Evidence map›Paper›PMID 32793578›Full record

ArticleFrontiers in bioengineering and biotechnology2020

The Anastomotic Angle of Hemodialysis Arteriovenous Fistula Is Associated With Flow Disturbance at the Venous Stenosis Location on Angiography.

Chih-Yu Yang, Ming-Chia Li, Chien-Wen Lan, Wang-Jiun Lee, Chen-Ju Lee, Cheng-Hsueh Wu, Jing-Min Tang, Yang-Yao Niu, Yao-Ping Lin, Yan-Ting Shiu and 5 more

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Rebuilding vascular access: from the viewpoint of mechanics and materials.Frontiers in bioengineering and biotechnology · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
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

15 authors.

Chih-Yu YangInstitute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Ming-Chia LiCenter for Intelligent Drug Systems and Smart Bio-devices (IDS2B), Hsinchu, Taiwan.
Chien-Wen LanDepartment of Biological Science and Technology, College of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan.
Wang-Jiun LeeDepartment of Biological Science and Technology, College of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan.
Chen-Ju LeeDepartment of Biological Science and Technology, College of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan.
Cheng-Hsueh WuDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Jing-Min TangDepartment of Aerospace Engineering, Tamkang University, New Taipei City, Taiwan.
Yang-Yao NiuDepartment of Aerospace Engineering, Tamkang University, New Taipei City, Taiwan.
Yao-Ping LinDivision of Nephrology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yan-Ting ShiuDivision of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT, United States.
Alfred K CheungDivision of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT, United States.
Yan-Hwa Wu LeeCenter for Intelligent Drug Systems and Smart Bio-devices (IDS2B), Hsinchu, Taiwan.
Oscar Kuang-Sheng LeeInstitute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Shu ChienInstitute of Engineering in Medicine, University of California, San Diego, San Diego, CA, United States.
Der-Cherng TarngInstitute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Funding

Mechanisms of imbalanced inward and outward arteriovenous fistula remodelingI01BX004133 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SHIU, YAN-TING E. · 2019 to 2023
–
6 · The paper itself

Abstract

The juxta-anastomotic stenosis of an arteriovenous fistula (AVF) is a significant clinical problem in hemodialysis patients with no effective treatment. Previous studies of AV anastomotic angles on hemodynamics and vascular wall injury were based on computational fluid dynamics (CFD) simulations using standardized AVF geometry, not the real-world patient images. The present study is the first CFD study to use angiographic images with patient-specific outcome information, i.e., the exact location of the AVF stenotic lesion. We conducted the CFD analysis utilizing patient-specific AVF geometric models to investigate hemodynamic parameters at different locations of an AVF, and the association between hemodynamic parameters and the anastomotic angle, particularly at the stenotic location. We analyzed 27 patients who used radio-cephalic AVF for hemodialysis and received an angiographic examination for juxta-anastomotic stenosis. The three-dimensional geometrical model of each patient's AVF was built using the angiographic images, in which the shape and the anastomotic angle of the AVF were depicted. CFD simulations of AVF hemodynamics were conducted to obtain blood flow parameters at different locations of an AVF. We found that at the location of the stenotic lesion, the AV angle was significantly correlated with access flow disturbance (

Indexed as

anastomotic angleangiographyarteriovenous fistulacomputational fluid dynamicsdisturbed flowstenosis

Identifiers

PMID32793578
PMCPMC7390971

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.