PMC: 4488172. DOI: 10.1155/2015/628654.

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