{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T02:56:04Z","timestamp":1781319364165,"version":"3.54.1"},"reference-count":70,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_bmt-2024-0044_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Anastomotic stenosis in arteriovenous fistulas (AVFs) is a significant issue for hemodialysis patients. This study uses computational fluid dynamics (CFD) simulations to evaluate the effects of different AVF configurations, comparing the RADAR technique with conventional AVF configurations in terms of hemodynamics, flow disturbances, and wall shear stress (WSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_bmt-2024-0044_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Echo-color Doppler (ECD) imaging and CFD simulations assessed disturbed hemodynamics in different AVF configurations. Large eddy simulations (LES) captured turbulence transition at the anastomosis. Hemodynamic parameters, including velocity distribution, vortex formation, WSS, wall displacement, and stress distribution, were analyzed. A one-way fluid-structure interaction (FSI) approach was used to compute fluid-induced wall forces and assess stress distribution and deformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_bmt-2024-0044_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The RADAR configuration showed superior hemodynamic performance with higher blood flow velocity, reduced turbulence, and a more favorable WSS environment, potentially reducing stenosis risk and improving long-term patency. Higher venous inner wall stress in RADAR configurations may aid vascular remodeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_bmt-2024-0044_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Optimizing AVF configurations and anastomosis angles can enhance AVF functionality, reduce complications, and improve hemodialysis outcomes for patients with end-stage renal disease. The RADAR technique may improve AVF maturation and reduce complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/bmt-2024-0044","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:57:32Z","timestamp":1771340252000},"page":"223-240","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing arteriovenous fistula (AVF) configurations: a computational study of radial artery deviation and reimplantation (RADAR) and conventional techniques in hemodynamics"],"prefix":"10.1515","volume":"71","author":[{"given":"Ning","family":"Zhang","sequence":"first","affiliation":[{"name":"12636 School of Materials Science and Engineering, Zhengzhou University , Zhengzhou , China"},{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongtao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nephrology , People\u2019s Hospital of Zhengzhou University , Zhengzhou , China"},{"name":"Fuwai Central China Cardiovascular Hospital , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Wang","sequence":"additional","affiliation":[{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"},{"name":"School of Mechanics and Safety Engineering, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Nephrology , People\u2019s Hospital of Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiawei","family":"Li","sequence":"additional","affiliation":[{"name":"12636 School of Materials Science and Engineering, Zhengzhou University , Zhengzhou , China"},{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shujie","family":"Yan","sequence":"additional","affiliation":[{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"},{"name":"School of Mechanics and Safety Engineering, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhua","family":"Hou","sequence":"additional","affiliation":[{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"},{"name":"School of Mechanics and Safety Engineering, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Pan","sequence":"additional","affiliation":[{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"},{"name":"Key Laboratory of Materials Processing and Mold (Ministry of Education), National Engineering Research Center for Advanced Polymer Processing Technology, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Li","sequence":"additional","affiliation":[{"name":"12636 School of Materials Science and Engineering, Zhengzhou University , Zhengzhou , China"},{"name":"National Center for International Research of Micro-Nano Molding Technology, Zhengzhou University , Zhengzhou , China"},{"name":"School of Mechanics and Safety Engineering, Zhengzhou University , Zhengzhou , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"2026061301570320052_j_bmt-2024-0044_ref_001","doi-asserted-by":"crossref","unstructured":"Santoro, D, Benedetto, F, Mondello, P, Pipit\u00f2, N, Barill\u00e0, D, Spinelli, F, et al.. 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