Evidence map›Paper›PMID 30219054›Full record

ArticleBMC medical imaging2018

A pilot study on adjunctive use of parametric colour-coded digital subtraction angiography in endovascular interventions of haemodialysis access.

Ru Yu Tan, Tze Tec Chong, Fu Chieh Tsai, Suh Chien Pang, Kian Guan Lee, Apoorva Gogna, Alicia Huiying Ong, Chieh Suai Tan

Abstract readComparative Study
In one paragraph

Article in BMC medical imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ru Yu TanDepartment of Renal Medicine, Singapore General Hospital, Singapore, Singapore. tan.ru.yu@singhealth.com.sg.ORCID 0000-0003-1491-2302
Tze Tec ChongDepartment of Vascular Surgery, Singapore General Hospital, Singapore, Singapore.
Fu Chieh TsaiDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Suh Chien PangDepartment of Renal Medicine, Singapore General Hospital, Singapore, Singapore.
Kian Guan LeeDepartment of Renal Medicine, Singapore General Hospital, Singapore, Singapore.
Apoorva GognaDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Alicia Huiying OngDuke-NUS Medical School, Singapore, Singapore.
Chieh Suai TanDepartment of Renal Medicine, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo-dimensional digital subtraction angiography (DSA) is the gold standard for angiographic evaluation of dysfunctional haemodialysis access. We aim to investigate the utility of parametric colour coded DSA in providing hemodynamic analysis during haemodialysis access interventions.

methodsWe retrospectively studied 20 patients who underwent access intervention and applied parametric colour-coding on selected DSA acquisitions before and after percutaneous transluminal angioplasty (PTA). The difference in time to peak (dTTP) contrast enhancement and time attenuation curve (TAC) of pre- and post-stenotic regions of interest (ROIs) were obtained and compared after treatment.

resultsImprovements were seen in mean percent of stenosis after PTA (p < 0.0001) for all cases. Median dTTP improved from 0.52 (IQR 0.26, 0.8) to 0.25 (IQR 0, 0.26) seconds (p = 0.001). Median 50% contrast washout time improved from 0.77 (IQR 0.39, 1.17) to 0.42 (IQR 0.23, 0.59) seconds (p = 0.031). Significant correlation was seen for dTTP vs. percent of stenosis (r = 0.723, p = 0.043) pre-PTA and for change in dTTP vs. percent change in stenosis post-PTA (r = 0.786, p = 0.021) for inflow lesions. Such correlation was however not seen in outflow lesions.

conclusionsAdjunctive use of parametric colour-coded DSA may provide potentially useful hemodynamic information during vascular access interventions. Larger prospective studies are needed to validate our findings.

Indexed as

AgedAngiography, Digital SubtractionAngioplastyColorFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsRenal DialysisRetrospective StudiesColour-codedDigital subtraction angiographyEndovascular interventionHaemodialysisVascular access

Identifiers

PMID30219054
PMCPMC6139131

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