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Abstract Individuals with CKD are at increased risk for cardiovascular diseases (CVD), which include specific conditions such as coronary artery disease (CAD), congestive heart failure, all causes of cardiovascular mortality, and PAD. RRF has been proven to contribue to the quality of life of dialysis patients. Longer preservation of RRF provides a better small and middle molecule removal, improved volemic status and arterial pressure control, diminished risk of vascular and valvular calcification due to better phosphate removal, improve nutritional parameters, reduced erythropiotin resistance, reduced ultrafiltration requirement, chronic hypervolaemia and lower the level of LVH. . Our study included 50 ESRD patients on maintenance HD &10 normal patients as a control group in Nasser institute Hospital (HD Unit). ABI category 0.41 - 0.9 was 26.5%, 0.91 - 1.30 was 67.3% and > 1.30 was 6.1% of the studied cases. While 20 % of cases have Aortic Calcification by lateral abdominal X-RAY. While by U/S Shrunken Kidneys was 54.2% , Polycystic Kidneys 8.3%, Hydronephrotic Kidneys 12.5% and Normal size with Poor differentiation 25%. In our study, commonest cause of ESRD is hypertension (38%), IHD in (14%) of patient, (66.3%) without IHD in category of KRu < 1ml/min, (94.1%) patient without IHD in category of KRU/BSA >1 ml/min, (46.7%) without aortic calcification in category of KRu < 1ml/min, (95.1%) patient without aortic calcification in category of KRU/BSA >1 ml/min, (60%) patient with normal ABI 0.9-1.3} in category of KRu < 1ml/min, (69.5%) patient with ABI 0.9-1.3 in category of KRU/BSA >1 ml/min. In our study, shwing Increased of ABI associted with incresase of dialysis duration, ca xpo4 product, Anaemia, serum creatinine. As conclusion RRF in HD patients associated with normal ABI, Ca x p products, and decrease aortic calcification, IHD. |