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- W2322141903 abstract "【目的】ステントグラフト内挿術（endovascular aneurysm repair, EVAR）後の急性腎傷害（acute kidney injury, AKI）の頻度と特徴を調べ，開腹人工血管置換術（open repair, OR）と比較する。【方法】腹部大動脈瘤の予定手術を対象とし，EVAR群70例とOR群77例についてrisk, injury, failure, loss and end stage kidney disease（RIFLE）criteriaを用いた術後AKIの頻度と特徴，転帰を後方視的に分析した。【結果】EVAR群はOR群より高齢で，手術時間，術後人工呼吸期間，ICU滞在および在院日数が短く，術後AKIは5例（7.1％）に発生し，OR群の10例（13％）と有意差はなく（P＝0.28），院内死亡率にも差はなかった。EVAR群はOR群より術前の血清クレアチニン値が高く，術前からの上昇幅が0.5 mg/dl以上の日数が長かった。腎動脈遮断は術後AKIの危険因子で，AKIは術後人工呼吸の危険因子であった。【結論】EVAR後AKIの頻度はOR後と差はないが，その期間は遷延している。" @default.
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- W2322141903 date "2012-01-01" @default.
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- W2322141903 title "Characteristics of postoperative acute kidney injury (AKI) after conventional open vs. endovascular repair of infrarenal abdominal aortic aneurysm" @default.
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