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Indian Journal of Nephrology

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https://www.readbyqxmd.com/read/30158760/corrigendum-direct-acting-antiviral-agents-in-hepatitis-c-virus-infected-renal-allograft-recipients-treatment-and-outcome-experience-from-single-center
#1
(no author information available yet)
[This corrects the article on p. 220 in vol. 28, PMID: 29962673.].
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158759/difficult-vascular-access-in-a-patient-on-chronic-hemodialysis
#2
G Kumar, M J Hamoudeh, N M Noureldin, I Alaqqad, N Airon, E Alkhasawneh
No abstract text is available yet for this article.
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158758/colonic-ulcerations-in-a-patient-on-hemodialysis
#3
N Birajdar, J Dekate, V Reddy, U Anandh
No abstract text is available yet for this article.
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158757/rare-cause-of-bright-red-gross-hematuria-in-a-child
#4
G Kumar, O AlMasri, J Al Mistarihi, M K AlGhabra, M Hobeldin
No abstract text is available yet for this article.
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158756/outbreak-of-ralstonia-mannitolilytica-in-hemodialysis-unit-a-case-series
#5
M Shankar, S Rampure, V Siddini, H Sudarshan Ballal
Ralstonia mannitolilytica is a Gram-negative soil bacteria. It is an emerging opportunistic pathogen in hospital-acquired infections. Maintenance hemodialysis patients at Manipal Hospital Outpatient Haemodialysis unit, Bengaluru, witnessed an outbreak of R. mannitolilytica infection between October 2016 and November 2016. Five patients were infected and one of them presented with infective endocarditis. All patients were successfully treated with antibiotic according to culture and sensitivity pattern. Immediately following the outbreak, environmental sampling was done...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158755/lipectomy-technique-as-a-second-stage-procedure-for-primarily-matured-deep-outflow-vein-in-obese-individuals
#6
L SuĊ‚kowski, M Matyja, A Pasternak
Prevalence of obesity is growing in the general population as well as among end-stage renal disease (ESRD) patients requiring dialysis. Obesity often leads to a situation when a mature outflow vein is located deeper than 6 mm and is difficult to cannulate. These obese patients usually require additional procedures to able to successfully cannulate the fistula. The available surgical options include: outflow vein elevation, liposuction, and lipectomy. We present a case of a 57-year-old obese female with ESRD and matured, deeply running, inadequate for cannulation arteriovenous fistula...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158754/persistent-left-superior-vena-cava-in-a-hemodialysis-patient
#7
G Anvesh, Sree Bhushan Raju, S Rammurti, K Prasad
Awareness of persistent left superior vena cava (PLSVC), a rare congenital variant is helpful to a clinician to avoid the unnecessary complications. We report a case of PLSVC in a patient with chronic kidney disease which was identified following a difficult catheterization into the right internal jugular vein (IJV). The catheterization was attempted through the left IJV and the position of which could not be confirmed with check radiograph and two-dimensional echo. PLSVC was suspected in the computed tomography angiography and was confirmed following digital subtraction angiography...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158753/tunneled-hemodialysis-catheter-associated-right-atrial-thrombus-presenting-with-septic-pulmonary-embolism
#8
S V Vyahalkar, N M Dedhia, G S Sheth, M A R Pathan
Tunneled hemodialysis (HD) catheter-associated right atrial thrombus (CRAT) is an uncommon complication with significant morbidity. We report the case of a patient undergoing HD through tunneled venous catheter who presented with catheter dysfunction and sepsis and was diagnosed to have CRAT with septic embolism. CRAT formation has a significant association with catheter-related infection. The need for early diagnosis and various treatment options for this entity are highlighted.
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158752/mitochondrial-neurogastrointestinal-encephalomyopathy-a-nonrenal-indication-for-peritoneal-dialysis
#9
V S Chandra, B Sanggetha Lakshmi, S V V Padmavathi Devi, N Praveen, N S Sameera, A S Reddy, R Ram, V S Kumar
Mitochondrial neurogastrointestinal encephalomyopathy is a rare autosomal recessive disorder characterized by severe muscle wasting, gastrointestinal dysmotility, leukoencephalopathy, peripheral neuropathy, and ophthalmoplegia. The pathogenesis involves the accumulation of very high concentrations of nucleosides dThd and dUrd along with depletion of nucleotide dCTP. One of the treatment measures is the removal of nucleosides dThd and dUrd by hemodialysis and peritoneal dialysis. Only a few patient reports of dialysis as a measure to remove nucleosides had been reported...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158751/lymphorrhea-an-unusual-complication-of-jugular-venous-catheterization-for-hemodialysis
#10
D Bajpai, T E Jamale, N K Hase, S B Thakare, R B Deshpande, S J Patil
A considerable number of end-stage renal disease patients undergo tunneled cuffed catheter insertion for hemodialysis under ultrasonographic guidance while awaiting arteriovenous fistula creation. We report a case of a 62-year-old female who underwent tunneled catheter insertion in the left internal jugular vein under ultrasound and fluoroscopic guidance, which was followed by pericatheter serous discharge. Fluid examination confirmed the diagnosis of lymphorrhea, and lymphoscintigraphy facilitated its localization...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158750/hypertriglyceridemia-causing-continuous-renal-replacement-therapy-dysfunction-in-a-patient-with-end-stage-liver-disease
#11
D C McLaughlin, D C Fang, B A Nolot, P K Guru
Hypertriglyceridemia is infrequently reported as a cause of suboptimal delivery of dialytic therapy in critically ill patients. We report the case of a critically ill liver transplant patient in the Intensive Care Unit who was found to have recurrent filter clotting during continuous renal replacement therapy (CRRT). The patient had increased serum triglycerides (TGs), which was identified approximately 2 weeks into hospitalization and initially believed to be due to prolonged propofol use. The patient's elevated TGs ultimately caused her blood to become lipemic, causing the dialytic circuit to become nonfunctional and placed the patient in imminent danger due to hyperkalemia and metabolic acidosis...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158749/ultrafiltration-by-peritoneal-route-in-refractory-chronic-congestive-cardiac-failure
#12
S Hedau, R Chakravarthi, V Reddy
Diuretics are the mainstay of treatment of refractory heart failure. There is a high incidence of dyselectrolytemia and suboptimal response due to diuretic resistance. Ultrafiltration by peritoneal route can be a safe and effective alternative. This study aims to study the ultrafiltration by peritoneal route in refractory heart failure patients with respect to change in functional status, renal parameters, left ventricular ejection fraction, number of days of hospitalization, and level of myocardial depressant factors...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158748/continuous-ambulatory-peritoneal-dialysis-catheter-insertion-technique-a-comparative-study-of-percutaneous-versus-surgical-insertion
#13
P M Dogra, A K Hooda, G Shanmugraj, S K Pramanik
Continuous ambulatory peritoneal dialysis (CAPD) is a standard renal replacement therapy, but there is a lack of consensus for catheter insertion method and type of catheter used. We retrospectively analyzed 140 peritoneal dialysis catheters (PDC) inserted in 139 CAPD patients by two methods; percutaneous (Group "P," n = 47) and surgical mini laparotomy (Group "S," n = 93) technique over a 39-month period, with cumulative experience of 2415 catheter-months: 745 catheter-months for Group "P" and 1670 catheter-months for Group "S...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158747/effects-of-citrate-acid-concentrate-on-hemodialysis-adequacy-reuse-and-quality-of-life-a-prospective-randomized-crossover-trial
#14
S P Nagaraju, S Kosuru, R Parthasarathy, A S Mareddy, R P Attur, D Rangaswamy, S Prasad, S Kaza, S Shenoy, K Saraf, S L K Laxminarayana, U V Mateti, V Guddattu
We conducted a randomized crossover trial to identify whether the use of citrate dialysate (CD) for bicarbonate hemodialysis is beneficial compared to regular acetate dialysate (AD) in terms of adequacy, reuse, and quality of life. Thirty-two stable end-stage renal disease patients on twice-weekly maintenance hemodialysis were randomly assigned to CD or AD fluid in a single-blinded randomized prospective crossover trial of 1-year duration. The primary outcomes studied were the impact of CD in comparison with AD on hemodialysis adequacy, reuse of dialyzer, and quality of life...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158746/clinical-profile-and-outcome-of-posterior-reversible-encephalopathy-syndrome-in-hemodialysis-patients
#15
S Chandragiri, M Surendra, S Raju, N Sridhar, B Ramesh, N Raju
Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiologic entity characterized by headache, altered level of consciousness, seizures, visual disturbances, and reversible vasogenic subcortical edema. Hypertension and renal failure are well known principal risk factors for the development of PRES. However, risk factors and outcome of PRES has not been studied in patients on maintenance hemodialysis (MHD). The objective of this study is to characterize the factors predisposing to the development of PRES in patients on MHD...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158745/plasma-von-willebrand-factor-and-a-disintegrin-and-metalloproteinase-with-eight-thrombospondin-type-1-motif-levels-in-hemodialysis-patients-relation-to-vascular-access-thrombosis
#16
Khaled M A Elzorkany, Belal A M Montaser, Sally M El-Hefnawy
Vascular access complications are major issues in hemodialysis (HD) patients, which increase their morbidity and lessen HD efficiency. The aim of this study was to assess von Willebrand factor (VWF), and a disintegrin and metalloproteinase with eight thrombospondin-type 1 motif (ADAMTS13) levels in HD patients and their association with vascular access thrombosis (VAT). This study included a total of 158 individuals including 128 patients undergoing HD for more than 6 months, subdivided into two groups according to the occurrence of the previous episode of VAT; 60 HD patients with VAT and 68 HD patients without VAT and 30 healthy controls...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158744/cephalic-arch-stenosis-location-of-stenosis-in-indian-hemodialysis-patients
#17
S Sarala, B Sangeetha, V S Mahapatra, R D Nagaraju, A C V Kumar, A Y Lakshmi, R Ram, V S Kumar
The cephalic vein is formed over the "anatomical snuff box" and joins the axillary vein just below the clavicular level. The definition of cephalic arch is varied. In the radiology literature, it is defined as the central perpendicular portion of the cephalic vein as it traverses the deltopectoral groove and joins the axillary vein. The possible etiologies of cephalic arch stenosis are numerous. This study aimed to identify patients with cephalic arch stenosis and to discern the domain site of stenosis...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158743/peritoneal-dialysis-catheter-insertion-by-surgical-minilaparotomy-outcome-analysis-between-nephrologist-and-surgeon
#18
P M Dogra, A K Hooda, G Shanmugraj, S Kumar
Surgical minilaparotomy technique of Tenckhoff catheter placement is rarely practiced by nephrologists. There is a scarcity of data comparing technique and outcomes of surgically inserted peritoneal dialysis catheters by surgeon and nephrologist. We retrospectively analyzed 105 Tenckhoff catheters inserted by surgical minilaparotomy ("S" [surgeon], n = 43 and "N" [nephrologist], n = 62) in end-stage renal disease. Comparative analysis of surgical technique, survivals, and complications between both groups was done...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/30158742/fluoroquinolones-and-bk-virus-nephropathy-a-myth-or-a-reality
#19
REVIEW
M A M Khalil, M A U Khalil, J Tan, T F T Khan
BK polyomavirus (BKV) is a challenging problem for the transplant nephrologist. Various strategies have been used to prevent or treat BK virus nephropathy (BKVN). These include reduction in immunosuppression, intravenous immune globulin, cidofovir, leflunomide, and the fluoroquinolone antibiotics. All these agents have their own toxicities. Great interest was shown to use fluoroquinolones to prevent BKVN after its useful experience was reported in bone marrow transplant. Fluoroquinolones being cheap and easily available, attracted nephrologists to use it, for prevention of BKVN...
July 2018: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/29962683/kimura-s-disease-presenting-as-proliferative-glomerulonephritis-with-complete-heart-block
#20
H S Mahapatra, L Pursnani, H Verma, M Bhardwaj
No abstract text is available yet for this article.
May 2018: Indian Journal of Nephrology
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