Evidence map›Paper›PMID 38157188›Full record

ArticlePhysical and engineering sciences in medicine2024

Flow-induced high frequency vascular wall vibrations in an arteriovenous fistula: a specific stimulus for stenosis development?

Michela Bozzetto, Andrea Remuzzi, Kristian Valen-Sendstad

Open access · hybridAbstract read
In one paragraph

Article in Physical and engineering sciences in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

3 authors at 3 institutions in 2 countries.

Michela BozzettoBioengineering Department, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Ranica, BG, Italy.
Andrea RemuzziDepartment of Management Information and Production Engineering, University of Bergamo, Via G.B. Marconi 5, Dalmine, BG, Italy. andrea.remuzzi@unibg.it.ORCID http://orcid.org/0000-0002-4301-8927
Kristian Valen-SendstadDepartment of Computational Physiology, Simula Research Laboratory, Oslo, Norway.
Mario Negri Institute for Pharmacological Research · ITSimula Research Laboratory · NOUniversity of Bergamo · IT

Funding

Norges Forskningsråd 262827
6 · The paper itself

Abstract

Hemodialysis is the lifeline for nearly three million end stage renal disease patients worldwide. Native arteriovenous fistula (AVF) is the preferred vascular access, but 40% fail within 1 year. We recently demonstrated that AVFs harbour transitional flows and the goal of the present study was to investigate whether the associated high-frequency pressure fluctuations could promote vibrations within the vascular wall. We acquired MRI images and flow rates immediately after surgery in one patient and generated a 3D patient-specific model. High-fidelity fluid structure interaction simulations revealed the presence of wall vibrations in distinct frequency bands up to 200 Hz and amplitude of 200 μm. A sensitivity analysis to assess the impact of flow rates, and vascular wall stiffness and thickness, changes that typically occur during AVF maturation, confirmed the robustness of the results. Interestingly, the vibrations were always predominant at the anastomosis floor and on the inner venous side, which correlates with typical stenotic regions. As studies seeking to correlate aberrant stresses and vascular remodelling have been largely inconclusive, the focal colocalization between vibrations and stenosis may suggest an unknown mechanobiological process between high-frequency mechanical stresses within the vascular wall and adverse vascular remodelling.

Indexed as

Arteriovenous FistulaArteriovenous Shunt, SurgicalConstriction, PathologicHumansVascular RemodelingVibrationArteriovenous fistulaMechanobiologyTransitional flowVascular wall vibrations

Identifiers

PMID38157188
PMCPMC10963540
OpenAlexW4390395812

What Socratic holds

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LicenceCC BY
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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 Socratic graph.