nach oben

International Urology and Nephrology

Erschienen in:

21.04.2017 | Nephrology – Original Paper

Neuromuscular electrostimulation: a new therapeutic option to improve radio-cephalic arteriovenous fistula maturation in end-stage chronic kidney disease patients

verfasst von: Lucia Martinez, Vicent Esteve, Montserrat Yeste, Vicent Artigas, Secundino Llagostera

Erschienen in: International Urology and Nephrology | Ausgabe 9/2017

Einloggen, um Zugang zu erhalten

Abstract

Background

Radio-cephalic arteriovenous fistula (RCAVF) is the gold standard vascular access for end-stage chronic kidney disease patients. Exercises after arteriovenous fistula (AVF) creation improve maturation. No articles are published regarding neuromuscular electrostimulation (NMES) in AVF maturation.

Objectives

To assess the usefulness of a NMES programme on RCAVF maturation process.

Methods

An 8-week single-centre prospective study. Two groups were established: control group (CG): underwent usual RCAVF forearm exercises and electrostimulation group (ESG): underwent RCAVF NMES programme. Handgrip (HG) measurement, preoperative Doppler ultrasonography (DUS) parameters, clinical and DUS maturation as well as surgical complications were assessed.

Results

Thirty-six patients (54% men). Mean age 67.9 ± 14.3 years; 12 ESG and 24 CG. Demographic data, comorbidities, medical treatment, HG and DUS measurement at baseline were similar. HG increased in both groups at the end of the study (CG 24.5 ± 9.5 vs. 26.1 ± 10.1 kg, p 0.048; ESG 25.8 ± 10.3 vs. 26.3 ± 11.6 kg, p 0.644). RCAVF forearm vein diameter (CG 3.1 ± 0.7 vs. 5.7 ± 1.1 mm; ESG 2.9 ± 0.8 vs. 6.1 ± 1.7 mm) and humeral artery blood flow rate (CG 110.5 ± 20.7 vs. 1053.4 ± 510.7 ml/min; ESG 118.2 ± 31.6 vs. 954.1 ± 542.2 ml/min) statistically increased for both groups. A significant increase in clinical maturation in ESG (62.5 vs. 91.7%, p 0.046) at 8 weeks was observed. Four patients in each group developed juxta-anastomotic stenosis and were surgically repaired. No adverse NMES effects were registered.

Conclusions

NMES of forearm muscles is a safe and effective technique to improve RCAVF maturation and constitutes a novel alternative to forearm isometrics exercises. Nevertheless, further studies are required to confirm the potential effect of NMES in the vascular access maturation process.

Brescia MJ, Cimino JE, Appell K, Hurwich BJ, Scribner BH (1999) Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula, 1966. J Am Soc Nephrol 10(1):193–199PubMed

Vascular Access 2006 Work Group (2006) Clinical Practice Guidelines for Vascular Access. Am J Kidney Dis 48: S176–S247

Tordoir J, Canaud B, Haage P, Konner K, Basci A, Fouque D et al (2007) EBPG on vascular access. Nephrol Dial Transplant 22(Suppl 2):ii88–ii117PubMed

Rodríguez Hernández JA, González Parra E, Julián Gutiérrez JM, Segarra Medrano A, Almirante B, Martínez MT et al (2005) Vascular access guidelines for hemodialysis. Nefrologia 25(Suppl 1):3–97PubMed

Hoggard J, Saad T, Schon D, Vesely TM, Royer T, American Society of Diagnostic and Interventional Nephrology, Clinical Practice Committee et al (2008) Guidelines for venous access in patients with chronic kidney disease. A position statement from the American Society of Diagnostic and Interventional Nephrology, Clinical Practice Committee and the Association for Vascular Access. Semin Dial 21(2):186–191CrossRefPubMed

(2001) III. NKF-K/DOQI clinical practice guidelines for vascular access: update 2000. Am J Kidney Dis 37(1 Suppl 1): S137–S181

Saran R, Dykstra DM, Pisoni RL, Akiba T, Akizawa T, Canaud B et al (2004) Timing of first cannulation and vascular access failure in haemodialysis: an analysis of practice patterns at dialysis facilities in the DOPPS. Nephrol Dial Transplant 19(9):2334–2340CrossRefPubMed

Saran R, Pisoni RL, Young EW (2005) Timing of first cannulation of arteriovenous fistula: are we waiting too long? Nephrol Dial Transplant 20(4):688–690CrossRefPubMed

Rayner HC, Pisoni RL, Gillespie BW, Goodkin DA, Akiba T, Akizawa T et al (2003) Creation, cannulation and survival of arteriovenous fistulae: data from the Dialysis Outcomes and Practice Patterns Study. Kidney Int 63(1):323–330CrossRefPubMed

10.

Manns B, Tonelli M, Yilmaz S, Lee H, Laupland K, Klarenbach S et al (2005) Establishment and maintenance of vascular access in incident hemodialysis patients: a prospective cost analysis. J Am Soc Nephrol 16(1):201–209CrossRefPubMed

11.

Churchill DN, Taylor DW, Cook RJ, LaPlante P, Barre P, Cartier P et al (1992) Canadian hemodialysis morbidity study. Am J Kidney Dis 19(3):214–234CrossRefPubMed

12.

Kherlakian GM, Roedersheimer LR, Arbaugh JJ, Newmark KJ, King LR (1986) Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angioaccess in hemodialysis. Am J Surg 152(2):238–243CrossRefPubMed

13.

Malovrh M (2010) Non-matured arteriovenous fistulae for haemodialysis: diagnosis, endovascular and surgical treatment. Bosn J Basic Med 10(Suppl 1):S13–S17

14.

Leaf DA, MacRae HS-H, Grant E, Kraut J (2003) Isometric exercise increases the size of forearm veins in patients with chronic renal failure. Am J Med 325(3):115–119CrossRef

15.

Oder TF, Teodorescu V, Uribarri J (2003) Effect of exercise on the diameter of arteriovenous fistulae in hemodialysis patients. ASAIO 49(5):554–555CrossRef

16.

Fontseré N, Mestres G, Yugueros X, López T, Yuguero A, Bermudez P et al (2016) Effect of a postoperative exercise program on arteriovenous fistula maturation: a randomized controlled trial. Hemodial Int 20(2):306–314CrossRefPubMed

17.

Robbin ML, Chamberlain NE, Lockhart ME, Gallichio MH, Young CJ, Deierhoi MH et al (2002) Hemodialysis arteriovenous fistula maturity: US evaluation. Radiology 225(1):59–64CrossRefPubMed

18.

Heidland A, Fazeli G, Klassen A, Sebekova K, Hennemann H, Bahner U et al (2013) Neuromuscular electrostimulation techniques: historical aspects and current possibilities in treatment of pain and muscle waisting. Clin Nephrol 79(Suppl 1):S12–S23PubMed

19.

Thoma H, Benzer H, Holle J, Moritz E, Pauser G (1979) Method and clinical use of functional electrostimulation. Biomed Tech 24(1–2):4–10CrossRef

20.

Sheffler LR, Chae J (2007) Neuromuscular electrical stimulation in neurorehabilitation. Muscle Nerve 35(5):562–590CrossRefPubMed

21.

Dobsak P, Homolka P, Svojanovsky J, Reichertova A, Soucek M, Novakova M et al (2012) Intra-dialytic electrostimulation of leg extensors may improve exercise tolerance and quality of life in hemodialyzed patients. Artif Organs 36(1):71–78CrossRefPubMed

22.

Farese S, Budmiger R, Aregger F, Bergmann I, Frey FJ, Uehlinger DE (2008) Effect of transcutaneous electrical muscle stimulation and passive cycling movements on blood pressure and removal of urea and phosphate during hemodialysis. Am J Kidney Dis 52(4):745–752CrossRefPubMed

23.

Simó VE, Jiménez AJ, Oliveira JC, Guzmán FM, Nicolás MF, Potau MP et al (2015) Efficacy of neuromuscular electrostimulation intervention to improve physical function in haemodialysis patients. Int Urol Nephrol 47(10):1709–1717CrossRefPubMed

24.

Ilhan G, Esi E, Bozok S, Yürekli I, Özpak B et al (2013) The clinical utility of vascular mapping with Doppler ultrasound prior to arteriovenous fistula construction for hemodialysis access. J Vasc Access 14(1):83–88CrossRefPubMed

25.

Leal VO, Mafra D, Fouque D, Anjos LA (2011) Use of handgrip strength in the assessment of the muscle function of chronic kidney disease patients on dialysis: a systematic review. Nephrol Dial Transplant 26(4):1354–1360CrossRefPubMed

26.

Leivaditis K, Panagoutsos S, Roumeliotis A, Liakopoulos V, Vargemezis V (2014) Vascular access for hemodialysis: postoperative evaluation and function monitoring. Int Urol Nephrol 46:403–409CrossRefPubMed

27.

Rooijens PPGM, Tordoir JHM, Stijnen T, Burgmans JPJ, de Smet AA, Yo TI (2004) Radiocephalic wrist arteriovenous fistula for hemodialysis: meta-analysis indicates a high primary failure rate. Eur J Vasc Endovasc Surg 28(6):583–589CrossRefPubMed

28.

Lok CE, Allon M, Moist L, Oliver MJ, Shah H, Zimmerman D (2006) Risk equation determining unsuccessful cannulation events and failure to maturation in arteriovenous fistulas (REDUCE FTM I). J Am Soc Nephrol 17(11):3204–3212CrossRefPubMed

29.

Wong V, Ward R, Taylor J, Selvakumar S, How TV, Bakran A (1996) Factors associated with early failure of arteriovenous fistulae for haemodialysis access. Eur J Vasc Endovasc Surg 12(2):207–213CrossRefPubMed

30.

Feldman HI, Joffe M, Rosas SE, Burns JE, Knauss J, Brayman K (2003) Predictors of successful arteriovenous fistula maturation. Am J Kidney Dis 42(5):1000–1012CrossRefPubMed

31.

Hemodialysis Adequacy 2006 Work Group (2006) Clinical practice guidelines for hemodialysis adequacy, update 2006. Am J Kidney Dis 48:S2–S90CrossRef

32.

Rodriguez Moran M, Almazan Enriquez A, Ramos Boyero M, Rodriguez Rodriguez JM, Gomez Alonso A (1984) Hand exercise effect in maturation and blood flow of dialysis arteriovenous fistulas ultrasound study. Angiology 35(10):641–644CrossRefPubMed

33.

Salimi F, Majd Nassiri G, Moradi M, Keshavarzian A, Farajzadegan Z, Saleki M et al (2013) Assessment of effects of upper extremity exercise with arm tourniquet on maturity of arteriovenous fistula in hemodialysis patients. J Vasc Access. 14(3):239–244CrossRefPubMed

34.

Valenti F (1964) Neuromuscular electrostimulation in clinical practice. Acta Anaesthesiol 15:227–245PubMed

35.

Papaiordanidou M, Guiraud D, Varray A (2010) Kinetics of neuromuscular changes during low-frequency electrical stimulation. Muscle Nerve 41(1):54–62CrossRefPubMed

36.

Maffiuletti NA, Zory R, Miotti D, Pellegrino MA, Jubeau M, Bottinelli R (2006) Neuromuscular adaptations to electrostimulation resistance training. Am J Phys Med Rehabil 85(2):167–175CrossRefPubMed

37.

de Araújo CJS, Gonçalves FS, Bittencourt HS, dos Santos NG, Mecca Junior SV, Neves JLB et al (2012) Effects of neuromuscular electrostimulation in patients with heart failure admitted to ward. J Cardiothorac Surg 7:124CrossRefPubMedPubMedCentral

38.

Sillen MJH, Speksnijder CM, Eterman R-MA, Janssen PP, Wagers SS, Wouters EFM et al (2009) Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English-language literature. Chest 136(1):44–61CrossRefPubMed

39.

Hu L, Klein JD, Hassounah F, Cai H, Zhang C, Xu P et al (2015) Low-frequency electrical stimulation attenuates muscle atrophy in CKD—a potential treatment strategy. J Am Soc Nephrol 26(3):626–635CrossRefPubMed

40.

Pette D, Vrbová G (1999) What does chronic electrical stimulation teach us about muscle plasticity? Muscle Nerve 22(6):666–677CrossRefPubMed

41.

Annex BH, Torgan CE, Lin P, Taylor DA, Thompson MA, Peters KG et al (1998) Induction and maintenance of increased VEGF protein by chronic motor nerve stimulation in skeletal muscle. Am J Physiol 274(3 Pt 2):H860–H867PubMed

Titel: Neuromuscular electrostimulation: a new therapeutic option to improve radio-cephalic arteriovenous fistula maturation in end-stage chronic kidney disease patients
verfasst von: Lucia Martinez
Vicent Esteve
Montserrat Yeste
Vicent Artigas
Secundino Llagostera
Publikationsdatum: 21.04.2017
Verlag: Springer Netherlands
Erschienen in: International Urology and Nephrology / Ausgabe 9/2017
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI: https://doi.org/10.1007/s11255-017-1601-3

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

25.04.2024 | Hypotonie | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Neuromuscular electrostimulation: a new therapeutic option to improve radio-cephalic arteriovenous fistula maturation in end-stage chronic kidney disease patients

Abstract

Background

Objectives

Methods

Results

Conclusions

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Update Innere Medizin

Springer Medizin

Abstract

Background

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2017

Erratum to: Dietary and commercialized fructose: Sweet or sour?

Comparison of CROES, S.T.O.N.E, and Guy’s scoring systems for the prediction of stone-free status and complication rates following percutaneous nephrolithotomy in patients with chronic kidney disease

Insomnia, muscular cramps and pruritus have low intensity in hemodialysis patients with good dialysis efficiency, low inflammation and arteriovenous fistula

Clinical presentations and molecular studies of invasive renal epithelioid angiomyolipoma

Dietary and commercialized fructose: Sweet or sour?

FDG-PET/CT for response evaluation of invasive bladder cancer following neoadjuvant chemotherapy

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Update Innere Medizin