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Ultrasound Assessment of Intima-media Thickness and Diameter of Carotid Arteries in Patients Undergoing Hemodialysis or Renal Transplantation

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Summary

Renal transplant (RT) recipients have a high risk of developing cardiovascular diseases. However, the effects of renal transplantation on the development of arteriosclerosis have been controversial. The carotid intima-media thickness (СШТ) and diameter (CD) are important indicators of vascular remodeling and arteriosclerosis. In this study, 31 patients with hemodialysis (HD), 31 RT recipients and 84 age- and gender-matched control subjects were enrolled. Their CIMT and CD were measured by ultrasonic radiofrequency tracking, and the linear regression models and Z test were used to identify the progression of arteriosclerosis and the risk factors. Compared with HD group, RT group had significantly lower CIMT and CD. CIMT was found to be associated with age, body weight, resistance index and diastolic velocity, while CD was associated significantly with age, body weight, pulsatility index, end diastolic velocity and diastolic blood pressure (DBP), respectively. The correlation curves between CIMT and age showed the slopes of curves were decreased successively in control, RT and HD groups, and the curves between CD and age showed the slopes were decreased in order of RT > control > HD groups. It was concluded that CIMT and CD were significantly correlated with age in RT and moderately with age in HD patients. RT could reduce the progress of arteriosclerosis in patients with end-stage renal disease.

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Authors and Affiliations

  1. Department of Ultrasound, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, 200080, China

    Zhao-jun Li & Lian-fang Du

  2. Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, 200080, China

    Yan Qin

  3. Department of Radiology, Thomas Jefferson University, Philadelphia, 19107, USA

    Ji-bin Liu

  4. Department of Echocardiography, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, 200080, China

    Xiang-hong Luo

Authors
  1. Zhao-jun Li
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  2. Lian-fang Du
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  3. Yan Qin
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  4. Ji-bin Liu
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  5. Xiang-hong Luo
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Corresponding authors

Correspondence to Ji-bin Liu or Xiang-hong Luo.

Additional information

The research was supported by Shanghai Science and Technology Committee Fund (No. 15411969100, No. 16411969300), Interdisciplinary Program of Shanghai Jia Tong University (No. YG2015MS28), Shanghai Health and Family Planning Commission Fund (No. 201440290, No. 201640043), Three-year Plan for Clinical Skills and Innovation in Municipal Hospitals (No. 16CR3105B), and Technology Transfer Project of Science & Technology Department, Shanghai Jia Tong University School of Medicine (No. ZT201710, No. ZT201711).

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Li, Zj., Du, Lf., Qin, Y. et al. Ultrasound Assessment of Intima-media Thickness and Diameter of Carotid Arteries in Patients Undergoing Hemodialysis or Renal Transplantation. CURR MED SCI 38, 727–733 (2018). https://doi.org/10.1007/s11596-018-1937-7

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  • DOI: https://doi.org/10.1007/s11596-018-1937-7

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