| Theme | Preventive Medical Screening and Health Check-ups for Dialysis patients | |
|---|---|---|
| Title | Screening for peripheral arterial disease | |
| Publish Date | 2009/02 | |
| Author | Motoyoshi Sato | Department of Kidney and Dialysis, Social Insurance Chukyo Hospital |
| Author | Izumi Amano | Research Institute of Advanced Therapeutics andEngineering |
| [ Summary ] | Peripheral arterial disease（PAD）is one of the complications whose incidence has been rising along with the sharply increasing number of elderly, diabetic or long term dialysis patients. Evidence of PAD suggests a very poor prognosis because of the high severity of ischemia and high rates of complications due to other cardiovascular disease. Therefore, early diagnosis and treatment is of critical importance to PAD care. The measurement of ankle brachial pressure index is easy and useful as a screening test for PAD. In dialysis patients vascular calcification and/or arteriosclerotic lesions of peripheral arteries below the knee are frequently seen. As aresult, it is necessary to evaluate the disease by combining multiple examinations such as toe brachial pressure index, skin perfusion pressure, and vascular ultrasonography. Reliable histories, inspections, and palpitationare indispensable to early detection of PAD. Rates of correct diagnoses for PAD can be increased through multiple screening examinations and appropriate evaluation of results. |
|