DOES THE USE OF ERYTHROPOIETIN IN HEMODIALYSIS-PATIENTS INCREASE DIALYSIS GRAFT THROMBOSIS RATES

被引:12
作者
STANDAGE, BA [1 ]
SCHUMAN, ES [1 ]
ACKERMAN, D [1 ]
GROSS, GF [1 ]
RAGSDALE, JW [1 ]
机构
[1] GOOD SAMARITAN HOSP, DEPT SURG, PORTLAND, OR 97210 USA
关键词
D O I
10.1016/S0002-9610(05)80454-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Erythropoietin (EPO) is highly efficacious in the treatment of the anemia of chronic renal failure. Evidence for a reported serious side effect, increased dialysis graft thrombosis, is equivocal. Sixty-four hemodialysis patients utilizing polytetrafluoroethylene (PTFE) grafts were treated with EPO. The patients served as their own historical controls. There were 1.188 thrombectomies and 0.222 mechanical problems per 1,000 patient-days prior to the initiation of EPO treatment. With EPO, the values were 0.656 and 0.222, respectively. Patients were separated into low-, medium-, and high-dose EPO groups and analyzed within groups for the effect of EPO and between groups for a dose-dependent response. According to an analysis of variance procedure, there was no statistically significant differences between the groups, which suggests that EPO is not thrombogenic to dialysis grafts.
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页码:650 / 654
页数:5
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