The ratio of contrast medium volume to estimated glomerular filtration rate as a predictor of contrast-induced nephropathy after endovascular aortic repair

• 資料種別: 博士論文
• タイトル: The ratio of contrast medium volume to estimated glomerular filtration rate as a predictor of contrast-induced nephropathy after endovascular aortic repair
• 著者・編者: Kawatani, Yohei; Kurobe, Hirotsugu; Nakamura, Yoshitsugu; Hori, Takaki; Kitagawa, Tetsuya
• 著者標目: Kawatani, Yohei; Kurobe, Hirotsugu; Nakamura, Yoshitsugu; Hori, Takaki; Kitagawa, Tetsuya
• 出版事項: Faculty of Medicine Tokushima University
• 出版年月日等: 2018-02
• 出版年（W3CDTF）: 2018-02
• 並列タイトル等: 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
• タイトル（掲載誌）: The Journal of Medical Investigation
• 巻号年月日等（掲載誌）: 65 1-2
• 掲載巻: 65
• 掲載号: 1-2
• 掲載ページ: 116-121
• ISSN（掲載誌）: ISSN : 1349-6867; ISSN : 1343-1420
• 授与機関名: 徳島大学
• 授与年月日: 2018-03-23
• 報告番号: 甲第3135号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: endovascular aortic repair; contrast medium volume; estimated estimated glomerular filtration rate; contrast induced nephropathy
• 対象利用者: 一般
• 一般注記: 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.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.2152/jmi.65.116
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

https://repo.lib.tokushima-u.ac.jp/files/public/11/111441/20190722105359630363/k3135_abstract_review.pdf fulltext

https://repo.lib.tokushima-u.ac.jp/files/public/11/111441/20190730173727820533/k3135_fulltext.pdf fulltext