ReviewHemodialysis international. International Symposium on Home Hemodialysis2009
Hemodialysis vascular access monitoring: current concepts.
Review in Hemodialysis international. International Symposium on Home Hemodialysis, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 83 citations in OpenAlex.
- Mechanical Thrombectomy Versus Pharmacomechanical Thrombolysis in Arteriovenous Grafts: A Review.Cureus · 2026Review
- Vascular Access 4.0 for Hemodialysis: Toward a Needle-Free, Smart, Closed, and Connected System.Journal of clinical medicine · 2026Article
- Improving vascular access knowledge and assessment skill of hemodialysis staff.Journal of osteopathic medicine · 2025Article
- Remote Surveillance Technology of Dialysis Arteriovenous Access: Retrospective Evaluation in a UK Renal Centre.Nephron · 2024Article
- Practice of dialysis access interventional nephrology procedures in the Asia-Pacific region: Getting lay of the land.Nephrology (Carlton, Vic.) · 2023Article
- Reassessing the utility of access recirculation and Kt/V for the prediction of arteriovenous fistula failure using online clearance monitoring: the SHUNT STUDY.Journal of nephrology · 2023Observational
- Thrombectomy approach for access maintenance in the end stage renal disease population: a narrative review.Cardiovascular diagnosis and therapy · 2023Review
- Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery.Jornal vascular brasileiro · 2023Review
- Ultrasound guided interventional procedures on arteriovenous fistulae.The journal of vascular access · 2021Article
- Stenosis Characterization and Identification for Dialysis Vascular Access.... IEEE Signal Processing in Medicine and Biology Symposium (SPMB). IEEE Signal Processing in Medicine and Biology Symposium · 2018Article
- Arteriovenous Access Failure, Stenosis, and Thrombosis.Canadian journal of kidney health and disease · 2016Article
- Hemodialysis vascular access stenosis detection using auditory spectro-temporal features of phonoangiography.Medical & biological engineering & computing · 2015Article
- Vascular access for hemodialysis: postoperative evaluation and function monitoring.International urology and nephrology · 2014Review
- Phonographic signal with a fractional-order chaotic system: a novel and simple algorithm for analyzing residual arteriovenous access stenosis.Medical & biological engineering & computing · 2013Article
- Surveillance and monitoring of dialysis access.International journal of nephrology · 2012Article
- Outcomes of endovascular intervention for salvage of failing hemodialysis access.Annals of vascular diseases · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Most arteriovenous grafts fail due to irreversible thrombosis, and most clotted grafts have an underlying stenotic lesion. These observations raise the plausible hypothesis that early detection of graft stenosis with preemptive angioplasty will reduce the likelihood of graft thrombosis. A number of noninvasive methods can be used to detect hemodynamically significant graft stenosis with a high positive predictive value. These tests include clinical monitoring, as well as surveillance by static dialysis venous pressures, flow monitoring, or duplex ultrasound. However, these surveillance tests have a much lower positive predictive value for graft thrombosis in the absence of preemptive angioplasty. In other words, none of the currently available surveillance tests can reliably distinguish between stenosed grafts destined to clot, and those that will remain patent without intervention. As a consequence, any program of graft surveillance necessarily results in a substantial proportion of unnecessary angioplasties. Moreover, a substantial proportion of grafts thrombose despite a normal antecedent surveillance test. Numerous observational studies have found an impressive reduction of graft thrombosis after implementation of a stenosis surveillance program. In contrast, 5 of 6 randomized clinical trials failed to show a reduction of graft thrombosis in patients undergoing graft surveillance, as compared with those receiving only clinical monitoring. The lack of benefit of surveillance is largely attributable to the rapid recurrence of stenosis after angioplasty. Thus, routine surveillance for graft stenosis, with preemptive angioplasty, cannot be recommended for reduction of graft thrombosis. Future research should be directed at pharmacologic interventions to prevent graft stenosis.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.