Evidence map›Paper›PMID 30942634›Full record

Observational studyJournal of medical engineering & technology2018

Restoration of wall shear stress in the cephalic vein during extreme hemodynamics.

M E Boghosian, M S Hammes, K W Cassel, S M J Akherat, F Coe

Abstract readObservational Study
In one paragraph

Observational study in Journal of medical engineering & technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 24% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

M E Boghosiana Fluid Dynamic Research Center, Department of Mechanical , Materials, and Aerospace Engineering, Illinois Institute of Technology , Chicago , IL , USA.ORCID http://orcid.org/0000-0001-7899-6002
M S Hammesb Section of Nephrology, Department of Medicine , University of Chicago , Chicago , IL , USA.ORCID http://orcid.org/0000-0002-2524-6432
K W Cassela Fluid Dynamic Research Center, Department of Mechanical , Materials, and Aerospace Engineering, Illinois Institute of Technology , Chicago , IL , USA.ORCID http://orcid.org/0000-0003-0981-496X
S M J Akherata Fluid Dynamic Research Center, Department of Mechanical , Materials, and Aerospace Engineering, Illinois Institute of Technology , Chicago , IL , USA.ORCID http://orcid.org/0000-0003-2694-3536
F Coeb Section of Nephrology, Department of Medicine , University of Chicago , Chicago , IL , USA.
Illinois Institute of Technology · USUniversity of Chicago · US

Funding

A Clinical and Computational Study to Improve Brachiocephalic Fistula OutcomesR01DK090769 · NIDDK · UNIVERSITY OF CHICAGO · PI HAMMES, MARY SUSAN · 2011 to 2015
$3.0M
NIDDK NIH HHS R01 DK090769
6 · The paper itself

Abstract

The surgical creation of an artery-vein connection via a Brachicephalic fistula (BCF) in patients with end stage renal disease (ESRD) provides a unique opportunity to study blood vessel response mechanisms to extreme hemodynamic conditions in relatively short timeframes. After BCF creation, the flow rate in the vein increases by an order of magnitude leading to separated flows and corresponding abnormally low, or negative, wall shear stress (WSS) in the curved arch segment of the cephalic vein. Locations of abnormally low WSS are shown to correlate with development of neointimal hyperplasia (NH) and subsequent stenosis. It is found that the stenosis, prior to a surgical intervention, restores the normal physiological WSS in the vein. As a result, this investigation provides evidence that the adaptation principle, known to apply in the arterial system, is also valid in the venous system. A novel graphical method is developed that combines clinical and computational data to assist in interpreting these physiological mechanisms including adaptation that lead to changes in vein geometry over time.

Indexed as

HemodynamicsHumansKidneyKidney Failure, ChronicPatient-Specific ModelingRenal DialysisStress, MechanicalVeinsbrachiocephalicCephalicfistulavein adaptationwall shear stress

Identifiers

PMID30942634
PMCPMC6714973
OpenAlexW2926134258

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.