The effect of flow changes on the arterial system proximal to an arteriovenous fistula for hemodialysis
Arterial remodeling in response to flow changes is controlled by the endothelium, sensing wall shear stress ( SS) changes. The present study focuses on the remodeling capacities of the brachial (BA) and radial artery (RA) of 16 renal failure patients after arteriovenous fistula creation. Pre- and po...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2005-10, Vol.31 (10), p.1327-1333 |
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| creator | Dammers, Ruben Tordoir, Jan H.M. Kooman, Jeroen P. Welten, Rob J. Th.J. Hameleers, Jeroen M.M. Kitslaar, Peter J.E.H.M. Hoeks, Arnold P.G. |
| description | Arterial remodeling in response to flow changes is controlled by the endothelium, sensing wall shear stress (
SS) changes. The present study focuses on the remodeling capacities of the brachial (BA) and radial artery (RA) of 16 renal failure patients after arteriovenous fistula creation. Pre- and postoperatively at predetermined time-points, diameter, wall thickness and peak and mean
SS were assessed. After arteriovenous fistula creation, acute increases in BA
SS (
p = 0.018) and lumen diameter (
p = 0.028) were observed. The diameter further increased in the next year (
p = 0.023), whereas BA
SS remained unchanged. RA
SS and diameter increased acutely (
p = 0.005) and remained unaltered after 1 y. RA wall thickness tended to decrease acutely (
p = 0.059) and increased steadily during 1 y (
p = 0.008). BA and RA diameter acutely increased after an acute
SS rise and remained augmented after 1 y. Also, the RA vessel wall thickness enlarged, indicating structural remodeling. After 1 y, however, these changes did not result in
SS restoration. (E-mail:
j.tordoir@surgery.azm.nl) |
| doi_str_mv | 10.1016/j.ultrasmedbio.2005.03.017 |
| format | Article |
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SS) changes. The present study focuses on the remodeling capacities of the brachial (BA) and radial artery (RA) of 16 renal failure patients after arteriovenous fistula creation. Pre- and postoperatively at predetermined time-points, diameter, wall thickness and peak and mean
SS were assessed. After arteriovenous fistula creation, acute increases in BA
SS (
p = 0.018) and lumen diameter (
p = 0.028) were observed. The diameter further increased in the next year (
p = 0.023), whereas BA
SS remained unchanged. RA
SS and diameter increased acutely (
p = 0.005) and remained unaltered after 1 y. RA wall thickness tended to decrease acutely (
p = 0.059) and increased steadily during 1 y (
p = 0.008). BA and RA diameter acutely increased after an acute
SS rise and remained augmented after 1 y. Also, the RA vessel wall thickness enlarged, indicating structural remodeling. After 1 y, however, these changes did not result in
SS restoration. (E-mail:
j.tordoir@surgery.azm.nl)</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2005.03.017</identifier><identifier>PMID: 16223635</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged ; Arterial remodeling ; Arteriovenous Shunt, Surgical ; Blood Flow Velocity ; Blood Viscosity ; Brachial artery ; Brachial Artery - diagnostic imaging ; Brachial Artery - physiopathology ; Circumferential wall stress ; End-stage renal disease ; Female ; Hemorheology ; Humans ; Intima-media thickness ; Kidney Failure, Chronic - diagnostic imaging ; Kidney Failure, Chronic - physiopathology ; Male ; Middle Aged ; Radial artery ; Radial Artery - diagnostic imaging ; Radial Artery - physiopathology ; Regional Blood Flow ; Renal Dialysis ; Shear stress ; Stress, Mechanical ; Tunica Intima - diagnostic imaging ; Ultrasonography ; Ultrasound</subject><ispartof>Ultrasound in medicine & biology, 2005-10, Vol.31 (10), p.1327-1333</ispartof><rights>2005 World Federation for Ultrasound in Medicine & Biology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-ca24980708c6abb2dfa1a79ce7004cc3289110a5d6ffc333064c182ad41d5a283</citedby><cites>FETCH-LOGICAL-c409t-ca24980708c6abb2dfa1a79ce7004cc3289110a5d6ffc333064c182ad41d5a283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ultrasmedbio.2005.03.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16223635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dammers, Ruben</creatorcontrib><creatorcontrib>Tordoir, Jan H.M.</creatorcontrib><creatorcontrib>Kooman, Jeroen P.</creatorcontrib><creatorcontrib>Welten, Rob J. Th.J.</creatorcontrib><creatorcontrib>Hameleers, Jeroen M.M.</creatorcontrib><creatorcontrib>Kitslaar, Peter J.E.H.M.</creatorcontrib><creatorcontrib>Hoeks, Arnold P.G.</creatorcontrib><title>The effect of flow changes on the arterial system proximal to an arteriovenous fistula for hemodialysis</title><title>Ultrasound in medicine & biology</title><addtitle>Ultrasound Med Biol</addtitle><description>Arterial remodeling in response to flow changes is controlled by the endothelium, sensing wall shear stress (
SS) changes. The present study focuses on the remodeling capacities of the brachial (BA) and radial artery (RA) of 16 renal failure patients after arteriovenous fistula creation. Pre- and postoperatively at predetermined time-points, diameter, wall thickness and peak and mean
SS were assessed. After arteriovenous fistula creation, acute increases in BA
SS (
p = 0.018) and lumen diameter (
p = 0.028) were observed. The diameter further increased in the next year (
p = 0.023), whereas BA
SS remained unchanged. RA
SS and diameter increased acutely (
p = 0.005) and remained unaltered after 1 y. RA wall thickness tended to decrease acutely (
p = 0.059) and increased steadily during 1 y (
p = 0.008). BA and RA diameter acutely increased after an acute
SS rise and remained augmented after 1 y. Also, the RA vessel wall thickness enlarged, indicating structural remodeling. After 1 y, however, these changes did not result in
SS restoration. (E-mail:
j.tordoir@surgery.azm.nl)</description><subject>Aged</subject><subject>Arterial remodeling</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Blood Flow Velocity</subject><subject>Blood Viscosity</subject><subject>Brachial artery</subject><subject>Brachial Artery - diagnostic imaging</subject><subject>Brachial Artery - physiopathology</subject><subject>Circumferential wall stress</subject><subject>End-stage renal disease</subject><subject>Female</subject><subject>Hemorheology</subject><subject>Humans</subject><subject>Intima-media thickness</subject><subject>Kidney Failure, Chronic - diagnostic imaging</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radial artery</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Radial Artery - physiopathology</subject><subject>Regional Blood Flow</subject><subject>Renal Dialysis</subject><subject>Shear stress</subject><subject>Stress, Mechanical</subject><subject>Tunica Intima - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1P3DAQhq2qqGxp_0Jl9dBbwthOnJgbol9ISFxA4mZ5nTHrVRJT26Hdf4_RrkRvcLKseV7PjB9CvjKoGTB5uq2XMUeTJhzWPtQcoK1B1MC6d2TF-k5VXLG792QFAljVSq6OyceUtgDQSdF9IMdMci6kaFfk_maDFJ1Dm2lw1I3hL7UbM99jomGmuVRNzBi9GWnapYwTfYjhn5_KPQdq5kM5POIclkSdT3kZDXUh0g1OYSjBXfLpEzlyZkz4-XCekNufP24ufldX178uL86vKtuAypU1vFE9dNBbadZrPjjDTKcsdgCNtYL3ijEw7SCds0IIkI1lPTdDw4bW8F6ckG_7d8uUfxZMWU8-WRxHM2OZT8teqp41_FWQqaYpsCjg2R60MaQU0emHWNaPO81AP_vQW_2_D_3sQ4PQxUcJfzl0Wdal_BI9CCjA9z2A5VMePUadrMfZ4uBjcaKH4N_S5wkFZ6Tl</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Dammers, Ruben</creator><creator>Tordoir, Jan H.M.</creator><creator>Kooman, Jeroen P.</creator><creator>Welten, Rob J. Th.J.</creator><creator>Hameleers, Jeroen M.M.</creator><creator>Kitslaar, Peter J.E.H.M.</creator><creator>Hoeks, Arnold P.G.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20051001</creationdate><title>The effect of flow changes on the arterial system proximal to an arteriovenous fistula for hemodialysis</title><author>Dammers, Ruben ; Tordoir, Jan H.M. ; Kooman, Jeroen P. ; Welten, Rob J. Th.J. ; Hameleers, Jeroen M.M. ; Kitslaar, Peter J.E.H.M. ; Hoeks, Arnold P.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-ca24980708c6abb2dfa1a79ce7004cc3289110a5d6ffc333064c182ad41d5a283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Arterial remodeling</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Blood Flow Velocity</topic><topic>Blood Viscosity</topic><topic>Brachial artery</topic><topic>Brachial Artery - diagnostic imaging</topic><topic>Brachial Artery - physiopathology</topic><topic>Circumferential wall stress</topic><topic>End-stage renal disease</topic><topic>Female</topic><topic>Hemorheology</topic><topic>Humans</topic><topic>Intima-media thickness</topic><topic>Kidney Failure, Chronic - diagnostic imaging</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radial artery</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Radial Artery - physiopathology</topic><topic>Regional Blood Flow</topic><topic>Renal Dialysis</topic><topic>Shear stress</topic><topic>Stress, Mechanical</topic><topic>Tunica Intima - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dammers, Ruben</creatorcontrib><creatorcontrib>Tordoir, Jan H.M.</creatorcontrib><creatorcontrib>Kooman, Jeroen P.</creatorcontrib><creatorcontrib>Welten, Rob J. Th.J.</creatorcontrib><creatorcontrib>Hameleers, Jeroen M.M.</creatorcontrib><creatorcontrib>Kitslaar, Peter J.E.H.M.</creatorcontrib><creatorcontrib>Hoeks, Arnold P.G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dammers, Ruben</au><au>Tordoir, Jan H.M.</au><au>Kooman, Jeroen P.</au><au>Welten, Rob J. Th.J.</au><au>Hameleers, Jeroen M.M.</au><au>Kitslaar, Peter J.E.H.M.</au><au>Hoeks, Arnold P.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of flow changes on the arterial system proximal to an arteriovenous fistula for hemodialysis</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>31</volume><issue>10</issue><spage>1327</spage><epage>1333</epage><pages>1327-1333</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Arterial remodeling in response to flow changes is controlled by the endothelium, sensing wall shear stress (
SS) changes. The present study focuses on the remodeling capacities of the brachial (BA) and radial artery (RA) of 16 renal failure patients after arteriovenous fistula creation. Pre- and postoperatively at predetermined time-points, diameter, wall thickness and peak and mean
SS were assessed. After arteriovenous fistula creation, acute increases in BA
SS (
p = 0.018) and lumen diameter (
p = 0.028) were observed. The diameter further increased in the next year (
p = 0.023), whereas BA
SS remained unchanged. RA
SS and diameter increased acutely (
p = 0.005) and remained unaltered after 1 y. RA wall thickness tended to decrease acutely (
p = 0.059) and increased steadily during 1 y (
p = 0.008). BA and RA diameter acutely increased after an acute
SS rise and remained augmented after 1 y. Also, the RA vessel wall thickness enlarged, indicating structural remodeling. After 1 y, however, these changes did not result in
SS restoration. (E-mail:
j.tordoir@surgery.azm.nl)</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>16223635</pmid><doi>10.1016/j.ultrasmedbio.2005.03.017</doi><tpages>7</tpages></addata></record> |
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| ispartof | Ultrasound in medicine & biology, 2005-10, Vol.31 (10), p.1327-1333 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_68698142 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Arterial remodeling Arteriovenous Shunt, Surgical Blood Flow Velocity Blood Viscosity Brachial artery Brachial Artery - diagnostic imaging Brachial Artery - physiopathology Circumferential wall stress End-stage renal disease Female Hemorheology Humans Intima-media thickness Kidney Failure, Chronic - diagnostic imaging Kidney Failure, Chronic - physiopathology Male Middle Aged Radial artery Radial Artery - diagnostic imaging Radial Artery - physiopathology Regional Blood Flow Renal Dialysis Shear stress Stress, Mechanical Tunica Intima - diagnostic imaging Ultrasonography Ultrasound |
| title | The effect of flow changes on the arterial system proximal to an arteriovenous fistula for hemodialysis |
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