scholarly journals A simple four-grade score for aortic arch calcification by posteroanterior chest X-ray is associated with cardiovascular disease in haemodialysis patients

2011 ◽  
Vol 26 (5) ◽  
pp. 1747-1748 ◽  
Author(s):  
N. Kurita ◽  
N. Hosokawa ◽  
S. Nomura ◽  
Y. Maeda ◽  
H. Uchihara ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Aortic Arch ◽  
X Ray ◽  
Chest X Ray ◽  
Aortic Arch Calcification

scholarly journals Aortic Arch Calcification Predicts the Renal Function Progression in Patients with Stage 3 to 5 Chronic Kidney Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Lung-Chih Li ◽  
Yueh-Ting Lee ◽  
Yi-Wei Lee ◽  
Chia-An Chou ◽  
Chien-Te Lee
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Function ◽  
Kidney Disease ◽  
Aortic Arch ◽  
Estimated Glomerular Filtration Rate ◽  
X Ray ◽  
Chest X Ray ◽  
Independent Determinant ◽  
Egfr Decline ◽  
Aortic Arch Calcification

Introduction. The presence of aortic arch calcification (AoAC) and cardiomegaly on chest radiography has been demonstrated as important risk factors for cardiovascular mortality in patients with chronic kidney disease (CKD). However, the interrelationship among AoAC, cardiomegaly, and renal function progression remains unclear. The aim of this study is to assess whether AoAC and cardiomegaly are independently associated with the renal function progression in patients with stages 3–5 CKD.Methods. We retrospectively determined AoAC and cardiomegaly by chest X-ray in 237 patients, followed up for at least three years without entering dialysis and classified into 4 groups according to the presence or absence of AoAC and cardiomegaly. The change in renal function was measured by the slope of estimated glomerular filtration rate (eGFR).Results. Of the 237 patients, the rate of eGFR decline was significantly higher in the group with coexistence of AoAC and cardiomegaly than any other groups. Baseline AoAC and proteinuria were independently associated with eGFR decline. AoAC were independently determined by age, eGFR slope, and cardiomegaly.Conclusions. The coexistence of AoAC and cardiomegaly is associated with faster eGFR decline. AoAC is an independent determinant of renal outcomes in patients with CKD stages 3–5.

Aortic Arch Calcification and Bone-Associated Molecules in Peritoneal Dialysis Patients

2019 ◽  
Vol 47 (Suppl. 2) ◽  
pp. 81-87
Author(s):  
Misao Tsukada ◽  
Naoko Miwa ◽  
Norio Hanafusa ◽  
Nobue Tanaka ◽  
Ken Tsuchiya ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Aortic Arch ◽  
Pulse Wave ◽  
Fibroblast Growth Factor 23 ◽  
Fatal Complication ◽  
X Ray ◽  
Plain Chest ◽  
Chest X Ray ◽  
Aortic Arch Calcification

Background/Aims: Aortic arch calcification (AoAC) is a fatal complication in dialysis. AoAC progression-related molecules in continuous ambulatory peritoneal dialysis (CAPD) remain unclear. Methods: AoAC was estimated using plain chest radiography scoring (AoACS) in 30 CAPD patients (age 49.3 ± 13.4 years). AoAC progression was defined as increased AoACS on follow-up chest X-ray at the end of the study (progressors). Fibroblast growth factor-23 and osteoprotegerin (OPG) were measured. Results: Median follow-up was 38.5 months. Progressors were older, had shorter PD vintage, higher body mass index, and higher serum OPG levels (255.6 ± 109.2 pg/mL) than nonprogressors (183.4 ± 68.2 pg/mL; p = 0.0400). Progressors also showed higher pulse pressure (62.4 ± 20.0 mm Hg) and pulse wave velocity (1,909.9 ± 310.6 cm/s) than nonprogressors (48.5 ± 13.6 mm Hg; p = 0.0030 and 1,390.1 ± 252.8 cm/s; p = 0.0005, respectively). Conclusion: AoAC progression was associated with increased aortic stiffness. OPG may be associated with AoAC progression in CAPD.

scholarly journals Relationship between Aortic Arch Calcification, Detected by Chest X-Ray, and Renal Resistive Index in Patients with Hypertension

2018 ◽  
Vol 28 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Adem Adar ◽  
Orhan Onalan ◽  
Hakan Keles ◽  
Fahri Cakan ◽  
Ugur Kokturk
Keyword(s):  
Regression Analysis ◽  
Aortic Arch ◽  
Doppler Ultrasonography ◽  
Linear Regression Analysis ◽  
Resistive Index ◽  
Left Ventricular ◽  
Renal Resistive Index ◽  
X Ray ◽  
Chest X Ray ◽  
Aortic Arch Calcification

Objective: Aortic arch calcification (AAC) is a surrogate marker for arterial stiffness and hypertension-related vascular damage. Renal resistive index (RRI), a renal Doppler ultrasonography parameter, is used to assess renal hemodynamics. In this study, we aimed to evaluate the relationship between RRI and AAC in patients with hypertension. Methods: Patients with hypertension underwent a chest X-ray and re nal Doppler ultrasonography. They were divided into two groups according to RRI (group 1: RRI ≥0.70; group 2: RRI < 0.70). Two examiners, blinded to the findings of RRI, reviewed the AAC in these patients. The kappa value was detected to be 0.781 and a p value < 0.001 was considered significant. Results: The study included 289 hypertensive patients (mean age 63.87 ± 11.38 years). In 53.6% (n = 155) of the study subjects, RRI was observed to be ≥0.70. Patients with RRI ≥70 were older and had more prevalent AAC as well as left ventricular hypertrophy. A multiple linear regression analysis was carried out to test whether presence of AAC significantly predicted RRI. The results of the regression analysis indicated that presence of AAC significantly predicted RRI (β = 0.053; p < 0.001). Conclusions: A strong and independent relationship was found between AAC on chest X-ray and RRI in patients with hypertension.

scholarly journals Validity and Usefulness of Aortic Arch Calcification in Chest X-Ray

2009 ◽  
Vol 16 (3) ◽  
pp. 256-264 ◽  
Author(s):  
Hiroko Hashimoto ◽  
Katsuya Iijima ◽  
Masayoshi Hashimoto ◽  
Bo-Kyung Son ◽  
Hidetaka Ota ◽  
...  
Keyword(s):  
Aortic Arch ◽  
X Ray ◽  
Chest X Ray ◽  
Aortic Arch Calcification

scholarly journals Association of Aortic Arch Calcification on Chest X-ray with Procedural Thromboembolism after Mechanical Thrombectomy for Acute Ischemic Stroke

Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 859
Author(s):  
Hoon Gi Kim ◽  
Sang Hyuk Lee ◽  
Taek Min Nam ◽  
Ji Hwan Jang ◽  
Young Zoon Kim ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Aortic Arch ◽  
Mechanical Thrombectomy ◽  
Multivariable Logistic Regression Analysis ◽  
X Ray ◽  
Procedural Time ◽  
Chest X Ray ◽  
The Relationship ◽  
Aortic Arch Calcification

Background and Objective: Procedural thromboembolism after a mechanical thrombectomy (MT) for an acute ischemic stroke (AIS) has rarely been studied. It may occur from the artery-to-artery embolization of atherosclerotic plaque in the aortic arch. We investigated the relationship between aortic arch calcification (AoAC) on a chest X-ray and procedural thromboembolism on diffusion-weighted imaging (DWI) after an MT. Materials and Methods: From January 2017 to December 2020, 131 patients underwent DWI within two days following an MT for an AIS. Procedural thromboembolism was defined as new DWI-positive lesions in other territories from the occluded artery on DWI within two days after MT. Results: Procedural thromboembolism was observed in 30 (22.9%) patients. Procedural thromboembolism was associated with old age (72.3 ± 9.44 vs. 65.7 ± 12.8 years, p = 0.003), a longer procedural time (77.6 ± 37.6 vs. 60.1 ± 29.7 min, p = 0.024), and AoAC (calcification (73.3%) vs. no calcification (29.7%), p < 0.001). Multivariable logistic regression analysis showed that procedural thromboembolism was independently associated with AoAC (adjusted odds ratio (OR): 6.107, adjusted 95% confidence interval (CI): 2.374–15.705, p < 0.001) and a longer procedural time (adjusted OR: 1.015, adjusted 95% CI: 1.001–1.030, p = 0.031). Conclusions: Procedural thromboembolism after an MT for an AIS was related to AoAC on a chest X-ray and a longer procedural time. Our results suggest that although rapid recanalization is the most crucial goal of an MT for an AIS, the importance of the careful advance of the guiding catheter through the aortic arch should not be underestimated to reduce the risk of procedural thromboembolism, especially in patients with AoAC on a chest X-ray.

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