{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:29Z","timestamp":1777943909782,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemodialysis (HD) patients present an increased carotid intima-media thickness (CIMT) and calcified plaques, and studies have demonstrated that CIMT is predictor for cardiovascular death in this patient population; hence, the importance of identifying early non-invasive markers of atherosclerosis. We aim to propose a new three-perspective CIMT measuring method in HD population, and to further investigate the possible use and value of this method to predict outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted, the CIMT was measured with duplex ultrasound during the perioperative access planning. Software provided maximum CIMT in a 10\u00a0mm (mm) width of the common carotid artery. CIMT was measured in Right (R) and Left (L) carotid arteries, both in anterior (a), lateral (l), and posterior (p) view. The sum of these values (Ra+Rl+Rp+La+Ll+Lp) was completed and termed as Sixth Carotid Intimal (SCI) score. We stratified either in low (summation &lt;4) or high (&gt;=4) SCI score groups. Demographics, patency rates, complications, and mortality were collected; chi-square test was used for our analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 30 patients (mean age 49\u00a0years and 56% females) that underwent access creation in the upper arm from 2010 to 2016 were selected and studied. A low SCI score was found 19 patients and 11 had high SCI, no significant difference was observed in demographics, history cardiovascular disease, and clinical outcomes as early thrombosis, and primary, primary-assisted patency at 12\u00a0months. Interestingly, during the follow up period of 36\u00a0months a significant higher difference in late thrombosis rates occurred (63.6% vs 26.3%,\n                      <jats:italic>p<\/jats:italic>\n                      = .044) and a higher all-cause mortality (54.4% vs 15.7%,\n                      <jats:italic>p<\/jats:italic>\n                      = .025) in patients with SCI score group above 4.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The SCI score method, might offer a screening tool for traditional cardiovascular risk factors in HD patients. In this study, we demonstrate an increased rate in late thrombosis and mortality in those with high SCI. Further research is necessary to better define the role of CIMT in vascular surgical procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241258554","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T11:24:23Z","timestamp":1717154663000},"page":"632-639","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multi-perspective ultrasound evaluation of Carotid Intima-Media thickness in hemodialysis access patients and its possible use to predict clinical outcomes"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-251X","authenticated-orcid":false,"given":"Adriana","family":"Torres-Machorro","sequence":"first","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Ch\u00e1vez, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier E.","family":"Anaya-Ayala","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Lopez-Mendez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose I.","family":"Martinez-Quesada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose R.","family":"Garc\u00eda-Alva","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Cuen-Ojeda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Lozano-Corona","sequence":"additional","affiliation":[{"name":"Hospital Regional Adolfo Lopez Mateos, ISSSTE, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lizeth","family":"Luna","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9664-8703","authenticated-orcid":false,"given":"Carlos A.","family":"Hinojosa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n, Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00850805"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.778472"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000019641.41496.1E"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.109.196980"},{"issue":"1","key":"e_1_3_3_6_2","first-page":"S31","article-title":"Atherosclerosis: current concepts of pathophysiology and pharmacological intervention based on trial outcomes","volume":"60","author":"von Baeyer H","year":"2003","unstructured":"von Baeyer H, Hopfenm\u00fcller W, Riedel E, et al. 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Dialysis arteriovenous fistula failure and angioplasty: intimal hyperplasia and other causes of access failure. American Journal of Kidney Diseases. 2017;69(1):147\u2013151. Faber J Fonseca LM. How sample size influences research outcomes. 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