title: Utility of Exercise-Induced Zero TBI Sign in Patients on Maintenance Hemodialysis.
abstract: It is uncertain whether exercise-induced zero toe brachial index sign (e-ZETS) is beneficial to prevent advanced perfusion disturbance in maintenance hemodialysis (HD) patients. In HD patients, we compared the clinical findings and prognoses among 22 toes in a resting zero toe brachial index sign (r-ZETS) group, 22 toes in an e-ZETS group, and 63 toes in a non-e-ZETS group. The hemodynamics of the lower extremities in the e-ZETS group is intermediate between the r-ZETS and non-e-ZETS groups. As the result of a 36-month follow- up observation, the r-ZETS avoidance rate was significantly lower in the e-ZETS group (63.6%; P <0.001) than the non-e-ZETS group (98.4%), showing that it was difficult to avoid advanced perfusion disturbance. The e-ZETS in HD patients may appear before r-ZETS, being beneficial as a predictor for advanced perfusion disturbance. (This is a translation of J Jpn Coll Angiol 2015; 55: 125-129.).
authors.affiliation: Laboratory of Physiology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tsuyuki
authors.affiliation: Laboratory of Physiology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Kohno
authors.affiliation: Division of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Kunio
authors.initials: K
authors.lastname: Ebine
authors.affiliation: Division of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Tamura
authors.affiliation: Division of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ohzeki
authors.affiliation: Division of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Murase
authors.affiliation: Division of Nephrology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Ohara
authors.affiliation: Division of Nephrology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Yujin
authors.initials: Y
authors.lastname: Kunugi
authors.affiliation: Division of Medical Technology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Iida
authors.affiliation: Division of Medical Technology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan.
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Mochizuki
authors.affiliation: Laboratory of Physiology, Odawara Cardiovascular Hospital, Odawara, Kanagawa, Japan; Department of Clinical Engineering, Kanagawa Institute of Technology, Atsugi, Kanagawa, Japan.
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Sorimachi
authors.affiliation: Department of Clinical Engineering, Kanagawa Institute of Technology, Atsugi, Kanagawa, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Watanabe
keywords: critical limb ischemia; exercise; hemodialysis; peripheral arterial disease; toe brachial pressure index