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

• Material Type: 博士論文
• ISSN: 0025-7974
• Title: The outcomes of carbon dioxide digital subtraction angiography for percutaneous transluminal balloon angioplasty of access circuits and venous routes in hemodialysis patients
• Volume: 99 36
• Author/Editor: 田崎, 裕太郎
• Author Heading: 田崎, 裕太郎
• Publication, Distribution, etc.: Wolters Kluwer Health, Inc.
• Publication Date: 2022-03-18
• Publication Date (W3CDTF): 2022-03-18
• Alternative Title: 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
• Periodical title: Medicine
• Degree grantor/type: Nagasaki University (長崎大学)
• Date Granted: 2022-03-18
• Date Granted (W3CDTF): 2022-03-18
• Dissertation Number: 甲医歯薬第1393号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 甲医歯薬第1393号
• Text Language Code: eng
• Subject Heading: CO2; dialysis; DSA; interventional radiology; PTA
• Target Audience: 一般
• Note (General): 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); http://hdl.handle.net/10069/00041154
• Persistent ID (NDL): info:ndljp/pid/12297077; https://dl.ndl.go.jp/pid/12297077
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• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2022-06-05T18:01:14+09:00
• Date Created (W3CDTF): 2022-05-09
• Format (IMT): PDF
• Access Restrictions: 国立国会図書館内限定公開
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• Related Material (URI): http://hdl.handle.net/10069/00041154
• Periodical Title (URI): http://hdl.handle.net/10069/00041498
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp