Evidence map›Paper›PMID 40606381›Full record

ArticleQuantitative imaging in medicine and surgery2025

Differential hemodynamics between autogenous arteriovenous fistulas in forearm created by modified no-touch technique and conventional surgery: four-dimensional flow magnetic resonance imaging approach.

Haining Wei, Xiaohe Wang, Hongquan Pang, Mingzhu Fu, Rui Li, Guocun Hou

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Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Haining Wei *Center for Biomedical Imaging Research, School of Biomedical Engineering, Tsinghua University, Beijing, China.ORCID https://orcid.org/0000-0002-9531-3987
Xiaohe Wang *Department of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.
Hongquan PangDepartment of Medical Imaging, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.
Mingzhu FuCenter for Biomedical Imaging Research, School of Biomedical Engineering, Tsinghua University, Beijing, China.
Rui LiCenter for Biomedical Imaging Research, School of Biomedical Engineering, Tsinghua University, Beijing, China.
Guocun HouDepartment of Nephrology, Suzhou Research Center of Medical School, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Radio-cephalic arteriovenous fistula (RC-AVF) is regarded as favored choice for vascular access in patients undergoing hemodialysis. However, the mainstream surgical technique is associated with low primary patency rate. Recently, RC-AVF creation by modified no-touch technique (MNTT) is reported to increase primary patency and decrease juxta-anastomotic stenosis in initial small sample size and short-term follow-up study. This comparative study aims to investigate the hemodynamic discrepancies between RC-AVF created by MNTT and conventional technique (CT). Methods: To further explore the differences between MNTT and CT, four-dimensional (4D) flow magnetic resonance imaging (MRI) was used to analyze the hemodynamic of RC-AVFs. Thirty patients who underwent 4D-flow MRI examination were included. Eighteen in the MNTT group and twelve in the CT group. Hemodynamic analysis was performed to measure blood flow velocity, vorticity, relative helicity, wall shear stress (WSS) and oscillatory shear index (OSI) in the artery and vein of RC-AVFs created by the two techniques. Results: The averaged velocity, vorticity and WSS was found higher in the MNTT group (velocity =0.771±0.029 m/s in artery, 0.955±0.055 m/s in vein; vorticity =529.115±50.006 1/s in artery, 709.895±43.180 1/s in vein; WSS =7.885±0.239 Pa in artery, 9.378±0.738 Pa in vein) than those in the CT group (velocity: 0.577±0.011 m/s in artery, 0.611±0.014 m/s in vein; vorticity =438.028±6.819 1/s in artery, 539.670±19.891 1/s in vein; WSS =5.611±0.213 Pa in artery, 5.314±0.279 Pa in vein) (P<0.001). The averaged relative helicity magnitude of artery in MNTT group was higher than that CT group (0.349±0.067 Conclusions: Patients in the MNTT group had good prognosis related to the improved fistula hemodynamics.

Indexed as

four-dimensional flow magnetic resonance imaging (4D-flow MRI)hemodynamicsmodified no-touch technique (MNTT)Radio-cephalic arteriovenous fistula (RC-AVF)

Identifiers

PMID40606381
PMCPMC12209657

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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 Socratic graph.