Article Sidebar

PDF
Date Published: 12/01/2022
Abstract Views: 168
Views PDF: 292
DOI: https://doi.org/10.51298/vmj.v509i1.1741
Issue
Vol. 509 No. 1 (2021)
Section
Các bài báo
How to Cite
Thành Đô, V. ., Quốc Toản, P. ., & Anh Tuấn, P. . (2022). THE CHARACTERISTICS OF ABDOMINAL AORTIC CALCIFICATION BY NON-CONTRAST COMPUTED TOMOGRAPHY IMAGE IN END-STAGE RENAL DISEASE (ESRD) PATIENTS. Vietnam Medical Journal, 509(1). https://doi.org/10.51298/vmj.v509i1.1741

THE CHARACTERISTICS OF ABDOMINAL AORTIC CALCIFICATION BY NON-CONTRAST COMPUTED TOMOGRAPHY IMAGE IN END-STAGE RENAL DISEASE (ESRD) PATIENTS

Vũ Thành Đô1,, Phạm Quốc Toản2, Phùng Anh Tuấn2
1 Vietnam Military Medical University
2 Military Hospital 103

Main Article Content

Abstract

Objectives: Analyzing the characteristics of abdominal aortic calcification (AAC) by non-contrast computed tomography (CT) image in end-stage renal disease (ESRD) patients. Methods: A prospective study was conducted involving 89 ESRD patients who were candidated for kidney transplantation at 103 Military Hospital. The control group consisted of 20 patients without chronic kidney disease (CKD). Non-contrast CT scan was performed to determine the aortic calcification index (ACI) as a semi-quantitative measure of AAC. Results: There were 89 patients (68 males and 21 females), the median age was 36,0 years (Min-max: 18-66 years). AAC was observed in 67 patients (75,3%) (Median ACI: 4,82%). Prevalence of AAC had significantly difference between age groups. There were 3 young patients (Younger than 30 years) had AAC, and this prevalence in old patients group (Older than 50 years) was 100%. 83,3% of overweight patients had AAC. AAC was observed most frequently in patients who had detected-kidney disease duration more than 5 years (32,8%) and dialysis pre-transplant duration more than 1 year (56%). Conclusions: AAC is a common abnormality in ESRD patients. Non-contrast CT is a non-invasive technique for detecting and quantifying vascular calcification, as well as contributing to assessment, prognosis and treatment decision.

Article Details

Keywords

Abdominal aortic calcification, end-stage renal disease

References

1. Rennenberg R., Kessels A., Schurgers L., et al. (2009), "Vascular calcifications as a marker of increased cardiovascular risk: A meta-analysis", Vascular Health and Risk Management 5(1), 185-197.
2. Tatami Y., Yasuda Y., Suzuki S., et al. (2015), "Impact of abdominal aortic calcification on long-term cardiovascular outcomes in patients with chronic kidney disease", Atherosclerosis, 243(2), 349-355.
3. Nguyễn Thị Thu Hà, Bùi Văn Mạnh, Nguyễn Thị Thùy Dung, et al. (2021), "Long Hemodialysis Duration Predicts Delayed Graft Function in Renal Transplant Recipients From Living Donor: A Single-Center Study", Transplantation Proceedings, 53(5), 1477-1483.
4. Leow K., Szulc P., Schousboe J. T., et al. (2021), "Prognostic value of abdominal aortic calcification: a systematic review and meta‐analysis of observational studies", Journal of the American Heart Association, 10(2), e017205.
5. Verma H., Sunder S., Sharma B., et al. (2021), "Prevalence of Vascular Calcification in Chronic Kidney Disease Stage 4 and 5 Patients and its Correlation with Inflammatory Markers of Atherosclerosis", Journal of Kidney Diseases Transplantation, 32(1), 30.
6. Furusawa K., Takeshita K., Suzuki S., et al. (2019), "Assessment of abdominal aortic calcification by computed tomography for prediction of latent left ventricular stiffness and future cardiovascular risk in pre-dialysis patients with chronic kidney disease: A single center cross-sectional study", International journal of medical sciences, 16(7), 939.
7. Ter Braake A. D., Govers L. P., Peeters M. J., et al. (2021), "Low plasma magnesium concentration and future abdominal aortic calcifications in moderate chronic kidney disease", BMC Nephrology, 22(1), 1-10.
8. Goldsmith D. J., Covic A., Sambrook P. A., et al. (1997), "Vascular calcification in long-term haemodialysis patients in a single unit: A retrospective analysis", Nephron, 77(1), 37-43.