scholarly journals Utility of the “Kamakura classification” for aiding risk stratification and foot care in hemodialysis patients with peripheral arterial disease

2016 ◽  
Vol 49 (3) ◽  
pp. 219-224
Author(s):  
Miho Aikou ◽  
Sumi Hidaka ◽  
Kunihiro Ishioka ◽  
Aiko Igarashi ◽  
Keiko Bousaka ◽  
...  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Takeo Ishii ◽  
Shizuka Takabe ◽  
Yuki Yanagawa ◽  
Yuko Ohshima ◽  
Yasuhiro Kagawa ◽  
...  

Abstract Background A simpler method for detecting atherosclerosis obliterans is required in the clinical setting. Laser Doppler flowmetry (LDF) is easy to perform and can accurately detect deterioration in skin perfusion. We performed LDF for hemodialysis patients to determine the correlations between blood flow in the lower limbs and peripheral arterial disease (PAD). Methods This retrospective study included 128 hemodialysis patients. Patients were categorized into the non-PAD group (n = 106) and PAD group (n = 22), 14 early stage PAD patients were included in the PAD group. We conducted LDF for the plantar area and dorsal area of the foot and examined skin perfusion pressure (SPP) during dialysis. Results SPP-Dorsal Area values were 82.1 ± 22.0 mmHg in the non-PAD, and 59.1 ± 20.3 mmHg in PAD group, respectively (p < 0.05). The LDF-Plantar blood flow (Qb) values were 32.7 ± 15.5 mL/min in non-PAD group and 21.5 ± 11.3 mL/min in PAD group (p < 0.001). A total of 21 non-PAD patients underwent LDF before and during dialysis. The LDF-Plantar-Qb values were 36.5 ± 17.6 mL/min before dialysis and 29.6 ± 17.7 mL/min after dialysis (p < 0.05). We adjusted SPP and LDF for PAD using logistic regression, SPP-Dorsal-Area and LDF-P were significantly correlated with PAD (p < 0.05). The receiver-operating characteristic curve analysis indicated cut-off values of 20.0 mL/min for LDF-Plantar-Qb during dialysis. Conclusion LDF is a simple technique for sensitive detection of early-stage PAD. This assessment will help physicians identify early-stage PAD, including Fontaine stage II in clinical practice, thereby allowing prompt treatment.


PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0139887 ◽  
Author(s):  
Marianne Beckmann ◽  
Vincenzo Jacomella ◽  
Malcom Kohler ◽  
Mario Lachat ◽  
Amr Salem ◽  
...  

2019 ◽  
Vol 110 (2) ◽  
pp. 253-255
Author(s):  
Mohamad A. Hussain ◽  
Mohammed Al-Omran ◽  
Konrad Salata ◽  
Atul Sivaswamy ◽  
Subodh Verma ◽  
...  

2014 ◽  
Vol 19 (5) ◽  
pp. 947-952 ◽  
Author(s):  
Chen-Tung Lien ◽  
Kao-Chang Lin ◽  
Yueh-Feng Tsai ◽  
Lai-King Yu ◽  
Li-Hsueh Huang ◽  
...  

2006 ◽  
Vol 7 ◽  
pp. S115-S115
Author(s):  
H FERINGA ◽  
S KARAGIANNIS ◽  
R VIDAKOVIC ◽  
A ELHENDY ◽  
R VANDOMBURG ◽  
...  

Angiology ◽  
2009 ◽  
Vol 61 (1) ◽  
pp. 66-73 ◽  
Author(s):  
Jiung-Hsiun Liu ◽  
Chin-Cheng Chang ◽  
Shu-Ming Wang ◽  
Che-Yi Chou ◽  
Ya-Fei Yang ◽  
...  

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