22 - budurea - utilitatea.indd - Clujul Medical

Patologie renală
măsurării ultrasonografice a DVCI în stabilirea statusului
euvolemic a pacienţilor hemodializaţi cronic, şi implicit
în controlul tensional mai bun şi prevenirea complicaţiilor
cardiovasculare pe termen lung.
Concluzii
Măsurarea ultrasonografică a DVCI este o metodă
uşor de utilizat pentru estimarea statusului volemic
intravascular şi aprecierea greutăţii ideale la pacienţii
hemodializaţi cronic.
S-au găsit diferenţe între determinarea statusului
volemic clinic şi cel bazat pe măsurarea VCI. Considerăm
util ca greutatea ideală a pacienţilor hemodializaţi cronic
să fie adaptată prin măsurarea ultrasonografică periodică
a DVCI.
Bibliografie
1. Brennan JM, Ronan A, Goonewardena S et al. Handcarried
ultrasound measurement of the inferior vena cava for assessment
of intravascular volume status in the outpatient hemodialysis
clinic. Clin J Am Soc Nephrol 2006 Jul; 1(4):749-753
2. Katzarski KS, Nisell J, Randmaa I, Danielsson A, FreyschussU,
Bergstrom J. A critical evaluation of ultrasound measurement
of inferior vena cava diameter in assessing dry weight in
normotensive and hypertensive hemodialysis patients. Am J
Kidney Dis 1997; 30: 459–465
3. Chang ST, Chen CC, Chen CL, Cheng HW, Chung CM,
Yang TY. Changes of the cardiac architectures and functions
for chronic hemodialysis patients with dry weight determined by
echocardiography. Blood Purif 2004; 22: 351–359
4. Chang ST, Chen CL, Chen CC, Hung KC. Clinical events
occurrence and the changes of quality of life in chronic
haemodialysis patients with dry weight determined by
echocardiographic method. Int J Clin Pract 2004; 58: 1101–1107
5. Chang ST, Chen CL, Chen CC, Lin FC, Wu D. Enhancement of
quality of life with adjustment of dry weight by echocardiographic
measurement of inferior vena cava diameter in patients undergoing
chronic hemodialysis. Nephron Clin Pract 2004; 97: 90–97
6. Hirayama S, Ando Y, Sudo Y, Asano Y. Improvement of cardiac
function by dry weight optimization based on interdialysis
inferior vena caval diameter. ASAIO J 2002 May-Jun; 48(3): 320-
325
7. Kalantar-Zadeh K, Regidor DL, Kovesdy CP et al. Fluid
retention is associated with cardiovascular mortality in patients
undergoing long-term hemodialysis. Circulation 2009 Feb;
119(5): 671- 679
8. Goldfarb-Rumyantzev AS, Chelamcharla M, Bray BE et al.
Volume indicators and left ventricular mass during aggressive
volume management in patients on thrice- weekly hemodialysis.
Nephron Clin Pract 2009; 113: 270-280
9. Agarwal R, Andersen MJ, Pratt JH. On the importance of pedal
edema in hemodialysis patients. Clin J Am Soc Nephrol 2008;
3:153–158
10. Kayatas M, Ozdemir N, Muderrisoglu H, Ulucam M, Turan
M, Hizel N. Comparison of the non-invazive methods estimating
dry weight in hemodialysis patients. Ren Fail 2006; 28(3): 217-
222
11. Lee SW, Kim DY, Lee SH et al. New method of predicting
dry weight using bioelectrical impedance analysis in hemodialysis
patients. Nephrology 2009 Dec; 14(8): 705-711
12. Tetsuka T, Ando Y, Ono S, Asano Y. Change in inferior
vena caval diameter detected by ultrasonography during and after
hemodialysis. ASAIO J 1995 Jan-Mar; 41(1): 105-110
13. Yanagiba S, Ando Y, Kusano E, Asano Y. Utility of inferior
vena cava diameter as a marker of dry weight in nonoliguric
patients. ASAIO J 2001 Sep-Oct; 47(5): 528-532
14. Katzarski KS, Nisell J, Randmaa I, Danielsson A, Freyschuss
U, Bergstrom J. A critical evaluation of ultrasound measurement
of inferior vena cava diameter in assessing dry weight in
normotensive and hypertensive hemodialysis patients. Am J
Kidney Dis 1997; 30:459–465
15. Ozkahya M, Toz H, Qzerkan F, Duman S, Ok E, Basci A,
Mees EJ. Impact of volume control on left ventricular hypertrophy
in dialysis patients. J Nephrol 2002; 15:655–660
16. Davenport A, Cox C, Thuraisingham R. Achieving blood
pressure targets during dialysis improves control but increases
intradialytic hypotension. Kidney Int 2008; 73:759–764
17. Agarwal R, Alborzi P, Satyan S, Light LT. Dry-weight
reduction in hypertensive hemodialysis patients. Hypertension
2009; 53: 500-507
18. Luik AJ, Charra B, Katzarski K et al. Blood pressure control
and hemodynamic changes in patients on long time dialysis
treatment. Blood Purif 1998; 16:197–209
19. Katzarski KS, Charra B, Luik AJ et al. Fluid state and
blood pressure control in patients treated with long and short
haemodialysis. Nephrol Dial Transplant 1999; 14:369–375
20. Wabel P, Moissl U, Chamney P, Jirka T et al. Towards
improved cardiovascular management: the necessity of combining
blood pressure and fluid overload. Nephrol Dial Transplant 2008;
23:2965–2971
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Clujul Medical 2010 Vol. 83 - nr. 4