Clinical study protocol for the ARCH project : computational modeling for improvement of outcome after vascular access creation

A.S. Bode, A. Caroli, W. Huberts, R.N. Planken, L. Antiga, E.M.H. Bosboom, A. Remuzzi, J.H.M. Tordoir

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Abstract

Despite clinical guidelines and the possibility of diagnostic vascular imaging, creation and maintenance of a vascular access (VA) remains problematic: avoiding short- and long-term VA dysfunction is challenging. Although prognostic factors for VA dysfunction have been identified in previous studies, their potential interplay at a systemic level is disregarded. Consideration of multiple prognostic patient specific factors and their complex interaction using dedicated computational modeling tools might improve outcome after VA creation by enabling a better selection of VA configuration. These computational modeling tools are developed and validated in the ARCH project: a joint initiative of four medical centers and three industrial partners (FP7-ICT-224390). This paper reports the rationale behind computational modeling and presents the clinical study protocol designed for calibrating and validating these modeling tools. The clinical study is based on the pre-operative collection of structural and functional data at a vascular level, as well as a VA functional evaluation during the follow-up period. The strategy adopted to perform the study and for data collection is also described here.
Original languageEnglish
Pages (from-to)369-376
Number of pages8
JournalJournal of Vascular Access
Volume12
Issue number4
DOIs
Publication statusPublished - 2011

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