Better outcome of vascular accesses for hemodialysis patients

Renal failure requires chronic hemodialisis treatment with extracorporeal blood circulation. This in turn requires the execution of arm vessel surgery known as arteriovenous fistula. Currently these procedures are done relying almost exclusively on the surgeon experience. Even with skilled surgeons, however, a high percentage of patients experience complications that require reoperation.

The ARCH system makes possible to plan such surgery in advance on the basis of patient’s data, and obtain a prediction of the vascular access function outcome, allowing an optimisation of the surgical procedure and a reduction of associated complications such as non-maturation.

A prospective study is running coordinated by the Mario Negri Institue in Italy. Preliminary results on 63 patients confirm the efficacy of this technology. 

Bode A, Caroli A, Huberts W, Planken N, Antiga L, Bosboom M, Remuzzi A, Tordoir J. Clinical study protocol for the ARCH project - computational modeling for improvement of outcome after vascular access creation. J Vasc Access. 2011 Oct-Dec;12(4):369-76. doi: 10.5301/JVA.2011.8382.
Caroli A, Manini S, Antiga L, Passera K, Ene-Iordache B, Rota S, Remuzzi G, Bode A, Leermakers J, van de Vosse FN, Vanholder R, Malovrh M, Tordoir J, Remuzzi A. Validation of a patient-specific hemodynamic computational model for surgical planning of vascular access in hemodialysis patients. Kidney Int. 2013 Dec;84(6):1237-45. doi: 10.1038/ki.2013.188.
Public dissemination: Euronews coverage target also ARCH project www.euronews.com/2012/02/14/picture-my-body/

Avicenna Alliance news

The European Commission takes first step on the creation of the European Health Data Space

On 23 December, the European Commission published its inception impact assessment on the European Health...

find out more ›

The EMA/HMA network strategy to 2025 supports the uptake computer modelling and simulation

On 8 December, the European Medicines Agency (EMA) and Heads of Medicines Agencies (HMA) have published...

find out more ›

Towards Good Simulation Practice – An interview of Luca Emili and Prof. Marco Viceconti

During the 2020 Avicenna Day many experts from all over the world talked about the need for Good Simulation...

find out more ›

The Priorities of the Portuguese Presidency of the Council of the European Union of 2021

On 1 and 2 December, Portuguese Prime Minister António Costa presented to the EU institutions the Priorities...

find out more ›

Show all activites

Sign up for our monthly newsletter!


Sign up