Utility of Exercise-Induced Zero TBI Sign in Patients on Maintenance Hemodialysis

It is uncertain whether exercise-induced zero toe brachial index sign (e-ZETS) is beneficial to prevent advanced perfusion disturbance in maintenance hemodialysis (HD) patients. In HD patients, we compared the clinical findings and prognoses among 22 toes in a resting zero toe brachial index sign (r...

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Bibliographic Details
Published in:	Annals of Vascular Diseases Vol. 9; no. 3; pp. 149 - 153
Main Authors:	Tsuyuki, Kazuo, Kohno, Kenji, Ebine, Kunio, Tamura, Susumu, Ohzeki, Yasuhiro, Murase, Toshifumi, Ohara, Takehiro, Kunugi, Yujin, Iida, Fumihiko, Mochizuki, Yoshie, Sorimachi, Mutsumi, Watanabe, Shinichi
Format:	Journal Article
Language:	English
Published:	Japan The Editorial Committee of Annals of Vascular Diseases 2016
Subjects:	critical limb ischemia exercise hemodialysis Original peripheral arterial disease toe brachial pressure index hemodialysis exercise peripheral arterial disease critical limb ischemia toe brachial pressure index
Online Access:	Get full text
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Summary:	It is uncertain whether exercise-induced zero toe brachial index sign (e-ZETS) is beneficial to prevent advanced perfusion disturbance in maintenance hemodialysis (HD) patients. In HD patients, we compared the clinical findings and prognoses among 22 toes in a resting zero toe brachial index sign (r-ZETS) group, 22 toes in an e-ZETS group, and 63 toes in a non-e-ZETS group. The hemodynamics of the lower extremities in the e-ZETS group is intermediate between the r-ZETS and non-e-ZETS groups. As the result of a 36-month follow-up observation, the r-ZETS avoidance rate was significantly lower in the e-ZETS group (63.6%; P <0.001) than the non-e-ZETS group (98.4%), showing that it was difficult to avoid advanced perfusion disturbance. The e-ZETS in HD patients may appear before r-ZETS, being beneficial as a predictor for advanced perfusion disturbance. (This is a translation of J Jpn Coll Angiol 2015; 55: 125–129.)
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 E-mail: tsuyuki47msd@yahoo.co.jp
ISSN:	1881-641X 1881-6428
DOI:	10.3400/avd.oa.16-00074