Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences

Autores
Bia, Daniel; Cabrera Fischer, Edmundo Ignacio; Zócalo, Yanina; Galli, Cintia Nora; Graf Caride, Diego Sebastián; Valtuille, Rodolfo; Pérez Cámpos, Héctor; Saldías, María; Álvarez, Inés; Armentano, Ricardo Luis
Año de publicación
2012
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Purpose. To evaluate in chronically haemodialysed patients (CHPs), if: (1) the vascular access (VA) position (upper arm or forearm) is associated with differential changes in upper limb arterial stiffness; (2) differences in arterial stiffness exist between genders associated with the VA; (3) the vascular substitute (VS) of choice, in biomechanical terms, depends on the previous VA location and CHP gender. Methods. 38 CHPs (18 males; VA in upper arm: 18) were studied. Left and right carotid-brachial pulse wave velocity (PWVc-b) was measured. In in vitro studies, PWV was obtained in ePTFE prostheses and in several arterial and venous homografts obtained from donors. The biomechanical mismatch (BM) between CHP native vessel (NV) and VS was calculated. Results/Conclusions. PWVc-b in upper limbs with VA was lower than in the intact contralateral limbs (P < 0.05), and differences were higher (P < 0.05) when the VA was performed in the upper arm. Differences between PWVc-b in upper limbs with VA (in the upper arm) with respect to intact upper limbs were higher (P < 0.05) in males. Independently of the region in which the VA was performed, the homograft that ensured the minimal BM was the brachial artery. The BM was highly dependent on gender and the location in the upper limb in which the VA was performed.
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Galli, Cintia Nora. Universidad Favaloro; Argentina
Fil: Graf Caride, Diego Sebastián. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Valtuille, Rodolfo. No especifíca;
Fil: Pérez Cámpos, Héctor. Universidad de la República; Uruguay
Fil: Saldías, María. Universidad de la República; Uruguay
Fil: Álvarez, Inés. Universidad de la República; Uruguay
Fil: Armentano, Ricardo Luis. Universidad de la República; Uruguay. Universidad Favaloro; Argentina
Materia
haemodialysis
vascular access
arterial stiffness
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/257802
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/257802
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender DifferencesBia, DanielCabrera Fischer, Edmundo IgnacioZócalo, YaninaGalli, Cintia NoraGraf Caride, Diego SebastiánValtuille, RodolfoPérez Cámpos, HéctorSaldías, MaríaÁlvarez, InésArmentano, Ricardo Luishaemodialysisvascular accessarterial stiffnesshttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Purpose. To evaluate in chronically haemodialysed patients (CHPs), if: (1) the vascular access (VA) position (upper arm or forearm) is associated with differential changes in upper limb arterial stiffness; (2) differences in arterial stiffness exist between genders associated with the VA; (3) the vascular substitute (VS) of choice, in biomechanical terms, depends on the previous VA location and CHP gender. Methods. 38 CHPs (18 males; VA in upper arm: 18) were studied. Left and right carotid-brachial pulse wave velocity (PWVc-b) was measured. In in vitro studies, PWV was obtained in ePTFE prostheses and in several arterial and venous homografts obtained from donors. The biomechanical mismatch (BM) between CHP native vessel (NV) and VS was calculated. Results/Conclusions. PWVc-b in upper limbs with VA was lower than in the intact contralateral limbs (P < 0.05), and differences were higher (P < 0.05) when the VA was performed in the upper arm. Differences between PWVc-b in upper limbs with VA (in the upper arm) with respect to intact upper limbs were higher (P < 0.05) in males. Independently of the region in which the VA was performed, the homograft that ensured the minimal BM was the brachial artery. The BM was highly dependent on gender and the location in the upper limb in which the VA was performed.Fil: Bia, Daniel. Universidad de la República; UruguayFil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Zócalo, Yanina. Universidad de la República; UruguayFil: Galli, Cintia Nora. Universidad Favaloro; ArgentinaFil: Graf Caride, Diego Sebastián. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Valtuille, Rodolfo. No especifíca;Fil: Pérez Cámpos, Héctor. Universidad de la República; UruguayFil: Saldías, María. Universidad de la República; UruguayFil: Álvarez, Inés. Universidad de la República; UruguayFil: Armentano, Ricardo Luis. Universidad de la República; Uruguay. Universidad Favaloro; ArgentinaHindawi Publishing Corporation2012-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/257802Bia, Daniel; Cabrera Fischer, Edmundo Ignacio; Zócalo, Yanina; Galli, Cintia Nora; Graf Caride, Diego Sebastián; et al.; Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences; Hindawi Publishing Corporation; International Journal of Nephrology; 2012; 7-2012; 1-102090-214X2090-2158CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1155/2012/598512info:eu-repo/semantics/altIdentifier/doi/10.1155/2012/598512info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:19:04Zoai:ri.conicet.gov.ar:11336/257802instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:19:05.0CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
title Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
spellingShingle Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
Bia, Daniel
haemodialysis
vascular access
arterial stiffness
title_short Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
title_full Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
title_fullStr Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
title_full_unstemmed Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
title_sort Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences
dc.creator.none.fl_str_mv Bia, Daniel
Cabrera Fischer, Edmundo Ignacio
Zócalo, Yanina
Galli, Cintia Nora
Graf Caride, Diego Sebastián
Valtuille, Rodolfo
Pérez Cámpos, Héctor
Saldías, María
Álvarez, Inés
Armentano, Ricardo Luis
author Bia, Daniel
author_facet Bia, Daniel
Cabrera Fischer, Edmundo Ignacio
Zócalo, Yanina
Galli, Cintia Nora
Graf Caride, Diego Sebastián
Valtuille, Rodolfo
Pérez Cámpos, Héctor
Saldías, María
Álvarez, Inés
Armentano, Ricardo Luis
author_role author
author2 Cabrera Fischer, Edmundo Ignacio
Zócalo, Yanina
Galli, Cintia Nora
Graf Caride, Diego Sebastián
Valtuille, Rodolfo
Pérez Cámpos, Héctor
Saldías, María
Álvarez, Inés
Armentano, Ricardo Luis
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv haemodialysis
vascular access
arterial stiffness
topic haemodialysis
vascular access
arterial stiffness
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Purpose. To evaluate in chronically haemodialysed patients (CHPs), if: (1) the vascular access (VA) position (upper arm or forearm) is associated with differential changes in upper limb arterial stiffness; (2) differences in arterial stiffness exist between genders associated with the VA; (3) the vascular substitute (VS) of choice, in biomechanical terms, depends on the previous VA location and CHP gender. Methods. 38 CHPs (18 males; VA in upper arm: 18) were studied. Left and right carotid-brachial pulse wave velocity (PWVc-b) was measured. In in vitro studies, PWV was obtained in ePTFE prostheses and in several arterial and venous homografts obtained from donors. The biomechanical mismatch (BM) between CHP native vessel (NV) and VS was calculated. Results/Conclusions. PWVc-b in upper limbs with VA was lower than in the intact contralateral limbs (P < 0.05), and differences were higher (P < 0.05) when the VA was performed in the upper arm. Differences between PWVc-b in upper limbs with VA (in the upper arm) with respect to intact upper limbs were higher (P < 0.05) in males. Independently of the region in which the VA was performed, the homograft that ensured the minimal BM was the brachial artery. The BM was highly dependent on gender and the location in the upper limb in which the VA was performed.
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Galli, Cintia Nora. Universidad Favaloro; Argentina
Fil: Graf Caride, Diego Sebastián. Universidad Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Valtuille, Rodolfo. No especifíca;
Fil: Pérez Cámpos, Héctor. Universidad de la República; Uruguay
Fil: Saldías, María. Universidad de la República; Uruguay
Fil: Álvarez, Inés. Universidad de la República; Uruguay
Fil: Armentano, Ricardo Luis. Universidad de la República; Uruguay. Universidad Favaloro; Argentina
description Purpose. To evaluate in chronically haemodialysed patients (CHPs), if: (1) the vascular access (VA) position (upper arm or forearm) is associated with differential changes in upper limb arterial stiffness; (2) differences in arterial stiffness exist between genders associated with the VA; (3) the vascular substitute (VS) of choice, in biomechanical terms, depends on the previous VA location and CHP gender. Methods. 38 CHPs (18 males; VA in upper arm: 18) were studied. Left and right carotid-brachial pulse wave velocity (PWVc-b) was measured. In in vitro studies, PWV was obtained in ePTFE prostheses and in several arterial and venous homografts obtained from donors. The biomechanical mismatch (BM) between CHP native vessel (NV) and VS was calculated. Results/Conclusions. PWVc-b in upper limbs with VA was lower than in the intact contralateral limbs (P < 0.05), and differences were higher (P < 0.05) when the VA was performed in the upper arm. Differences between PWVc-b in upper limbs with VA (in the upper arm) with respect to intact upper limbs were higher (P < 0.05) in males. Independently of the region in which the VA was performed, the homograft that ensured the minimal BM was the brachial artery. The BM was highly dependent on gender and the location in the upper limb in which the VA was performed.
publishDate 2012
dc.date.none.fl_str_mv 2012-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/257802
Bia, Daniel; Cabrera Fischer, Edmundo Ignacio; Zócalo, Yanina; Galli, Cintia Nora; Graf Caride, Diego Sebastián; et al.; Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences; Hindawi Publishing Corporation; International Journal of Nephrology; 2012; 7-2012; 1-10
2090-214X
2090-2158
CONICET Digital
CONICET
url http://hdl.handle.net/11336/257802
identifier_str_mv Bia, Daniel; Cabrera Fischer, Edmundo Ignacio; Zócalo, Yanina; Galli, Cintia Nora; Graf Caride, Diego Sebastián; et al.; Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences; Hindawi Publishing Corporation; International Journal of Nephrology; 2012; 7-2012; 1-10
2090-214X
2090-2158
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1155/2012/598512
info:eu-repo/semantics/altIdentifier/doi/10.1155/2012/598512
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Hindawi Publishing Corporation
publisher.none.fl_str_mv Hindawi Publishing Corporation
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.48226

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