ID 111441
Title Alternative
ステントグラフト内挿術後の造影剤腎症発症の予測因子としての造影剤使用量と推定糸球体濾過率比
CIN after endovascular aortic repair
Author
Kawatani, Yohei Tokushima University|Chiba-Nishi General Hospital
Nakamura, Yoshitsugu Chiba-Nishi General Hospital
Hori, Takaki Chiba-Nishi General Hospital
Keywords
endovascular aortic repair
contrast medium volume
estimated estimated glomerular filtration rate
contrast induced nephropathy
Content Type
Thesis or Dissertation
Description
Objective : This study aimed to determine the perioperative predictors of contrast medium-induced nephropathy (CIN) after endovascular aortic repair (EVAR). Materials and Methods : The data of 203 consecutive patients who underwent elective EVAR for thoracic and abdominal aortic aneurysm between January 2014 and September 2014 were retrospectively analyzed. CIN was defined according to the diagnostic criteria of the European Society of Urogenital Radiology. Results : Fourteen patients (6.9%) developed CIN after EVAR. Contrast medium volume (CV), preoperative serum creatinine, estimated glomerular filtration rate (eGFR), and the CV/eGFR ratio were significantly related with CIN development after EVAR. The CV/eGFR ratio was significantly higher in patients with CIN than those without CIN. Receiver operator characteristic curve analysis showed that the area under the curve of the CV/eGFR ratio was 0.782, indicating that it was the most important predictor. The appropriate CV/eGFR ratio cutoff was >1.62. Sensitivity and specificity were 85.7% and 65.6%, respectively. Conclusions : The CV/eGFR ratio was a useful predictor of contrast medium-induced nephropathy after EVAR. It is possible that the score can be used in patients when managing the EVAR techniques and contrast medium volume.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
65
Issue
1-2
Start Page
116
End Page
121
Sort Key
116
Published Date
2018-02
Remark
内容要旨・審査要旨・論文本文の公開
本論文は,著者Yohei Kawataniの学位論文として提出され,学位審査・授与の対象となっている。
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3135号
Diploma Number
甲医第1369号
Granted Date
2018-03-23
Degree Name
Doctor of Medical Science
Grantor
Tokushima University
departments
Medical Sciences