Accuracy of Doppler Ultrasonography in Measuring Radial Artery Wall Thickness in Hemodialysis Patients: Comparison with Histologic Examination
Identifieur interne : 005987 ( Main/Exploration ); précédent : 005986; suivant : 005988Accuracy of Doppler Ultrasonography in Measuring Radial Artery Wall Thickness in Hemodialysis Patients: Comparison with Histologic Examination
Auteurs : Y. O. Kim ; J. I. Kim ; Y. M. Ku ; Y. J. Choi [Corée du Sud] ; H. C. Song ; D. C. Jin ; S. Y. Kim ; E. J. Choi ; Y. S. Chang ; B. K. BangSource :
- Hemodialysis International [ 1492-7535 ] ; 2004-01.
Abstract
Increased radial artery wall thickness (RAWT) is considered to be associated with early failure of radiocephalic arteriovenous fistula (AVF) as well as coronary artery atherosclerosis in hemodialysis patients. Therefore, exact measurement of RAWT by noninvasive method before the operation is very important. Objective: This study was designed to evaluate accuracy of Doppler ultrasonography in measuring RAWT in hemodialysis patients. Methods: This study enrolled 21 hemodialysis patients undergoing radiocephalic AVF operation for the first time. We measured RAWT (intima‐media thickness) using high‐resolution Doppler ultrasonography at the wrist before the AVF operation. We obtained specimens of the radial artery during the AVF operation and then measured RAWT by histologic examination. Results: Mean age of the patients was 60 ± 13 years and the number of females was 7 (33.3%). Mean values of RAWT measured by Doppler ultrasonography and histologic examination were 485 ± 93 μm (300–700 μm) and 426 ± 106 μm (300–700 μm), respectively. The value of RAWT of Doppler sonographic measurement well correlated with that of histologic measurement (r = 0.800, p < 0.001). Conclusion: Our data suggest that Doppler ultrasonography is an effective tool in measuring RAWT in hemodialysis patients before AVF operation.
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DOI: 10.1111/j.1492-7535.2004.0085g.x
Affiliations:
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Jin</name></author><author><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y." last="Kim">S. Y. Kim</name></author><author><name sortKey="Choi, E J" sort="Choi, E J" uniqKey="Choi E" first="E. J." last="Choi">E. J. Choi</name></author><author><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name></author><author><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. 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O." last="Kim">Y. O. Kim</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Kim, J I" sort="Kim, J I" uniqKey="Kim J" first="J. I." last="Kim">J. I. Kim</name><affiliation><wicri:noCountry code="no comma">Department of General Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Ku, Y M" sort="Ku, Y M" uniqKey="Ku Y" first="Y. M." last="Ku">Y. M. Ku</name><affiliation><wicri:noCountry code="no comma">Department of Radiology</wicri:noCountry></affiliation></author><author><name sortKey="Choi, Y J" sort="Choi, Y J" uniqKey="Choi Y" first="Y. J." last="Choi">Y. J. Choi</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Clinical Pathology, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Song, H C" sort="Song, H C" uniqKey="Song H" first="H. C." last="Song">H. C. Song</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Jin, D C" sort="Jin, D C" uniqKey="Jin D" first="D. C." last="Jin">D. C. Jin</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y." last="Kim">S. Y. Kim</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Choi, E J" sort="Choi, E J" uniqKey="Choi E" first="E. J." last="Choi">E. J. Choi</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. Bang</name><affiliation><wicri:noCountry code="no comma">Department of Internal Medicine</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Hemodialysis International</title><title level="j" type="alt">HEMODIALYSIS INTERNATIONAL</title><idno type="ISSN">1492-7535</idno><idno type="eISSN">1542-4758</idno><imprint><biblScope unit="vol">8</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="80">80</biblScope><biblScope unit="page" to="80">80</biblScope><biblScope unit="page-count">100</biblScope><publisher>Blackwell Science Inc</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2004-01">2004-01</date></imprint><idno type="ISSN">1492-7535</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1492-7535</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Increased radial artery wall thickness (RAWT) is considered to be associated with early failure of radiocephalic arteriovenous fistula (AVF) as well as coronary artery atherosclerosis in hemodialysis patients. Therefore, exact measurement of RAWT by noninvasive method before the operation is very important. Objective: This study was designed to evaluate accuracy of Doppler ultrasonography in measuring RAWT in hemodialysis patients. Methods: This study enrolled 21 hemodialysis patients undergoing radiocephalic AVF operation for the first time. We measured RAWT (intima‐media thickness) using high‐resolution Doppler ultrasonography at the wrist before the AVF operation. We obtained specimens of the radial artery during the AVF operation and then measured RAWT by histologic examination. Results: Mean age of the patients was 60 ± 13 years and the number of females was 7 (33.3%). Mean values of RAWT measured by Doppler ultrasonography and histologic examination were 485 ± 93 μm (300–700 μm) and 426 ± 106 μm (300–700 μm), respectively. The value of RAWT of Doppler sonographic measurement well correlated with that of histologic measurement (r = 0.800, p < 0.001). Conclusion: Our data suggest that Doppler ultrasonography is an effective tool in measuring RAWT in hemodialysis patients before AVF operation.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><noCountry><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. Bang</name><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name><name sortKey="Choi, E J" sort="Choi, E J" uniqKey="Choi E" first="E. J." last="Choi">E. J. Choi</name><name sortKey="Jin, D C" sort="Jin, D C" uniqKey="Jin D" first="D. C." last="Jin">D. C. Jin</name><name sortKey="Kim, J I" sort="Kim, J I" uniqKey="Kim J" first="J. I." last="Kim">J. I. Kim</name><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y." last="Kim">S. Y. Kim</name><name sortKey="Kim, Y O" sort="Kim, Y O" uniqKey="Kim Y" first="Y. O." last="Kim">Y. O. Kim</name><name sortKey="Ku, Y M" sort="Ku, Y M" uniqKey="Ku Y" first="Y. M." last="Ku">Y. M. Ku</name><name sortKey="Song, H C" sort="Song, H C" uniqKey="Song H" first="H. C." last="Song">H. C. Song</name></noCountry><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Choi, Y J" sort="Choi, Y J" uniqKey="Choi Y" first="Y. J." last="Choi">Y. J. Choi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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