Intravascular Ultrasound is More Accurate Than Angiography in Arteriovenous Vascular Access Lesions

Geometric complexity directly contributes to modality-specific error. Angiography systematically underestimates lumen dimensions in complex, stenotic regions, while IVUS detects them with higher fidelity and preserves accuracy. These findings establish IVUS as the more reliable modality for evaluating AV access dysfunction and support its integration into routine practice in guiding intervention for AV access stenosis.

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Publication Details

Journal
Kidney360
Published
2026-02-13
DOI
https://doi.org/10.34067/kid.0000001128
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
Field-Weighted Citation Impact
0.00
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article

Intravascular Ultrasound is More Accurate Than Angiography in Arteriovenous Vascular Access Lesions

Vijaya B. Kolachalama, Vipul C. Chitalia, Tarek A. Shazly, Mohammad Bader et al.
Kidney360
Central Venous Catheters and Hemodialysis
article

Intravascular Ultrasound is More Accurate Than Angiography in Arteriovenous Vascular Access Lesions

Vijaya B. Kolachalama, Vipul C. Chitalia, Tarek A. Shazly, Mohammad Bader, Josua A. Decker, David Jasen Wu Wong, Alik Farber, Najia Idrees, S. Ganguli, Dima BaniHani, Saran Lotfollahzadeh, Jeffrey J. Siracuse, Curtis HonShideler
article en

Abstract

Geometric complexity directly contributes to modality-specific error. Angiography systematically underestimates lumen dimensions in complex, stenotic regions, while IVUS detects them with higher fidelity and preserves accuracy. These findings establish IVUS as the more reliable modality for evaluating AV access dysfunction and support its integration into routine practice in guiding intervention for AV access stenosis.

Kidney360
Boston University (US), Boston Medical Center (US), University of South Carolina (US), VA Boston Healthcare System (US), University of Pennsylvania (US)
Openalex Percentile: Top 61%
Central Venous Catheters and Hemodialysis
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