Nephro-Urology Monthly

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A Review Article: Access Recirculation Among End Stage Renal Disease Patients Undergoing Maintenance Hemodialysis

Abbasali Zeraati 1 , Seyed Seifollah Beladi Mousavi 2 , * and Marzieh Beladi Mousavi 3
Authors Information
1 Department of Nephrology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran
2 Department of Internal Medicine, Faculty of Medicine, Jundishapour University of Medical Sciences, Ahvaz, IR Iran
3 Department of Chemistry, Islamic Azad University, Omidiyeh Branch, Omidiyeh, IR Iran
Article information
  • Nephro-Urology Monthly: March 01, 2013, 5 (2); 728-32
  • Published Online: March 30, 2013
  • Article Type: Review Article
  • Received: June 25, 2012
  • Revised: July 15, 2012
  • Accepted: July 21, 2012
  • DOI: 10.5812/numonthly.6689

To Cite: Zeraati A, Beladi Mousavi S S, Beladi Mousavi M. A Review Article: Access Recirculation Among End Stage Renal Disease Patients Undergoing Maintenance Hemodialysis, Nephro-Urol Mon. 2013 ; 5(2):728-32. doi: 10.5812/numonthly.6689.

Copyright © 2013, Nephrology and Urology Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Materials and Methods
4. Discussion
  • 1. United States Renal Data System.Excerpts from USRDS 2009 Annual Data Report. U.S. Department of Health and Human Services. The National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Am J Kidney Dis. 2010; 55
  • 2. Murphy SW, Foley RN, Barrett BJ, Kent GM, Morgan J, Barre P, et al. Comparative mortality of hemodialysis and peritoneal dialysis in Canada. Kidney Int. 2000; 57(4): 1720-6[DOI][PubMed]
  • 3. Beladi Mousavi SS, Hayati F, Alemzadeh Ansari MJ, Valavi E, Cheraghian B, Shahbazian H, et al. Survival at 1, 3, and 5 years in diabetic and nondiabetic patients on hemodialysis. Iran J Kidney Dis. 2010; 4(1): 74-7[PubMed]
  • 4. Beladi Musavi SS, Alemzadeh Ansari MJ, Cheraghian B. Outcome of patients on haemodialysis in Khuzestan, Iran. NDT plus. 2011; 4(2): 143-4
  • 5. Mailloux LU, Bellucci AG, Napolitano B, Mossey T, Wilkes BM, Bluestone PA. Survival estimates for 683 patients starting dialysis from 1970 through 1989: identification of risk factors for survival. Clin Nephrol. 1994; 42(2): 127-35[PubMed]
  • 6. Beddhu S, Zeidel ML, Saul M, Seddon P, Samore MH, Stoddard GJ, et al. The effects of comorbid conditions on the outcomes of patients undergoing peritoneal dialysis. Am J Med. 2002; 112(9): 696-701
  • 7. Miskulin DC, Meyer KB, Martin AA, Fink NE, Coresh J, Powe NR, et al. Comorbidity and its change predict survival in incident dialysis patients. Am J Kidney Dis. 2003; 41(1): 149-61[DOI][PubMed]
  • 8. Chung SH, Lindholm B, Lee HB. Influence of initial nutritional status on continuous ambulatory peritoneal dialysis patient survival. Perit Dial Int. 2000; 20(1): 19-26[PubMed]
  • 9. Dwyer JT, Larive B, Leung J, Rocco MV, Greene T, Burrowes J, et al. Are nutritional status indicators associated with mortality in the Hemodialysis (HEMO) Study? Kidney Int. 2005; 68(4): 1766-76[DOI][PubMed]
  • 10. Noordzij M, Korevaar JC, Bos WJ, Boeschoten EW, Dekker FW, Bossuyt PM, et al. Mineral metabolism and cardiovascular morbidity and mortality risk: peritoneal dialysis patients compared with haemodialysis patients. Nephrol Dial Transplant. 2006; 21(9): 2513-20[DOI][PubMed]
  • 11. McDonald SP, Collins JF, Johnson DW. Obesity is associated with worse peritoneal dialysis outcomes in the Australia and New Zealand patient populations. J Am Soc Nephrol. 2003; 14(11): 2894-901[PubMed]
  • 12. Kloppenburg WD, Stegeman CA, Hooyschuur M, van der Ven J, de Jong PE, Huisman RM. Assessing dialysis adequacy and dietary intake in the individual hemodialysis patient. Kidney Int. 1999; 55(5): 1961-9[DOI][PubMed]
  • 13. Hauk M, Kuhlmann MK, Riegel W, Kohler H. In vivo effects of dialysate flow rate on Kt/V in maintenance hemodialysis patients. Am J Kidney Dis. 2000; 35(1): 105-11[DOI][PubMed]
  • 14. Mehta HK, Deabreu D, McDougall JG, Goldstein MB. Correction of discrepancy between prescribed and actual blood flow rates in chronic hemodialysis patients with use of larger gauge needles. Am J Kidney Dis. 2002; 39(6): 1231-5[DOI][PubMed]
  • 15. Lambie SH, Taal MW, Fluck RJ, McIntyre CW. Analysis of factors associated with variability in haemodialysis adequacy. Nephrol Dial Transplant. 2004; 19(2): 406-12[PubMed]
  • 16. Ahmed J, Besarab A, Lubkowski T, Frinak S. Effect of differing blood lines on delivered blood flow during hemodialysis. Am J Kidney Dis. 2004; 44(3): 498-508[PubMed]
  • 17. Carson RC, Kiaii M, MacRae JM. Urea clearance in dysfunctional catheters is improved by reversing the line position despite increased access recirculation. Am J Kidney Dis. 2005; 45(5): 883-90[PubMed]
  • 18. Atherikul K, Schwab SJ, Conlon PJ. Adequacy of haemodialysis with cuffed central-vein catheters. Nephrol Dial Transplant. 1998; 13(3): 745-9[PubMed]
  • 19. Senecal L, Saint-Sauveur E, Leblanc M. Blood flow and recirculation rates in tunneled hemodialysis catheters. ASAIO J. 2004; 50(1): 94-7[PubMed]
  • 20. I. NKF-K/DOQI Clinical Practice Guidelines for Hemodialysis Adequacy: update 2000. Am J Kidney Dis. 2001; 37(1 Suppl 1)[PubMed]
  • 21. K/DOQI Clinical Practice Guidelines and Clinical Practice Recommendations 2006 Updates Hemodialysis adequacy Peritoneal Dialysis Adequacy Vascular Access. Am J Kidney Dis. 2006; 48
  • 22. Berkoben M, Blankestijn PJ. Arterovenous fistula recirculaton in hemodialysis. 2011; 19(2): 1312-38
  • 23. Tessitore N, Bedogna V, Poli A, Impedovo A, Antonucci F, Teodori T, et al. Practice patterns in the management of arteriovenous fistula stenosis: a northern Italian survey. J Nephrol. 2006; 19(2): 200-4[PubMed]
  • 24. Tonelli M, Jindal K, Hirsch D, Taylor S, Kane C, Henbrey S. Screening for subclinical stenosis in native vessel arteriovenous fistulae. J Am Soc Nephrol. 2001; 12(8): 1729-33[PubMed]
  • 25. Beladi Mousavi SS, Tavazoe M, Hayati F, Sametzadeh M. Arterio-Venous Fistula Recirculation in Hemodialysis: Causes and Prevalences. SEMJ. 2010; 11: 4
  • 26. Alloatti S, Molino A, Bonfant G, Ratibondi S, Bosticardo GM. Measurement of vascular access recirculation unaffected by cardiopulmonary recirculation: evaluation of an ultrasound method. Nephron. 1999; 81(1): 25-30[PubMed]
  • 27. Depner TA, Krivitski NM, MacGibbon D. Hemodialysis access recirculation measured by ultrasound dilution. ASAIO J. 1995; 41(3)-53[PubMed]
  • 28. May RE, Himmelfarb J, Yenicesu M, Knights S, Ikizler TA, Schulman G, et al. Predictive measures of vascular access thrombosis: a prospective study. Kidney Int. 1997; 52(6): 1656-62[PubMed]
  • 29. Sherman RA. The measurement of dialysis access recirculation. Am J Kidney Dis. 1993; 22(4): 616-21[PubMed]
  • 30. Tattersall JE, Farrington K, Raniga PD, Thompson H, Tomlinson C, Aldridge C, et al. Haemodialysis recirculation detected by the three-sample method is an artefact. Nephrol Dial Transplant. 1993; 8(1): 60-3[PubMed]
  • 31. Bosc JY, LeBlanc M, Garred LJ, Marc JM, Foret M, Babinet F, et al. Direct determination of blood recirculation rate in hemodialysis by a conductivity method. ASAIO J. 1998; 44(1): 68-73[PubMed]
  • 32. Brancaccio D, Tessitore N, Carpani P, Gammaro L, Losi B, Zoni U, et al. Potassium-based dilutional method to measure hemodialysis access recirculation. Int J Artif Organs. 2001; 24(9): 606-13[PubMed]
  • 33. Depner TA, Rizwan S, Cheer AY, Wagner JM, Eder LA. High venous urea concentrations in the opposite arm. A consequence of hemodialysis-induced compartment disequilibrium. ASAIO Trans. 1991; 37(3)-3[PubMed]
  • 34. Sherman RA, Matera JJ, Novik L, Cody RP. Recirculation reassessed: the impact of blood flow rate and the low-flow method reevaluated. Am J Kidney Dis. 1994; 23(6): 846-8[PubMed]
  • 35. Schneditz D. Recirculation, a seemingly simple concept. Nephrol Dial Transplant. 1998; 13(9): 2191-3[PubMed]
  • 36. Besarab A, Sherman R. The relationship of recirculation to access blood flow. Am J Kidney Dis. 1997; 29(2): 223-9[PubMed]
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