18G AUTOMATED NEEDLES J Mai, A Aravindan, H Dickson, J Yong, M Suranyi, J Wong 228 URINARY TRACT INFECTIONS AT LIVERPOOL HOSPITAL Z Hasan, M Maley, M Surany, J Wong 229 THE INFLUENCE OF DIETARY VITAMIN D INTAKE ON VITAMIN D STATUS IN CHRONIC KIDNEY DISEASE PATIENTS E Murray, K Campbell, L Orazio, N Isbel, W Petchey 230 AGE AND SERUM CALCIUM ARE ASSOCIATED WITH INFRA-RENAL AORTIC CALCIFICATION IN PATIENTS WITH CHRONIC KIDNEY DISEASE R Dua, B Nguyen, K Sangla, J Golledge 231 VITAMIN D INSUFFICIENCY AND CHRONIC KIDNEY DISEASE IN AUSTRALIA: THE AUSDIAB STUDY M Damasiewicz, D Magliano, R Daly, C Gagnon, Z Lu, P Ebeling,
S Chadban, R Atkins, P Kerr, J Shaw, K Polkinghorne 1300–1400 LUNCH & TRADE EXHIBITION
Hall G 1400 ASM CONCLUDES “
“Aims: The aims of this study is to correlate colour duplex ultrasonography (US) with contrast fistulography for the detection of functional stenoses in the XL765 autogenous AVF (arterio-venous fistula) circuit. Methodology: Colour duplex US scans of 93 dialysis patients with dysfunctional this website AVF were compared with fistulograms performed within 6 weeks of the US. The AVF circuit was divided into six zones: inflow artery; anastomosis; distal vein; mid vein; proximal vein; and central vein. Colour duplex US and fistulogram images/reports were independently re-reported for stenoses in each fistula zone by two trained clinicians blinded to the outcomes. For each fistula, only zones examined by both modalities were included in the study. Kappa analysis of the results was performed to assess the accuracy of colour duplex US in the dysfunctional AVF circuit. Results: Most AVF studied were radio-cephalic (59%) or brachio-cephalic (22%). Stenoses identified within the AV circuit in order
of frequency were: distal vein (41), mid vein (23), arterial (12), proximal vein (7) and anastomosis (3). The interval between US and fistulogram studies was 33 ± 29 days. Congruence of results between US and fistulograms ranged from 85% to 96%, depending on the zone examined. Kappa analysis of this US versus fistulogram data was also moderate to good, ranging from 0.72 and 0.91. Conclusions: Colour duplex US provides an accurate L-NAME HCl diagnostic assessment of a dysfunctional autogneous AVF, and is an important planning tool for subsequent open or endovascular intervention. It is particularly accurate in the peri-anastomotic area of the fistula which harbours the majority of fistula problems. “
“Aim: 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins) may have an adjunctive effect on chronic inflammation and nutrition status in renal dialysis patients. Therefore, we performed a systematic review of randomized controlled trials to assess the effect of statins on chronic inflammation and nutrition status in dialysis patients.