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Incidence and risk factors of contrast-induced nephropathy after transcatheter arterial chemoembolization in hepatocellular carcinoma
被引:9
作者:

Aoe, Mari
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Kanemitsu, Takafumi
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Ohki, Takamasa
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Kishi, Satoru
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Ogura, Yoshiyasu
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Takenaka, Yuto
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Hashiba, Toyohiro
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Ambe, Hiroko
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Furukawa, Emi
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Kurata, Yu
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Ichikawa, Masahiro
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Ohara, Ken
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Honda, Tomoko
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Furuse, Satoshi
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Saito, Katsunori
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Toda, Nobuo
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan

Mise, Naobumi
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Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan
机构:
[1] Mitsui Mem Hosp, Div Internal Med, 1 Kanda Izumi Cho, Tokyo 1018643, Japan
关键词:
Contrast-induced nephropathy (CIN);
Transarterial chemoembolisation (TACE);
Hepatocellular carcinoma (HCC);
ACUTE KIDNEY INJURY;
ACUTE-RENAL-FAILURE;
TRANSARTERIAL CHEMOEMBOLIZATION;
LIVER-FAILURE;
EMBOLIZATION;
D O I:
10.1007/s10157-019-01751-4
中图分类号:
R5 [内科学];
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号:
1002 ;
100201 ;
摘要:
Background Transcatheter arterial chemoembolization (TACE) is widely used for unresectable hepatocellular carcinoma (HCC). The purpose of this study was to investigate incidence and risk factors of contrast-induced nephropathy (CIN) after TACE in patients with HCC. Methods In this single-center retrospective study, we examined 461 consecutive TACE sessions in 260 patients between January 2003 and October 2015. CIN was defined as an increase in serum creatinine levels by >= 0.5 mg/dl or >= 25% from baseline within 72 h after TACE. We calculated incidence rate of CIN and tried to identify its risk factors by logistic regression analysis. Results Twenty-one cases of CIN (5%) were observed in 461 TACE sessions. One patient required subsequent hemodialysis transiently. In univariate analysis, tumor size > 5 cm [odds ratio (OR) 5.76, 95% confidence interval (CI) 2.34-14.14, p < 0.001], chronic kidney disease (OR 2.54, 95% CI 1.05-6.14, p = 0.04), serum hemoglobin level [OR 0.79 (per 1 g/dl increase), 95% CI 0.64-0.98, p = 0.03] and serum albumin level [OR 0.44 (per 1 g/dl increase), 95% CI 0.19-1.02, p = 0.05] were associated with the development of CIN. Stepwise logistic regression methods showed that tumor size > 5 cm (OR 7.81, 95% CI 2.99-20.46, p < 0.001) and serum albumin [OR 0.29 (per 1 g/dl increase), 95% CI 0.11-0.75, p = 0.01] were risk factors of CIN. Conclusions In this study, HCC tumor size and lower serum albumin level were independent predictors of CIN after TACE.
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页码:1141 / 1146
页数:6
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机构:
Taipei Vet Gen Hosp, Dept Radiol, Taipei 112, Taiwan
Natl Yang Ming Univ, Sch Med, Fac Med, Taipei 112, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan

Lin, Han-Chieh
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Natl Yang Ming Univ, Sch Med, Fac Med, Taipei 112, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan

Lee, Pui-Ching
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机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan

Lee, Fa-Yauh
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机构:
Natl Yang Ming Univ, Sch Med, Fac Med, Taipei 112, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan

Huo, Teh-Ia
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Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan
Natl Yang Ming Univ, Sch Med, Inst Pharmacol, Taipei 112, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan

Lee, Shou-Dong
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Natl Yang Ming Univ, Sch Med, Fac Med, Taipei 112, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei 112, Taiwan
[9]
Incidence and risk factors for acute renal failure in patients with hepatocellular carcinoma undergoing transarterial chemoembolization: a prospective study
[J].
Huo, TI
;
Wu, JC
;
Lee, PC
;
Chang, FY
;
Lee, SD
.
LIVER INTERNATIONAL,
2004, 24 (03)
:210-215

Huo, TI
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机构:
Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Wu, JC
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机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Lee, PC
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h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Chang, FY
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h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Lee, SD
论文数: 0 引用数: 0
h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan
[10]
Acute renal failure after transarterial chemoembolization for hepatocellular carcinoma: a retrospective study of the incidence, risk factors, clinical course and long-term outcome
[J].
Huo, TI
;
Wu, JC
;
Huang, YH
;
Chiang, JH
;
Lee, PC
;
Chang, FY
;
Lee, SD
.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS,
2004, 19 (09)
:999-1007

Huo, TI
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机构:
Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Wu, JC
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机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Huang, YH
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机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Chiang, JH
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机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Lee, PC
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h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Chang, FY
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h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan

Lee, SD
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h-index: 0
机构: Taipei Vet Gen Hosp, Dept Med, Div Gastroenterol, Taipei, Taiwan