Upper limb vascular calcification score as a predictor of mortality in diabetic hemodialysis patients
Upper limb vascular calcification score as a predictor of mortality in diabetic hemodialysis patients
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DOI：
10.1016/j.jvs.2015.01.026
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发表时间：
2015-06-01
影响因子：
4.3
通讯作者：
Lazarides, Miltos K.
中科院分区：
文献类型：
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作者：
Georgiadis, George S.;Argyriou, Christos;Lazarides, Miltos K.
Objective: This study evaluated the correlation between an upper limb vascular calcification (Vc) score (VcS) and late all-cause mortality in diabetic hemodialysis patients with distal upper limb arteries medial wall sclerosis (Monckeberg disease).Methods: We retrospectively reviewed Vc in bilateral upper limb plain radiographs and in duplex ultrasound images performed before radial-cephalic fistula (RCF) creation in diabetic hemodialysis patients. Only medial linear calcifications outlining the vessel wall were considered positive on X-ray images, whereas for ultrasound reviews, only continuous highly echogenic plaques producing bright white echos with shadowing were considered to be medial calcification. A VcS was then applied in each patient. Every half of each of the three main arterial conduits (brachial, radial, and ulnar arteries) in each arm was counted as 1 if it contained >= 6 cm of linear calcification, whereas absence of calcification or minimum calcification (length
