ID 111441
タイトル別表記
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
著者
川谷, 洋平 徳島大学大学院医科学教育部(医学専攻)
Nakamura, Yoshitsugu Chiba-Nishi General Hospital
Hori, Takaki Chiba-Nishi General Hospital
キーワード
endovascular aortic repair
contrast medium volume
estimated estimated glomerular filtration rate
contrast induced nephropathy
資料タイプ
学位論文
抄録
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.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
65
1-2
開始ページ
116
終了ページ
121
並び順
116
発行日
2018-02
備考
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。
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3135号
学位記番号
甲医第1369号
学位授与年月日
2018-03-23
学位名
博士(医学)
学位授与機関
徳島大学
部局
医学系