A patient presented with a malfunctioning permanent hemodialysis catheter due to a kink. After a lateral X-ray revealed the problem, a new catheter was inserted under C-arm guidance. This approach is being adopted to prevent malposition and malfunction of HD catheters. Share your experience with using lateral X-rays for HD catheter placement!
Time for an Entresto trial in HFrEF and dialysis!
A recent systematic review in KI reports by Mariam Charkviani and colleagues examined Sacubitril/Valsartan's cardiovascular effects and safety in end-stage kidney disease (ESKD) patients on dialysis. The analysis of 12 observational studies involving 799 patients showed significant improvement in LVEF for HFrEF and HFmrEF patients, with no significant safety concerns. Limited ongoing trials in dialysis patients urge more research for this population.
NephinP 