THE CHARACTERISTICS OF ABDOMINAL AORTIC CALCIFICATION BY NON-CONTRAST COMPUTED TOMOGRAPHY IMAGE IN END-STAGE RENAL DISEASE (ESRD) PATIENTS
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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.
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Keywords
Abdominal aortic calcification, end-stage renal disease
References
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