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

• Material Type: 博士論文
• Title: The ratio of contrast medium volume to estimated glomerular filtration rate as a predictor of contrast-induced nephropathy after endovascular aortic repair
• Author/Editor: Kawatani, Yohei; Kurobe, Hirotsugu; Nakamura, Yoshitsugu; Hori, Takaki; Kitagawa, Tetsuya
• Author Heading: Kawatani, Yohei; Kurobe, Hirotsugu; Nakamura, Yoshitsugu; Hori, Takaki; Kitagawa, Tetsuya
• Publication, Distribution, etc.: Faculty of Medicine Tokushima University
• Publication Date: 2018-02
• Publication Date (W3CDTF): 2018-02
• Alternative Title: 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
• Periodical title: The Journal of Medical Investigation
• No. or year of volume/issue: 65 1-2
• Volume: 65
• Issue: 1-2
• Pages: 116-121
• ISSN (Periodical Title): ISSN : 1349-6867; ISSN : 1343-1420
• Degree grantor/type: 徳島大学
• Date Granted: 2018-03-23
• Dissertation Number: 甲第3135号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: endovascular aortic repair; contrast medium volume; estimated estimated glomerular filtration rate; contrast induced nephropathy
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2152/jmi.65.116
• Data Provider (Database): 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
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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

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