Author/Editor		Bode, Aron; Caroli, Anna; Huberts, Wouter; Planken, Nils; Antiga, Luca; Bosboom, Marielle; Remuzzi, Andrea; Tordoir, Jan; Malovrh, Marko
Title		Clinical study protocol for the ARCH project - computational modeling for improvement of outcome after vascular access creation
Type		članek
Source		J Vasc Access
Vol. and No.		Letnik 12, št. 4
Publication year		2011
Volume		str. 369-76
Language		eng
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.
Descriptors		KIDNEY FAILURE, ACUTE HEMODIALYSIS ARTERIOVENOUS SHUNT, SURGICAL PROGNOSIS COMPUTER SIMULATION CLINICAL PROTOCOLS