The incidence of contrast medium-induced nephropathy following endovascular aortic aneurysm repair: assessment of risk factors

Purpose: The aim of the study was to investigate the incidence of contrast medium-induced nephropathy (CIN) and risk factors for CIN following endovascular abdominal aortic aneurysm repair or thoracic endovascular aortic aneurysm repair. Materials and methods: After exclusion criteria, 139 (121 males, 18 females) patients aged 20–86 (median 65.5) years who underwent endovascular aortic aneurysm repair between January 2002 and September 2013 were included in this retrospective study. CIN, with ?25 % increase in serum creatinine levels within 3 days after contrast medium administration, was compared to the patients’ demographics, risk factors, type and complexity of the endovascular operation, parameters regarding to the contrast medium, preoperative estimated glomerular filtration rate (eGFR), and preoperative and early postoperative serum parameters. Statistical analyses were performed with Kolmogorov-Smirnov, ?2 and Student’s t tests. Results: CIN, detected in 39 of 139 patients (28 %), was correlated with preoperative eGFR <60 ml/min/1.73 m2 (P = 0.04) and high preoperative and postoperative serum urea and creatinine levels. Postoperative serum urea levels (P < 0.001) were significant in multivariate analysis. Conclusion: In patients undergoing endovascular aortic aneurysm repair, CIN was correlated with preoperative and postoperative renal impairment, while it was not correlated with the contrast medium dose. © 2015, Japan Radiological Society.

Yazar Guneyli S.
Bozkaya H.
Cinar C.
Korkmaz M.
Duman S.
Acar T.
Akin Y.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/8125
Tek Biçim Adres 10.1007/s11604-015-0408-3
Konu Başlıkları Aortic aneurysm
Contrast medium
Endovascular aortic aneurysm repair
Nephropathy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Japanese Journal of Radiology
Dergi Cilt Bilgisi 33
Dergi Sayısı 5
Sayfalar 253 - 259
Yayın Yılı 2015
Eser Adı
[dc.title]
The incidence of contrast medium-induced nephropathy following endovascular aortic aneurysm repair: assessment of risk factors
Yazar
[dc.contributor.author]
Guneyli S.
Yazar
[dc.contributor.author]
Bozkaya H.
Yazar
[dc.contributor.author]
Cinar C.
Yazar
[dc.contributor.author]
Korkmaz M.
Yazar
[dc.contributor.author]
Duman S.
Yazar
[dc.contributor.author]
Acar T.
Yazar
[dc.contributor.author]
Akin Y.
Yayın Yılı
[dc.date.issued]
2015
Yayıncı
[dc.publisher]
Springer-Verlag Tokyo
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: The aim of the study was to investigate the incidence of contrast medium-induced nephropathy (CIN) and risk factors for CIN following endovascular abdominal aortic aneurysm repair or thoracic endovascular aortic aneurysm repair. Materials and methods: After exclusion criteria, 139 (121 males, 18 females) patients aged 20–86 (median 65.5) years who underwent endovascular aortic aneurysm repair between January 2002 and September 2013 were included in this retrospective study. CIN, with ?25 % increase in serum creatinine levels within 3 days after contrast medium administration, was compared to the patients’ demographics, risk factors, type and complexity of the endovascular operation, parameters regarding to the contrast medium, preoperative estimated glomerular filtration rate (eGFR), and preoperative and early postoperative serum parameters. Statistical analyses were performed with Kolmogorov-Smirnov, ?2 and Student’s t tests. Results: CIN, detected in 39 of 139 patients (28 %), was correlated with preoperative eGFR <60 ml/min/1.73 m2 (P = 0.04) and high preoperative and postoperative serum urea and creatinine levels. Postoperative serum urea levels (P < 0.001) were significant in multivariate analysis. Conclusion: In patients undergoing endovascular aortic aneurysm repair, CIN was correlated with preoperative and postoperative renal impairment, while it was not correlated with the contrast medium dose. © 2015, Japan Radiological Society.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Aortic aneurysm
Konu Başlıkları
[dc.subject]
Contrast medium
Konu Başlıkları
[dc.subject]
Endovascular aortic aneurysm repair
Konu Başlıkları
[dc.subject]
Nephropathy
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1867-1071
İlk Sayfa Sayısı
[dc.identifier.startpage]
253
Son Sayfa Sayısı
[dc.identifier.endpage]
259
Dergi Adı
[dc.relation.journal]
Japanese Journal of Radiology
Dergi Sayısı
[dc.identifier.issue]
5
Dergi Cilt Bilgisi
[dc.identifier.volume]
33
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s11604-015-0408-3
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/8125
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
7
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 13:13
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Tıklayınız
endovascular preoperative aortic aneurysm repair contrast levels correlated medium patients postoperative parameters creatinine factors detected Results glomerular Statistical Student’s Kolmogorov-Smirnov filtration (eGFR) performed analyses (28 %) Purpose Society Radiological impairment undergoing Conclusion analysis multivariate significant (P <
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