In an observational clinical trial in 319 kidney graft recipients from deceased donor, decrease in graft size during the first year after transplantation (as compared to increase in graft size) was a powerflu predictor of graft dysfunction or graft failure.
COBISS.SI-ID: 2665388
The aim of randomized clinical study was to assess efficacy and safety of 15% trisodium citrate anticoagulation during plasma exchange as compared to 4% citrate. Better efficacy of more concentrated citrate was not demonstrated, however, the use of more concentrated citrate solution was safe, with lower fluid load during the procedure.
COBISS.SI-ID: 2665644
We aimed to estimate the prevalence of elevated D-dimer levels in all chronic hemodialysis patients and those without additional disease, and to identify factors associated with increased D-dimer. In 167 chronic hemodialysis patients from our center, D-dimer was measured before dialysis. Results have demonstrated high prevalence of positive D-dimer values even in hemodialysis patients without additional disease, thus limiting the use of D-dimer for exclusion of thromboembolic diseases in hemodialysis patients.
COBISS.SI-ID: 2665900
Peritoneal dialysis is troubled with declining utilisation as a form of renal replacement therapy in developed countries. We review key aspects of therapy evidenced to have a potential to increase its utilisation.
Irrespective of the mode of renal replacement therapy, maintaining the veins in the upper extremities is of vital importance for patients with chronic kidney disease. In the review the suggestions on how to protect blood vessels of the upper limbs and when to start preparing for the construction of vascular access are presented. It is also shown how necessary it is to conduct a clinical evaluation of the blood vessels, which is required before the start of vascular access management. The methodology of noninvasive evaluation of vessels by duplex sonography is also presented.