Disturbed flow in radial-cephalic arteriovenous fistulae for haemodialysis: low and oscillating shear stress locates the sites of stenosis
Author(s) -
Bogdan EneIordache,
Andrea Remuzzi
Publication year - 2011
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfr342
Subject(s) - medicine , stenosis , shear stress , blood flow , hemodynamics , arteriovenous fistula , anastomosis , cephalic vein , cardiology , intimal hyperplasia , arteriovenous anastomosis , anatomy , radiology , mechanics , vein , surgery , smooth muscle , physics
Despite recent clinical and technological advancements, the vascular access (VA) for haemodialysis still has significant early failure rates after arteriovenous fistula (AVF) creation. VA failure is mainly related to the haemodynamic conditions that trigger the phenomena of vascular wall disease such as intimal hyperplasia (IH) or atherosclerosis.
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