Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study

Autores
Cabrera Fischer, Edmundo Ignacio; Bia, Daniel; Galli, Cintia Nora; Valtuille, Rodolfo; Zócalo, Yanina; Wray, Sandra; Armentano, Ricardo Luis
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Aortic stiffness is a prognostic parameter associated with patient mortality. Vascular access creation has been shown to have effects on arterial stiffness both in the aorta and in the upper limb arteries in chronically hemodialyzed patients (CHPs). However, no longitudinal studies have been conducted in order to characterize the evolution of arterial stiffness in CHPs. The aims of this work were (a) to measure baseline pulse wave velocity (PWV) in the carotid-femoral and in right and left carotidbrachial pathways in a cohort of CHP and (b) to conduct a 5-year prospective study on the same cohort to determine possible time-related differences. Pulse wave velocity was measured both in the carotid-femoral and in the carotid-brachial pathways, and clinical and biochemical parameters were collected in 25 CHPs, which were followed up after a 5-year lapse. Right and left carotidbrachial pathway PWV values showed significant decreases after the 5-year follow-up, independently of the presence of the vascular access (P < 0.001). Additionally, baseline carotid-brachial PWV was significantly higher (P < 0.001) than values measured 5 years later for upper limbs with vascular access (11.97 ± 2.97 m/sec vs. 6.76 ± 1.48 m/sec, respectively) and without vascular access (12.25 ± 2.38 m/sec vs. 7.18 ± 1.88 m/sec, respectively). Similarly, PWV values in the carotid-femoral pathway decreased significantly (P < 0.001) over the same period (13.27 ± 2.96 m/ sec vs. 9.75 ± 2.99 m/sec, respectively). The 5-year follow-up of PWV showed significant decreases in both carotid-brachial and carotid-femoral pathways. The general changes in arterial stiffness could be related to the vascular access creation, hemodialysis therapy, and to the improvement of arterial pressure management.
Fil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Galli, Cintia Nora. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Tecnológica Nacional; Argentina
Fil: Valtuille, Rodolfo. Fresenius FME Burzaco; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Wray, Sandra. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina
Fil: Armentano, Ricardo Luis. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Universidad Tecnológica Nacional; Argentina
Materia
ARTERIAL STIFFNESS
ARTERIOVENOUS FISTULA
HEMODIALYSIS
PULSE WAVE VELOCITY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/111940

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network_name_str CONICET Digital (CONICET)
spelling Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up studyCabrera Fischer, Edmundo IgnacioBia, DanielGalli, Cintia NoraValtuille, RodolfoZócalo, YaninaWray, SandraArmentano, Ricardo LuisARTERIAL STIFFNESSARTERIOVENOUS FISTULAHEMODIALYSISPULSE WAVE VELOCITYhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Aortic stiffness is a prognostic parameter associated with patient mortality. Vascular access creation has been shown to have effects on arterial stiffness both in the aorta and in the upper limb arteries in chronically hemodialyzed patients (CHPs). However, no longitudinal studies have been conducted in order to characterize the evolution of arterial stiffness in CHPs. The aims of this work were (a) to measure baseline pulse wave velocity (PWV) in the carotid-femoral and in right and left carotidbrachial pathways in a cohort of CHP and (b) to conduct a 5-year prospective study on the same cohort to determine possible time-related differences. Pulse wave velocity was measured both in the carotid-femoral and in the carotid-brachial pathways, and clinical and biochemical parameters were collected in 25 CHPs, which were followed up after a 5-year lapse. Right and left carotidbrachial pathway PWV values showed significant decreases after the 5-year follow-up, independently of the presence of the vascular access (P < 0.001). Additionally, baseline carotid-brachial PWV was significantly higher (P < 0.001) than values measured 5 years later for upper limbs with vascular access (11.97 ± 2.97 m/sec vs. 6.76 ± 1.48 m/sec, respectively) and without vascular access (12.25 ± 2.38 m/sec vs. 7.18 ± 1.88 m/sec, respectively). Similarly, PWV values in the carotid-femoral pathway decreased significantly (P < 0.001) over the same period (13.27 ± 2.96 m/ sec vs. 9.75 ± 2.99 m/sec, respectively). The 5-year follow-up of PWV showed significant decreases in both carotid-brachial and carotid-femoral pathways. The general changes in arterial stiffness could be related to the vascular access creation, hemodialysis therapy, and to the improvement of arterial pressure management.Fil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Bia, Daniel. Universidad de la República; UruguayFil: Galli, Cintia Nora. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Tecnológica Nacional; ArgentinaFil: Valtuille, Rodolfo. Fresenius FME Burzaco; ArgentinaFil: Zócalo, Yanina. Universidad de la República; UruguayFil: Wray, Sandra. Universidad Favaloro. Área de Investigación y Desarrollo; ArgentinaFil: Armentano, Ricardo Luis. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Universidad Tecnológica Nacional; ArgentinaWiley Blackwell Publishing, Inc2015-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/111940Cabrera Fischer, Edmundo Ignacio; Bia, Daniel; Galli, Cintia Nora; Valtuille, Rodolfo; Zócalo, Yanina; et al.; Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study; Wiley Blackwell Publishing, Inc; Hemodialysis International; 19; 3; 3-2015; 419-4281492-7535CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1111/hdi.12269info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/abs/10.1111/hdi.12269info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:12:03Zoai:ri.conicet.gov.ar:11336/111940instacron: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:34982025-09-03 10:12:03.312CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
title Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
spellingShingle Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
Cabrera Fischer, Edmundo Ignacio
ARTERIAL STIFFNESS
ARTERIOVENOUS FISTULA
HEMODIALYSIS
PULSE WAVE VELOCITY
title_short Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
title_full Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
title_fullStr Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
title_full_unstemmed Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
title_sort Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study
dc.creator.none.fl_str_mv Cabrera Fischer, Edmundo Ignacio
Bia, Daniel
Galli, Cintia Nora
Valtuille, Rodolfo
Zócalo, Yanina
Wray, Sandra
Armentano, Ricardo Luis
author Cabrera Fischer, Edmundo Ignacio
author_facet Cabrera Fischer, Edmundo Ignacio
Bia, Daniel
Galli, Cintia Nora
Valtuille, Rodolfo
Zócalo, Yanina
Wray, Sandra
Armentano, Ricardo Luis
author_role author
author2 Bia, Daniel
Galli, Cintia Nora
Valtuille, Rodolfo
Zócalo, Yanina
Wray, Sandra
Armentano, Ricardo Luis
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv ARTERIAL STIFFNESS
ARTERIOVENOUS FISTULA
HEMODIALYSIS
PULSE WAVE VELOCITY
topic ARTERIAL STIFFNESS
ARTERIOVENOUS FISTULA
HEMODIALYSIS
PULSE WAVE VELOCITY
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Aortic stiffness is a prognostic parameter associated with patient mortality. Vascular access creation has been shown to have effects on arterial stiffness both in the aorta and in the upper limb arteries in chronically hemodialyzed patients (CHPs). However, no longitudinal studies have been conducted in order to characterize the evolution of arterial stiffness in CHPs. The aims of this work were (a) to measure baseline pulse wave velocity (PWV) in the carotid-femoral and in right and left carotidbrachial pathways in a cohort of CHP and (b) to conduct a 5-year prospective study on the same cohort to determine possible time-related differences. Pulse wave velocity was measured both in the carotid-femoral and in the carotid-brachial pathways, and clinical and biochemical parameters were collected in 25 CHPs, which were followed up after a 5-year lapse. Right and left carotidbrachial pathway PWV values showed significant decreases after the 5-year follow-up, independently of the presence of the vascular access (P < 0.001). Additionally, baseline carotid-brachial PWV was significantly higher (P < 0.001) than values measured 5 years later for upper limbs with vascular access (11.97 ± 2.97 m/sec vs. 6.76 ± 1.48 m/sec, respectively) and without vascular access (12.25 ± 2.38 m/sec vs. 7.18 ± 1.88 m/sec, respectively). Similarly, PWV values in the carotid-femoral pathway decreased significantly (P < 0.001) over the same period (13.27 ± 2.96 m/ sec vs. 9.75 ± 2.99 m/sec, respectively). The 5-year follow-up of PWV showed significant decreases in both carotid-brachial and carotid-femoral pathways. The general changes in arterial stiffness could be related to the vascular access creation, hemodialysis therapy, and to the improvement of arterial pressure management.
Fil: Cabrera Fischer, Edmundo Ignacio. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Bia, Daniel. Universidad de la República; Uruguay
Fil: Galli, Cintia Nora. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Tecnológica Nacional; Argentina
Fil: Valtuille, Rodolfo. Fresenius FME Burzaco; Argentina
Fil: Zócalo, Yanina. Universidad de la República; Uruguay
Fil: Wray, Sandra. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina
Fil: Armentano, Ricardo Luis. Universidad Favaloro. Área de Investigación y Desarrollo; Argentina. Universidad Tecnológica Nacional; Argentina
description Aortic stiffness is a prognostic parameter associated with patient mortality. Vascular access creation has been shown to have effects on arterial stiffness both in the aorta and in the upper limb arteries in chronically hemodialyzed patients (CHPs). However, no longitudinal studies have been conducted in order to characterize the evolution of arterial stiffness in CHPs. The aims of this work were (a) to measure baseline pulse wave velocity (PWV) in the carotid-femoral and in right and left carotidbrachial pathways in a cohort of CHP and (b) to conduct a 5-year prospective study on the same cohort to determine possible time-related differences. Pulse wave velocity was measured both in the carotid-femoral and in the carotid-brachial pathways, and clinical and biochemical parameters were collected in 25 CHPs, which were followed up after a 5-year lapse. Right and left carotidbrachial pathway PWV values showed significant decreases after the 5-year follow-up, independently of the presence of the vascular access (P < 0.001). Additionally, baseline carotid-brachial PWV was significantly higher (P < 0.001) than values measured 5 years later for upper limbs with vascular access (11.97 ± 2.97 m/sec vs. 6.76 ± 1.48 m/sec, respectively) and without vascular access (12.25 ± 2.38 m/sec vs. 7.18 ± 1.88 m/sec, respectively). Similarly, PWV values in the carotid-femoral pathway decreased significantly (P < 0.001) over the same period (13.27 ± 2.96 m/ sec vs. 9.75 ± 2.99 m/sec, respectively). The 5-year follow-up of PWV showed significant decreases in both carotid-brachial and carotid-femoral pathways. The general changes in arterial stiffness could be related to the vascular access creation, hemodialysis therapy, and to the improvement of arterial pressure management.
publishDate 2015
dc.date.none.fl_str_mv 2015-03
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/11336/111940
Cabrera Fischer, Edmundo Ignacio; Bia, Daniel; Galli, Cintia Nora; Valtuille, Rodolfo; Zócalo, Yanina; et al.; Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study; Wiley Blackwell Publishing, Inc; Hemodialysis International; 19; 3; 3-2015; 419-428
1492-7535
CONICET Digital
CONICET
url http://hdl.handle.net/11336/111940
identifier_str_mv Cabrera Fischer, Edmundo Ignacio; Bia, Daniel; Galli, Cintia Nora; Valtuille, Rodolfo; Zócalo, Yanina; et al.; Hemodialysis decreases carotid-brachial and carotid-femoral pulse wave velocities: A 5-year follow-up study; Wiley Blackwell Publishing, Inc; Hemodialysis International; 19; 3; 3-2015; 419-428
1492-7535
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1111/hdi.12269
info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/abs/10.1111/hdi.12269
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
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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