Radiographic assessment of vascular calcifications in patients with chronic kidney disease
- Totev, N. Nenchev, B. Delijska, E. Ilieva
Abstract. The presence of vascular calcifications in patients in different stages of chronic kidney disease (CKD) is a common finding and is related to patient survival. The aim of the study is to compare the degree of that complication in pre-dialysis patients with CKD and patients undergoing hemodialysis. 37 patients were includedin the study, 18 of them undergoing hemodialysis and 19 patients in different stages of CKD requiring no dialysis treatment. The total score defining the calcifications was calculated based on lateral abdominal radiograph for assessing the aortic calcifications after analysing the aortic segments in front of each lumbar vertebra, divided into thirds for both the anterior and posterior vascular wall (maximum score 24), AP pelvic radiograph divided into 4 segments (maximum 1 point for each segment) and symmetric AP radiographs of both hands and wrists also divided into 4 segments (maximum 1 point for each segment). The radiographic results were compared to the clinical and laboratory data. In summary the radiographic assessment of vascular calcifications is well acceptable and easily accessible in the routine clinical practice. Being inexpensive and with low level of ionizing radiation to the patients it allows quick quality and quantity evaluation of that serious complication in patients with CKD and the ones undergoing hemodialysis.
Key words: HEMODIALYSIS. CHRONIC KIDNEY DISEASE (CKD). VASCULAR CALCIFICATIONS