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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
Arteriovenous fistulas and digital hypoperfusion ischemic syndrome in patients on hemodialysis
Radojica V Stolic, Goran Z Trajkovic, Dijana J Miric, Bojana Kisic, Medical Faculty, University of Pristina, 38220 Kosovska Mitrovica, Serbia
Zorana Djordjevic, Goran Lj Azanjac, Clinical Center Kragujevac, 34000 Kragujevac, Zmaj Jovina, Serbia
Marijana S Stanojevic, Faculty of Medicine, University of Kragujevac, 34000 Kragujevac, Zmaj Jovina, Serbia
Dragica Z Stolic, Health Center Pristina, 38205 Gracanica, Serbia
Author contributions: Stolic R designed the study and wrote the manuscript; all authors reviewed the literature and co-wrote the paper.
Supported by In Part by the Ministry of Education and Science of Serbia, Grant III41010; and by the Pristina/K Mitrovica Medical Faculty, Serbia, Junior Project Number 07/09
Correspondence to: Radojica V Stolic, Professor, Medical Faculty, University of Pristina, Anri Dinan bb, 38220 Kosovska Mitrovica, Serbia. radojica.stolic@med.pr.ac.rs
Telephone: +381-28-498298 Fax: +381-28-498298
Received: February 17, 2013
Revised: April 15, 2013
Accepted: May 1, 2013
Published online: May 6, 2013
Revised: April 15, 2013
Accepted: May 1, 2013
Published online: May 6, 2013
Core Tip
Core tip: In order to prevent the occurrence of distal hypoperfusion syndrome, is important identification of risk factors. Problem is the absence of objective indicators of distal ischemia, which is main reason why large proportion our patients have of this symptoms. Our patients with these symptoms were significantly older, which confirms older age as a factor that characterizes patients with distal hypoperfusion syndrome. We have confirmed greater incidence of diabetes mellitus and smokers among the patients with distal hypoperfusion syndrome. Quality of dialysis, diabetes mellitus, erythropoietin therapy, smokers and hemodiafiltration has predictive value for survival of patients with distal ischemia.