Evidence map›Paper›PMID 33117991›Full record

ArticleKidney3602020

The geometry of arteriovenous fistulas using endothelial nitric oxide synthase mouse models.

Isabelle Falzon, Hannah Northrup, Lingling Guo, John Totenhagen, Timmy Lee, Yan-Ting Shiu

Abstract read
In one paragraph

Article in Kidney360, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Isabelle FalzonDepartment of Biomedical Engineering, University of Utah, Salt Lake City, UT, USA.
Hannah NorthrupDepartment of Biomedical Engineering, University of Utah, Salt Lake City, UT, USA.
Lingling GuoDepartment of Medicine and Division of Nephrology, University of Alabama at Birmingham, Birmingham, AL, USA.
John TotenhagenDepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Timmy LeeDepartment of Medicine and Division of Nephrology, University of Alabama at Birmingham, Birmingham, AL, USA.
Yan-Ting ShiuDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CURTIS, LISA M · 2008 to 2022
$18.3M
Nitric oxide releasing nanomatrix to enhance dialysis fistula maturationR44DK109789 · NIDDK · ENDOMIMETICS, LLC · PI CHEN, JUN · 2017 to 2022
$3.8M
Hemodynamic Adaptation and Vascular Remodeling in Fistula DevelopmentR01HL139692 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEE, TIMMY C · 2018 to 2022
$2.1M
Dual Role of Lysyl Oxidase in Arteriovenous Fistula FailureR01DK121227 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SHIU, YAN-TING E., VAZQUEZ PADRON, ROBERTO IRENARDO · 2019 to 2023
$2.1M
Mechanotransduction in Neointimal Hyperplasia Formation in Arteriovenous GraftsR01DK100505 · NIDDK · UNIVERSITY OF UTAH · PI SHIU, YAN-TING E. · 2014 to 2017
$1.3M
The Role of Endothelial Dysfunction in Arteriovenous Fistula MaturationI01BX003387 · VA · BIRMINGHAM VA MEDICAL CENTER · PI LEE, TIMMY C · 2017 to 2020
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Mechanisms of imbalanced inward and outward arteriovenous fistula remodelingI01BX004133 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SHIU, YAN-TING E. · 2019 to 2023
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BLRD VA I01 BX003387BLRD VA I01 BX004133BLRD VA I01 BX004658BLRD VA I01 BX005640NHLBI NIH HHS R01 HL139692NIDDK NIH HHS P30 DK079337NIDDK NIH HHS R01 DK100505NIDDK NIH HHS R01 DK121227NIDDK NIH HHS R44 DK109789
6 · The paper itself

Abstract

backgroundArteriovenous fistula (AVF) maturation failure is a significant clinical problem in the hemodialysis population. Geometric parameters of human AVFs were associated with AVF development, but causative studies are lacking. We characterized mouse AVF geometry using endothelial nitric oxide synthase (NOS3) mouse models.

methodsCarotid-jugular AVFs were created in NOS3 overexpression (OE), knockout (KO), and wild type (WT) mice. At 7 and 21 days postcreation, black-blood magnetic resonance images of AVFs were acquired and used to build three-dimensional reconstructions of AVF lumens. We used these reconstructions to calculate the lumen area, lumen centerline, and centerline-derived parameters: anastomosis angle, tortuosity, nonplanarity angle, and location of maximal distance between the feeding artery and AVF vein. Inter- and intrauser variabilities were also determined.

resultsWhen all mice were considered, increased minimum AVF venous lumen area was accompanied by increased venous tortuosity and increased distance between the artery and vein, with both remaining in-plane with the anastomosis. At day 7, the lumen area of AVFs from all strains was 1.5- to 2.5-fold larger than native veins. Furthermore, at day 21, AVF lumen in NOS3 OE (4.04±1.43 mm

conclusionsOur study presents a detailed characterization of mouse AVF geometry, and a robust protocol for future mechanistic studies to investigate the role of molecular pathways in AVF geometry. Identifying a geometry related to desired AVF remodeling can help inform surgery to enhance AVF maturation.

Indexed as

Arteriovenous FistulaArteriovenous Shunt, SurgicalAnimalsMiceNitric Oxide Synthase Type IIIReproducibility of ResultsVeinsNitric Oxide Synthase Type III

Identifiers

PMID33117991
PMCPMC7591147

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Registered trials

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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.