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Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors
Endovascular stent graft placement has become a major treatment for thoracic and abdominal aneurysms. While endovascular therapy is less invasive than open surgery, it involves the use of a contrast medium. Contrast media can cause renal impairment, a condition termed as contrast-induced nephropathy...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812477/ https://www.ncbi.nlm.nih.gov/pubmed/27069685 http://dx.doi.org/10.1155/2016/5950986 |
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author | Kawatani, Yohei Nakamura, Yoshitsugu Mochida, Yoshihiko Yamauchi, Naoya Hayashi, Yujiro Taneichi, Tetsuyoshi Ito, Yujiro Kurobe, Hirotsugu Suda, Yuji Hori, Takaki |
author_facet | Kawatani, Yohei Nakamura, Yoshitsugu Mochida, Yoshihiko Yamauchi, Naoya Hayashi, Yujiro Taneichi, Tetsuyoshi Ito, Yujiro Kurobe, Hirotsugu Suda, Yuji Hori, Takaki |
author_sort | Kawatani, Yohei |
collection | PubMed |
description | Endovascular stent graft placement has become a major treatment for thoracic and abdominal aneurysms. While endovascular therapy is less invasive than open surgery, it involves the use of a contrast medium. Contrast media can cause renal impairment, a condition termed as contrast-induced nephropathy (CIN). This study sought to evaluate the incidence and risk factors of CIN following endovascular stent graft placement for aortic aneurysm repair. The study included 167 consecutive patients who underwent endovascular stent graft placement in our hospital from October 2013 to June 2014. CIN was diagnosed using the European Society of Urogenital Radiology criteria. Patients with and without CIN were compared. Chi-squared tests, t-tests, and multivariate logistic regression analyses were performed. Thirteen patients (7.8%) developed CIN. Left ventricular dysfunction and intraoperative blood transfusion were significantly more frequent in the CIN group (P = 0.017 and P = 0.032, resp.). Multivariate analysis showed that left ventricular dysfunction had the strongest influence on CIN development (odds ratio 9.34, P = 0.018, and 95% CI = 1.46–59.7). Patients with CIN also experienced longer ICU and hospital stays. Measures to improve renal perfusion flow should be considered for patients with left ventricular dysfunction who are undergoing endovascular stent graft placement. |
format | Online Article Text |
id | pubmed-4812477 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48124772016-04-11 Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors Kawatani, Yohei Nakamura, Yoshitsugu Mochida, Yoshihiko Yamauchi, Naoya Hayashi, Yujiro Taneichi, Tetsuyoshi Ito, Yujiro Kurobe, Hirotsugu Suda, Yuji Hori, Takaki Radiol Res Pract Research Article Endovascular stent graft placement has become a major treatment for thoracic and abdominal aneurysms. While endovascular therapy is less invasive than open surgery, it involves the use of a contrast medium. Contrast media can cause renal impairment, a condition termed as contrast-induced nephropathy (CIN). This study sought to evaluate the incidence and risk factors of CIN following endovascular stent graft placement for aortic aneurysm repair. The study included 167 consecutive patients who underwent endovascular stent graft placement in our hospital from October 2013 to June 2014. CIN was diagnosed using the European Society of Urogenital Radiology criteria. Patients with and without CIN were compared. Chi-squared tests, t-tests, and multivariate logistic regression analyses were performed. Thirteen patients (7.8%) developed CIN. Left ventricular dysfunction and intraoperative blood transfusion were significantly more frequent in the CIN group (P = 0.017 and P = 0.032, resp.). Multivariate analysis showed that left ventricular dysfunction had the strongest influence on CIN development (odds ratio 9.34, P = 0.018, and 95% CI = 1.46–59.7). Patients with CIN also experienced longer ICU and hospital stays. Measures to improve renal perfusion flow should be considered for patients with left ventricular dysfunction who are undergoing endovascular stent graft placement. Hindawi Publishing Corporation 2016 2016-03-16 /pmc/articles/PMC4812477/ /pubmed/27069685 http://dx.doi.org/10.1155/2016/5950986 Text en Copyright © 2016 Yohei Kawatani et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kawatani, Yohei Nakamura, Yoshitsugu Mochida, Yoshihiko Yamauchi, Naoya Hayashi, Yujiro Taneichi, Tetsuyoshi Ito, Yujiro Kurobe, Hirotsugu Suda, Yuji Hori, Takaki Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title | Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title_full | Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title_fullStr | Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title_full_unstemmed | Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title_short | Contrast Medium Induced Nephropathy after Endovascular Stent Graft Placement: An Examination of Its Prevalence and Risk Factors |
title_sort | contrast medium induced nephropathy after endovascular stent graft placement: an examination of its prevalence and risk factors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812477/ https://www.ncbi.nlm.nih.gov/pubmed/27069685 http://dx.doi.org/10.1155/2016/5950986 |
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