Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Correction (v188,p586)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sullivan, K. L.
Right arrow Articles by Moritz, M. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sullivan, K. L.
Right arrow Articles by Moritz, M. J.

Radiology, Vol 186, 867-872, Copyright © 1993 by Radiological Society of North America

ARTICLES

Hemodynamics of failing dialysis grafts [published erratum appears in Radiology 1993 Aug;188(2):586]

KL Sullivan, A Besarab, J Bonn, MJ Shapiro, GA Gardiner Jr and MJ Moritz
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107.

Pressures were measured in the graft and the central vein during 104 consecutive angiographic examinations of failing hemodialysis grafts. Stenosis severity greater than 40% led to a statistically significant rise in graft pressure. In grafts in which all stenoses were of 40% or less severity, the systolic pressures in the venous and arterial limbs of the grafts were 31% +/- 16 and 45% +/- 17, respectively, of systemic systolic pressure. In grafts in which the highest grade of stenosis was greater than 40%, pressures in the venous and arterial limbs of the grafts were 53% +/- 25 and 75% +/- 24, respectively, of systemic systolic pressure. Graft thrombosis tended to occur at a higher degree of lumen reduction (but at similar pressures) with central vein stenoses compared with venous anastomotic stenoses. Dialysis graft pressures can help determine the hemodynamic importance of stenoses and the need for intervention. Percutaneous intervention should achieve arterial and venous limb pressures of less than 50% and 33% of systemic pressure, respectively.


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
D. Hughes, A. A. Fu, A. Puggioni, J. F. Glockner, B. Anwer, A. M. McGuire, D. Mukhopadhyay, and S. Misra
Adventitial transplantation of blood outgrowth endothelial cells in porcine haemodialysis grafts alleviates hypoxia and decreases neointimal proliferation through a matrix metalloproteinase-9-mediated pathway--a pilot study
Nephrol. Dial. Transplant., January 1, 2009; 24(1): 85 - 96.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
W. D. Paulson, S. J. Ram, J. Work, S. A. Conrad, and S. A. Jones
Inflow stenosis obscures recognition of outflow stenosis by dialysis venous pressure: analysis by a mathematical model
Nephrol. Dial. Transplant., December 1, 2008; 23(12): 3966 - 3971.
[Abstract] [Full Text] [PDF]

Home page
 CJASNHome page
J. J. White, S. A. Jones, S. J. Ram, S. J. Schwab, and W. D. Paulson
Mathematical Model Demonstrates Influence of Luminal Diameters on Venous Pressure Surveillance
Clin. J. Am. Soc. Nephrol., July 1, 2007; 2(4): 681 - 687.
[Abstract] [Full Text] [PDF]

Home page
 CJASNHome page
J. J. White, S. J. Ram, S. A. Jones, S. J. Schwab, and W. D. Paulson
Influence of Luminal Diameters on Flow Surveillance of Hemodialysis Grafts: Insights from a Mathematical Model
Clin. J. Am. Soc. Nephrol., September 1, 2006; 1(5): 972 - 978.
[Abstract] [Full Text] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
T. D. Bui, I. L. Gordon, A. Parashar, D. Vo, and S. E. Wilson
Resistance Within Hemodialysis Shunts Predicts Patency
Vascular and Endovascular Surgery, August 1, 2006; 40(4): 295 - 302.
[Abstract] [PDF]

Home page
 RadiologyHome page
R. D. Levit, R. M. Cohen, A. Kwak, R. D. Shlansky-Goldberg, T. W. I. Clark, A. A. Patel, S. W. Stavropoulos, J. I. Mondschein, J. A. Solomon, C. M. Tuite, et al.
Asymptomatic Central Venous Stenosis in Hemodialysis Patients
Radiology, March 1, 2006; 238(3): 1051 - 1056.
[Abstract] [Full Text] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
P. H. Lin, R. L. Bush, L. Nguyen, M. A. Guerrero, C. Chen, and A. B. Lumsden
Anastomotic Strategies to Improve Hemodialysis Access Patency--A Review
Vascular and Endovascular Surgery, March 1, 2005; 39(2): 135 - 142.
[Abstract] [PDF]

Home page
 Nephrol Dial TransplantHome page
P. Wiese and B. Nonnast-Daniel
Colour Doppler ultrasound in dialysis access
Nephrol. Dial. Transplant., August 1, 2004; 19(8): 1956 - 1963.
[Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. M. Ryan, S. A. Dumbleton, J. Doherty, and T. P. Smith
Using a Covered Stent (Wallgraft) to Treat Pseudoaneurysms of Dialysis Grafts and Fistulas
Am. J. Roentgenol., April 1, 2003; 180(4): 1067 - 1071.
[Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
B. Funaki, R. Kim, J. Lorenz, D. Fimmen, T. Van Ha, J. A. Leef, J. D. Rosenblum, C. Straus, and G. X. Zaleski
Using Pullback Pressure Measurements to Identify Venous Stenoses Persisting After Successful Angioplasty in Failing Hemodialysis Grafts
Am. J. Roentgenol., May 1, 2002; 178(5): 1161 - 1165.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
G. X. Zaleski, B. Funaki, J. Rosenblum, J. Theoharis, and J. Leef
Metallic Stents Deployed in Synthetic Arteriovenous Hemodialysis Grafts
Am. J. Roentgenol., June 1, 2001; 176(6): 1515 - 1519.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1993 by the Radiological Society of North America.