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Effects of hemodialysis on intraneural blood flow in end‐stage kidney disease
Author(s) -
Borire Adeniyi A.,
Arnold Ria,
Pussell Bruce A.,
Kwai Natalie C.,
Visser Leo H.,
Simon Neil G.,
Kiernan Matthew C.,
Krishnan Arun V.
Publication year - 2018
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25704
Subject(s) - medicine , hemodialysis , median nerve , kidney disease , blood flow , dialysis , end stage kidney disease , stage (stratigraphy) , cardiology , end stage renal disease , perfusion , surgery , paleontology , biology
: We quantified intraneural blood flow (INBF) in 18 patients with end‐stage kidney disease (ESKD) and examined its relationship with nerve size, neuropathy severity, and nerve excitability parameters. Methods : Sonographic measurements of the median nerve were performed at the same site before and after hemodialysis. INBF was quantified by analyzing power Doppler sonograms to obtain the vessel score (VSc) and maximum perfusion intensity (MPI). Corresponding median motor nerve excitability studies were performed. Neuropathy severity was assessed using Total Neuropathy Score. Results : A total of 39% of ESKD patients had detectable INBF compared with none in the control group ( P < 0.0001). Patients with detectable INBF had larger nerves and more severe neuropathy ( P < 0.01). INBF parameters were significantly reduced after a session of dialysis (VSc: P < 0.01; MPI: P < 0.01). A significant relationship was found between interdialytic change in INBF and changes in nerve excitability. Conclusions : Increased INBF is a potential marker for neuropathy severity in ESKD patients. Muscle Nerve 57: 287–293, 2018