Cross-sectional imaging for presurgical planning of dialysis circuit vascular access creation in the end stage renal disease patient population

Daniel Raskin; Levester Kirksey; Abraham Levitin; Ali Khalifeh; Jon G Quatromoni; Sean P Lyden; Cassandra Kovach; Patrick Ghibes; Amrit Khooblall; Sasan Partovi

doi:10.1007/s10554-025-03357-2

Cross-sectional imaging for presurgical planning of dialysis circuit vascular access creation in the end stage renal disease patient population

Int J Cardiovasc Imaging. 2025 Mar 7. doi: 10.1007/s10554-025-03357-2. Online ahead of print.

Authors

Affiliations

¹ Interventional Radiology, Cleveland Clinic Main Campus, Cleveland, OH, USA. raskind@ccf.org.
² Vascular Surgery, Cleveland Clinic Main Campus, Cleveland, OH, USA.
³ Interventional Radiology, Cleveland Clinic Main Campus, Cleveland, OH, USA.
⁴ Kidney Medicine, Cleveland Clinic Main Campus, Cleveland, OH, USA.
⁵ University Hospital of Tuebingen, Tuebingen, Germany.

PMID: 40053168
DOI: 10.1007/s10554-025-03357-2

Abstract

This systematic review explores the role of cross-sectional imaging modalities-computed tomography angiography (CTA) and magnetic resonance angiography (MRA)-in the preoperative planning of dialysis vascular access for patients with end-stage renal disease (ESRD). A systematic search was conducted using PubMed and Cochrane databases, yielding 45 studies meeting inclusion criteria. These modalities are particularly valuable in cases of complex vascular anatomy, central venous stenosis, and prior surgical interventions. Findings emphasize the advantages of CTA for detailed anatomical mapping and MRA for cases requiring soft-tissue contrast or preservation of renal function. Representative clinical cases illustrate how imaging findings directly influence surgical and endovascular decision-making, optimizing patient outcomes. This manuscript describes the role of cross-sectional imaging for dialysis circuit vascular access interventions including representative clinical examples.

Keywords: Computed Tomography Angiography (CTA); Cross-Sectional Imaging; Dialysis Vascular Access; End-Stage Renal Disease (ESRD); Magnetic Resonance Angiography (MRA).

Publication types

Review