Digital pressure and oxygen saturation measurements in the diagnosis of chronic hemodialysis access-induced distal ischemia Mohammad-Hadi S. Modaghegh,

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Presentation transcript:

Digital pressure and oxygen saturation measurements in the diagnosis of chronic hemodialysis access-induced distal ischemia Mohammad-Hadi S. Modaghegh, MD, Bahman Roudsari, MD, PhD, Shahab Hafezi, MD Journal of Vascular Surgery Volume 62, Issue 1, Pages 135-142 (July 2015) DOI: 10.1016/j.jvs.2015.02.024 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Sensitivity (black line) and specificity (gray line) of different basal digital pressure (BDP) thresholds. Journal of Vascular Surgery 2015 62, 135-142DOI: (10.1016/j.jvs.2015.02.024) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Sensitivity (black line) and specificity (gray line) of different digital brachial index (DBI) thresholds. Journal of Vascular Surgery 2015 62, 135-142DOI: (10.1016/j.jvs.2015.02.024) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Sensitivity (black line) and specificity (gray line) of different change in digital pressure with access compression (CDP) thresholds. Journal of Vascular Surgery 2015 62, 135-142DOI: (10.1016/j.jvs.2015.02.024) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Algorithm for diagnosis and management of hemodialysis access-induced distal ischemia (HAIDI). DRAL, Distal radial artery ligation; DRIL, distal revascularization-interval ligation; EMG-NCV, electromyography-nerve conduction velocity; PAI, proximalization of arterial inflow; PTA, percutaneous transluminal angioplasty; RUDI, revision using distal inflow; Rx, treatment. Journal of Vascular Surgery 2015 62, 135-142DOI: (10.1016/j.jvs.2015.02.024) Copyright © 2015 Society for Vascular Surgery Terms and Conditions