Angioaccesos en receptores de trasplante renal. Dilemas a la luz del síndrome cardiorrenal tipo 4

Cardiovascular complications have become the leading cause of morbidity and mortality in patients with chronic kidney disease and renal transplantation. Objective: To determine the repercussions of surgical closure of the angioaccess on clinical, laboratory, and echocardiographic variables in renal...

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Veröffentlicht in:Revista de nefrología, diálisis y transplante diálisis y transplante, 2023-10, Vol.43 (4), p.208-218
Hauptverfasser: Gutiérrez Gutiérrez, Carlos, Ramírez Gómez, José Ignacio, González Cárdenas, Yuniel, Cruz Abascal ., Rafael E, Hernández Fernández, Milagro Estrella, Barreto Fiu, Eligio
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Zusammenfassung:Cardiovascular complications have become the leading cause of morbidity and mortality in patients with chronic kidney disease and renal transplantation. Objective: To determine the repercussions of surgical closure of the angioaccess on clinical, laboratory, and echocardiographic variables in renal transplant recipients.Material and Methods: Quasi-experimental study consisting of two groups of patients. Clinical, laboratory, and echocardiographic variables were comparatively analyzed. Results: A total of 101 patients were included: group 1 (experimental), with vascular access closure (n=49); and group 2 (comparison), without angioaccess closure (n=52), with mean ages of 46.16 and 44.85 years, respectively, and predominantly male. In the experimental group, clinical manifestations, blood pressure control, heart rate (p0.05), and serum creatinine (p0.05). The mean values of the differences (final - initial) in five variables located in the left wrist showed improvement. The left ventricular ejection fraction increased in the experimental group. The left ventricular diameter in diastole, interventricular septum thickness, and left ventricular mass index showed statistical significance (p
ISSN:2346-8548
0326-3428