Review Article

Peripheral Vascular Dysfunction in Chronic Kidney Disease

Table 2

Summary of studies measuring in vivo endothelial function in adult patients with CKD.

StudyReported degree of CKDMethodFinding

Yilmaz et al. [25]Stage 1FMDImproved following 12-week treatment with ramipril
Yilmaz et al. [26]Stage 1–4FMDImproved following 3-month treatment with ramipril or valsartan
Nanayakkara et al. [27]CCr = 38 ± 15FMDImprovement following 18-month stepwise treatment with pravastatin, vitamin E, and homocysteinie lowering therapy
Annuk et al. [28]CCr = 29.4 ± 24.0VOPImpaired and related to degree of renal impairment
Annuk et al. [29]CCr = 25.1 ± 16.2VOPImpairments correlated to markers of oxidative stress
Annuk et al. [30]Serum Cr = 287 ± 143VOPImproved by acute COX inhibition or L-arginine treatment
Annuk et al. [31]Stage 3–5VOPNegatively correlated to levels of lipid hydroperoxides (LOOH)
Ghiadoni et al. [32]Stage 3–5, hemodialysisFMDAcute vitamin C infusion restored impaired function in hemodialysis but not in CKD
Costa-Hong et al. [33]ESRDFMDPlasma TBARS levels associated with impaired endothelial-dependent dilation in patients without symptoms of CVD
Cross et al. [34]Predialysis hemodialysisVOP, FMDAcute infusion of vitamin C improves endothelium-dependent dilation in forearm resistance vasculature but not in brachial artery
Cross et al. [35]Predialysis, hemodialysisVOP, FMDLocal or systemic L-arginine infusion did not improve resistance or endothelial-dependent dilation

FMD = flow-mediated dilation; VOP = venous occlusion plethysmography; CCr = creatinine clearance (mL/min/1.73 m2); Serum Cr = serum creatinine (μmol/L).