{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:06:55Z","timestamp":1784549215035,"version":"3.55.0"},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract  Background Individuals with chronic kidney disease (CKD) have twice the risk of peripheral arterial disease (PAD) and are more susceptible to arterial calcification. Diagnosing arterial abnormalities involves a combination of clinical assessment and noninvasive tests. The ankle-brachial index (ABI) is a cost-effective method for assessing arterial abnormalities and predicting mortality. Continuous Doppler ultrasound is the gold standard for ABI assessment due to its greater accuracy, and point-of-care ultrasound (POCUS) enables bedside measurement of this index.  Objectives To analyze the prevalence of arterial abnormalities in individuals undergoing hemodialysis using POCUS.  Methods We conducted an observational, analytical, cross-sectional study of 85 patients on hemodialysis, using a clinical and sociodemographic questionnaire and calculating the ABI. The primary outcome was the analysis of the presence of arterial abnormalities through the measurement of ABI using the POCUS method..  Results The prevalence of ABI results suggestive of PAD and arterial calcification was 24.7% and 22.4%, respectively. Diabetes mellitus (p = 0.02) and advanced age (p = 0.01) were identified as the main risk factors for PAD.  Conclusions The POCUS-assisted assessment identified a prevalence of 24.7% for PAD and 22.4% for arterial calcification among patients with CKD. Advanced age and diabetes mellitus were the main risk factors associated with PAD. The data suggest that POCUS is an innovative approach for the bedside diagnosis of arterial abnormalities in patients on hemodialysis.<\/jats:p>","DOI":"10.1590\/1677-5449.202500362","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:29:01Z","timestamp":1784546941000},"source":"Crossref","is-referenced-by-count":0,"title":["Use of point-of-care ultrasound in the analysis of arterial abnormalities in people with chronic kidney disease on hemodialysis: a cross-sectional study"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2967-9486","authenticated-orcid":false,"given":"Adson Arag\u00e3o de Ara\u00fajo","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4708-1499","authenticated-orcid":false,"given":"Hellen de Carvalho","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8134-0344","authenticated-orcid":false,"given":"Beatriz Vit\u00f3ria Carvalho","family":"Lord\u00ealo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6386-8550","authenticated-orcid":false,"given":"Romero Henrique de Almeida","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6390-5091","authenticated-orcid":false,"given":"Ana Luisa Silveira","family":"Vieira","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de Barbacena,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3719-4131","authenticated-orcid":false,"given":"Matheus Rodrigues","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8829-8141","authenticated-orcid":false,"given":"Adirlene Pontes de Oliveira","family":"Ten\u00f3rio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Vale S\u00e3o Francisco,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"9","key":"ref1","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1161\/CIRCRESAHA.116.303566","article-title":"Pathogenesis of the limb manifestations and exercise limitations in peripheral artery disease","volume":"116","author":"Hiatt 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disease","volume":"23","author":"Erzinger FL","year":"2024","journal-title":"J Vasc Bras"},{"issue":"4","key":"ref32","first-page":"254","article-title":"Ankle-brachial index: more than a diagnostic test?","volume":"2","author":"C\u00e1ceres-Farf\u00e1n L","year":"2021","journal-title":"Arch Peru Cardiol Cir Cardiovasc"},{"issue":"2-3","key":"ref33","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.ejvs.2022.04.013","article-title":"Validation of a standardised duplex ultrasound classification system for the reporting and grading of peripheral arterial disease","volume":"64","author":"Huthart S","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"5","key":"ref34","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1590\/1806-9282.64.05.474","article-title":"Traditional and ultrasound physical examinations: a hybrid approach to improve clinical care","volume":"64","author":"Bastos MG","year":"2018","journal-title":"Rev Assoc Med Bras"},{"key":"ref35","series-title":"Overview of peripheral artery disease in patients with diabetes mellitus.","author":"Berger JS","year":"2021"},{"issue":"4","key":"ref36","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1590\/2175-8239-jbn-2020-0218","article-title":"High ankle-brachial index predicts cardiovascular events and mortality in hemodialysis patients with severe secondary hyperparathyroidism","volume":"43","author":"Pichone A","year":"2021","journal-title":"J Bras Nefrol"},{"issue":"1","key":"ref37","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1186\/s12882-020-01991-7","article-title":"Additional prognostic value of toe-brachial index beyond ankle-brachial index in hemodialysis patients","volume":"21","author":"Hishida M","year":"2020","journal-title":"BMC Nephrol"},{"issue":"4","key":"ref38","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1590\/2175-8239-jbn-2021-s104","article-title":"Diagnosis of vascular calcification related to mineral and bone metabolism disorders in chronic kidney disease","volume":"43","author":"Bonato FOB","year":"2021","journal-title":"J Bras Nefrol"},{"issue":"1","key":"ref39","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1053\/j.ajkd.2024.06.018","article-title":"Progression of coronary artery calcification and risk of clinical events in CKD: the chronic renal insufficiency cohort study","volume":"85","author":"Tian L","year":"2025","journal-title":"Am J Kidney Dis"},{"issue":"3","key":"ref40","article-title":"Abnormal Ankle-Brachial Index and risk of cardiovascular and all-cause mortality in patients with chronic kidney disease: an updated systematic review and meta-analysis","volume":"24","author":"Hazique M","year":"2025","journal-title":"Crit Pathw Cardiol"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Utiliza\u00e7\u00e3o de ultrassonografia point-of-care na an\u00e1lise de altera\u00e7\u00f5es arteriais em pessoas com doen\u00e7a renal cr\u00f4nica em hemodi\u00e1lise: estudo transversal"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492026000100607&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:29:11Z","timestamp":1784546951000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492026000100607&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":40,"alternative-id":["S1677-54492026000100607"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202500362","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1677-5449.202500361","asserted-by":"subject"}]},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20250036"}}