vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2019-3-90-99vtio-1068Research ArticleКлинические наблюденияClinical CasesКальцификация периферических артерий и двухэнергетическая рентгеновская абсорбциометрия скелета у пациентов на заместительной почечной терапииCalcification of peripheral arteries and dual-energy X-ray absorptiometry in patients undergoing renal replacement therapyВетчинниковаО. Н.VetchinnikovaO. N.

Ветчинникова Ольга Николаевна. Адрес: 129110, Москва, ул. Щепкина, 61/2. Тел. (495) 684-57-81.

Vetchinnikova Olga Nikolaevna. Address: 61/2, Schepkina str., Moscow, 129110. Теl. (495) 684-57-81.

olg-vetchinnikova@yandex.ruПоляковаЕ. Ю.PolyakovaE. Yu.ГБУЗ МО «Московский областной научно-исследовательский клинический институт имени М.Ф. Владимирского»РоссияM.F. Vladimirsky Moscow Regional Clinical and Research InstituteRussian Federation2019011020192139099Copyright © Ветчинникова О.Н., Полякова Е.Ю., 20192019Ветчинникова О.Н., Полякова Е.Ю.Vetchinnikova O.N., Polyakova E.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1068

Сосудистая кальцификация широко распространена среди пациентов с хронической болезнью почек и реципиентов почечного трансплантата. Сосудистая кальцификация приводит к повышению жесткости артерий, гипертрофии миокарда левого желудочка, затрудняет формирование артериовенозной фистулы для проведения гемодиализа, вызывает ишемию миокарда и в целом увеличивает сердечно-сосудистую заболеваемость и летальность. Сосудистая кальцификация поражает артерии всех размеров, интимальный и медиальный слои сосудистой стенки. В клинической практике используются несколько неинвазивных методов исследования для оценки расположения и тяжести сосудистой кальцификации. Существует сообщение о возможности оценить сосудистую кальцификацию методом двухэнергетической рентгеновской абсорбциометрии (ДРА). В статье представлен опыт успешной диагностики кальцификации периферических артерий методом ДРА у реципиентов почечного трансплантата и пациентки на диализной терапии.

Vascular calcification is common in patients with chronic kidney disease and in kidney transplant recipients. It leads to increased arterial stiffness, left ventricular hypertrophy, complicates formation of arteriovenous fistula for hemodialysis, decreases coronary artery perfusion, and generally increases cardiovascular morbidity and mortality. Vascular calcification affects arteries of all sizes – starting from the intimal and medial layers of the arterial wall. In clinical practice, several non-invasive imaging techniques have been used to evaluate the location and severity of vascular calcification. There is a report positing a possibility of evaluating vascular calcification by dual-energy x-ray absorptiometry (DXA). This paper presents the experience of successful diagnosis of peripheral arterial calcification by DXA in kidney transplant recipients and end-stage renal disease patients. 

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The authors declare that there are no conflicts of interest present.