End Stage Renal Disease Clinical Trial
Official title:
The Effect of Hemodialysis on Toe Pressure- and Finger Pressure Measurements and Measurement of Skin Autofluorescence; a Pilot Study in the Assessment of Critical Limb Ischemia in Hemodialysis Patients.
The aim of this study is to determine the vascular condition of hemodialysis patients with
toe pressure measurement, finger pressure measurement and measuring glycated and oxidated
proteins by skin autofluorescence.
Hypothesis: Lowering of finger pressure/toe pressure during hemodialysis, especially in whom
with a arteriovenous fistula, may contribute to critical limb ischemia in the extremities.
1. To determine the macrovascular status of hemodialysis patients by measuring toe
pressure, finger pressure and skin autofluorescence.
2. Measuring toe- and finger pressure before and during hemodialysis to determine the
chance of developing critical limb ischemia in the extremities.
3. To assess the differences in finger pressure in hemodialysis patients before and during
hemodialysis in patients with either arteriovenous fistula in the upper extremity or
not.
4. To predict mortality and cardiovascular disease by determine the fastness of
accumulation of Advanced-Glycation-Endproducts (this concerns follow-up measurements of
skin autofluorescence; another study has collected data of skin autofluorescence in
hemodialysis patients in our centre in 2003)
;
Observational Model: Cohort, Time Perspective: Cross-Sectional
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