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Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients
BACKGROUND: Hemodialysis via the internal jugular vein (IJV) has been widely used for patients with end stage renal disease (ESRD) patients, as they have a higher risk of arterial diseases. We investigated the ultrasonographic findings of the IJV and carotid artery (CA) in recipients of kidney trans...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Anesthesiologists
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967633/ https://www.ncbi.nlm.nih.gov/pubmed/27482315 http://dx.doi.org/10.4097/kjae.2016.69.4.375 |
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author | Choi, Ji Won Kim, Gaab Soo Lee, Seung Won Park, Jeong Bo Lee, Jeong Jin Ko, Justin Sangwook |
author_facet | Choi, Ji Won Kim, Gaab Soo Lee, Seung Won Park, Jeong Bo Lee, Jeong Jin Ko, Justin Sangwook |
author_sort | Choi, Ji Won |
collection | PubMed |
description | BACKGROUND: Hemodialysis via the internal jugular vein (IJV) has been widely used for patients with end stage renal disease (ESRD) patients, as they have a higher risk of arterial diseases. We investigated the ultrasonographic findings of the IJV and carotid artery (CA) in recipients of kidney transplantation (KT) and identified factors influencing IJV/CA abnormalities. METHODS: We enrolled 120 adult KT recipients. Patients in group A (n = 57) had a history of IJV hemodialysis, while those in group B (n = 63) were not yet on dialysis or undergoing dialysis methods not involving the IJV. The day before surgery, we evaluated the state of the IJV and CA using ultrasonography. We followed patients with IJV stenosis for six months after KT. RESULTS: Ultrasonography revealed that four patients (7%) in group A had IJV abnormalities, while no patients in group B had abnormalities (P = 0.118). Of the four patients with abnormalities, one with 57.4% stenosis normalized during follow- up. However, another patient with 90.1% stenosis progressed to occlusion, while the two patients with total occlusion remained the same. Twenty patients in group A (n = 11) and B (n = 9) had several CA abnormalities (P = 0.462). Upon multivariate analysis with stepwise selection, height and age were significantly correlated with IJV stenosis (P = 0.043, odds ratio = 0.9) and CA abnormality (P = 0.012, odds ratio = 1.1), respectively. CONCLUSIONS: IJV abnormalities (especially with a history of IJV hemodialysis) and CA abnormalities may be present in ESRD patients. Therefore, we recommend ultrasonographic evaluation before catheterization. |
format | Online Article Text |
id | pubmed-4967633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-49676332016-08-01 Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients Choi, Ji Won Kim, Gaab Soo Lee, Seung Won Park, Jeong Bo Lee, Jeong Jin Ko, Justin Sangwook Korean J Anesthesiol Clinical Research Article BACKGROUND: Hemodialysis via the internal jugular vein (IJV) has been widely used for patients with end stage renal disease (ESRD) patients, as they have a higher risk of arterial diseases. We investigated the ultrasonographic findings of the IJV and carotid artery (CA) in recipients of kidney transplantation (KT) and identified factors influencing IJV/CA abnormalities. METHODS: We enrolled 120 adult KT recipients. Patients in group A (n = 57) had a history of IJV hemodialysis, while those in group B (n = 63) were not yet on dialysis or undergoing dialysis methods not involving the IJV. The day before surgery, we evaluated the state of the IJV and CA using ultrasonography. We followed patients with IJV stenosis for six months after KT. RESULTS: Ultrasonography revealed that four patients (7%) in group A had IJV abnormalities, while no patients in group B had abnormalities (P = 0.118). Of the four patients with abnormalities, one with 57.4% stenosis normalized during follow- up. However, another patient with 90.1% stenosis progressed to occlusion, while the two patients with total occlusion remained the same. Twenty patients in group A (n = 11) and B (n = 9) had several CA abnormalities (P = 0.462). Upon multivariate analysis with stepwise selection, height and age were significantly correlated with IJV stenosis (P = 0.043, odds ratio = 0.9) and CA abnormality (P = 0.012, odds ratio = 1.1), respectively. CONCLUSIONS: IJV abnormalities (especially with a history of IJV hemodialysis) and CA abnormalities may be present in ESRD patients. Therefore, we recommend ultrasonographic evaluation before catheterization. The Korean Society of Anesthesiologists 2016-08 2016-07-01 /pmc/articles/PMC4967633/ /pubmed/27482315 http://dx.doi.org/10.4097/kjae.2016.69.4.375 Text en Copyright © the Korean Society of Anesthesiologists, 2016 http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Choi, Ji Won Kim, Gaab Soo Lee, Seung Won Park, Jeong Bo Lee, Jeong Jin Ko, Justin Sangwook Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title | Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title_full | Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title_fullStr | Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title_full_unstemmed | Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title_short | Preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
title_sort | preoperative ultrasonographic findings of internal jugular veins and carotid arteries in kidney transplant recipients |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967633/ https://www.ncbi.nlm.nih.gov/pubmed/27482315 http://dx.doi.org/10.4097/kjae.2016.69.4.375 |
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