Ultrasound carotid intima-media thickness (CIMT) evaluation as a marker in vascular damage progression in hemodialysis and role of adequate calcium-phosphorus product control by s…

It has been suggested that sPO4 should be maintained 55mg/dl, in these pts (G 1; n=12) calcium salts were replaced with sevelamer, while the other pts kept on taking calcium salts (G 2; n=11). In all pts at baseline and after 5 and 10 months (F-U) were determined sCa, sPO4, PTH (n.v. 9–63 pg/ml), cholesterol, HDL, LDL and C-reactive protein. Baseline and after 10 months all pts underwent B-mode ultrasonography of the carotid (C) artery for the evaluation of intima-media thickness (IMT; mm) and echocardiogram for determination of the left ventricular mass index (LVMi:r/m2). Our results show as sevelamer provides…