Short-term manual compression of hemodialysis fistula leads to a rise in cerebral oxygenation
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu klinická studie, časopisecké články
PubMed
32489138
DOI
10.1177/1129729820924561
Knihovny.cz E-zdroje
- Klíčová slova
- arteriovenous fistula, cerebral oxygenation, cognitive impairment, dialysis, dialysis access, near-infrared spectroscopy, prosthetic grafts,
- MeSH
- arteriovenózní zkrat * MeSH
- biologické markery krev MeSH
- blízká infračervená spektroskopie MeSH
- časové faktory MeSH
- dialýza ledvin MeSH
- kyslík krev MeSH
- lidé středního věku MeSH
- lidé MeSH
- mozkový krevní oběh * MeSH
- regionální krevní průtok MeSH
- rychlost toku krve MeSH
- senioři MeSH
- tlak MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinická studie MeSH
- Názvy látek
- biologické markery MeSH
- kyslík MeSH
BACKGROUND: Decreased cerebral perfusion and oxygenation are common in hemodialysis patients. Magnitude of the arteriovenous fistula involvement in this phenomenon is not known. The aim of this study was to investigate the effect that a short-term arteriovenous fistula flow interruption has on cerebral oxygenation and to review and suggest possible explanations. METHODS: In 19 patients, basic laboratory and clinical data were obtained and arteriovenous fistula flow volume was measured by ultrasonography. Baseline regional cerebral oxygen saturation (rSO2) was measured by near-infrared spectroscopy. Manual pressure was then applied on the fistula, resulting in total blood flow interruption. After 1 min of manual compression, rSO2 and blood pressure values were noted again. The compression-related change in rSO2 was assessed, as well as its association with arteriovenous fistula flow volume, blood pressure, and other parameters. RESULTS: Mean cerebral rSO2 increased after arteriovenous fistula compression (from 53.6% ± 11.4% to 55.6% ± 10.8%; p = 0.000001; 95% confidence interval = 1.39-2.56). The rSO2 increase was higher in patients with lower rSO2 at baseline (r = -0.46; p = 0.045). CONCLUSION: A significant rise in cerebral oxygenation was observed following the manual compression of arteriovenous fistula. Therefore, the arteriovenous fistula could have a role in impaired cerebral oxygenation in hemodialysis patients.
Citace poskytuje Crossref.org
The effect of high-flow arteriovenous fistulas on systemic haemodynamics and brain oxygenation
