The outcomes of carbon dioxide digital subtraction angiography for percutaneous transluminal balloon angioplasty of access circuits and venous routes in hemodialysis patients

• 資料種別: 博士論文
• タイトル: The outcomes of carbon dioxide digital subtraction angiography for percutaneous transluminal balloon angioplasty of access circuits and venous routes in hemodialysis patients
• 著者・編者: 田崎, 裕太郎
• 著者標目: 田崎, 裕太郎
• 出版事項: Wolters Kluwer Health, Inc.
• 出版年月日等: 2022-03-18
• 出版年（W3CDTF）: 2022-03-18
• 並列タイトル等: 透析患者に対するCO2を用いたballoon PTAとヨード造影剤を用いたballoon PTAの治療成績の比較
• タイトル（掲載誌）: Medicine
• 巻号年月日等（掲載誌）: 99 36
• 掲載巻: 99
• 掲載号: 36
• 掲載ページ: e21890-
• ISSN（掲載誌）: ISSN : 0025-7974
• 授与機関名: Nagasaki University (長崎大学)
• 授与年月日: 2022-03-18
• 報告番号: 甲医歯薬第1393号
• 学位: 博士(医学)
• 本文の言語コード: eng
• 件名標目: CO2; dialysis; DSA; interventional radiology; PTA
• 対象利用者: 一般
• 一般注記: The outcomes of carbon dioxide digital subtraction angiography (CO2-DSA) for performing percutaneous transluminal balloon angioplasty (balloon PTA) in hemodialysis patients has not been fully clarified. The purpose was to compare the outcomes of balloon PTA of hemodialysis shunts in terms of vessel patency between patients treated using CO2-DSA and conventional digital subtraction angiography using iodine contrast medium (C-DSA). We retrospectively evaluated 76 patients (38 males and 38 females, mean age: 65.0 ± 14.0 years). They were under hemodialysis and treated with balloon PTA using CO2-DSA or C-DSA at our institution between 2009 and 2016. Mean duration of the follow-up period was 25.59 ± 21.45 months. We compared the patency rates obtained after CO2-DSA-based balloon PTA with those after C-DSA-based balloon PTA. Secondary patency, which was defined as the duration of patency after all further endovascular interventions until surgical repair, was considered as the endpoint in this study. Overall, 19 and 57 patients underwent CO2-DSA- and C-DSA-based balloon PTA, respectively. CO2-DSA- and C-DSA-based balloon PTA produced clinical success rates of 100% and 96.5%, respectively. Blood vessel injury occurred in one patient who underwent C-DSA-based balloon PTA. No major complications occurred in CO2 group. At 24 months, the post-PTA secondary patency rates of CO2-DSA- and C-DSA-based balloon PTA were 94.1% and 93.9%, respectively (P = .9594). CO2-DSA is safe for hemodialysis patients. Compared with C-DSA, CO2-DSA-based balloon PTA produces have a similar secondary patency rate.; 長崎大学学位論文 学位記番号:博(医歯薬)甲第1393号 学位授与年月日:令和4年3月18日; Author: Yutaro Tasaki, Eijun Sueyoshi, Hiroko Takamatsu, Yoshifumi Matsushima, Shuto Miyamura, Ichiro Sakamoto, Yasushi Mochizuki, Masataka Uetani; Citation: Medicine, 99(36), e21890; 2020; identifier:Nagasaki University (長崎大学), 博士(医学) (2022-03-18)
• 一次資料へのリンクURL: https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27359&item_no=1&attribute_id=70&file_no=1 （fulltext）; https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27359&item_no=1&attribute_id=70&file_no=1
• オンライン閲覧公開範囲: インターネット公開
• 著作権情報: © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
• 関連情報: http://hdl.handle.net/10069/00041154
• 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: 長崎大学 : 長崎大学学術研究成果リポジトリ