Relationship between contrast-induced nephropathy and long-term mortality after percutaneous coronary intervention in patients with chronic coronary total occlusion

dc.contributor.authorGuzel, Tuncay
dc.contributor.authorAktan, Adem
dc.contributor.authorDemir, Muhammed
dc.contributor.authorOzbek, Mehmet
dc.contributor.authorAslan, Burhan
dc.date.accessioned2024-04-24T17:18:08Z
dc.date.available2024-04-24T17:18:08Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE: Intervention in chronic total occlusion lesions involves long procedure time, a serious contrast load, and complex procedures. In this study, we aimed to investigate mortality rate of patients who had procedural coronary angiography done for chronic total occlusion lesions in coronary angiography series and who developed contrast-induced nephropathy. METHODS: A total of 218 patients with chronic total occlusion lesion in at least one coronary artery, from three different medical centers, who underwent procedural coronary angiography were recruited for the study. Patient population was divided into two groups: those who developed contrast -induced nephropathy and those who did not. Mortality due to all causes was investigated between both groups throughout a 100-month follow-up. RESULTS: Mean age of patients with incidence of contrast-induced nephropathy was 66.7 +/- 11.8, and 23.8% of them were comprised by female. We found a significantly higher mortality in long-term follow-up in the patient group with contrast-induced nephropathy (42.9 vs. 57.1%, p=<0.001). According to Kaplan-Meier analysis performed additionally, survival during follow-up was significantly shorter in this group and, in logistic regression analysis, it was an independent predictor of mortality (OR 11.78; 95%CI 3.38-40.9). CONCLUSION: We identified that the development of contrast-induced nephropathy is associated with long-term mortality. It might be possible to reduce adverse events with prophylactic approaches before the procedure and close follow-up of such patients after the procedure.en_US
dc.identifier.doi10.1590/1806-9282.20220283
dc.identifier.endpage1083en_US
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue8en_US
dc.identifier.pmid36000604
dc.identifier.scopus2-s2.0-85138398838
dc.identifier.scopusqualityQ2
dc.identifier.startpage1078en_US
dc.identifier.urihttps://doi.org/10.1590/1806-9282.20220283
dc.identifier.urihttps://hdl.handle.net/11468/18627
dc.identifier.volume68en_US
dc.identifier.wosWOS:000865466400022
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherAssoc Medica Brasileiraen_US
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary Occlusionen_US
dc.subjectAcute Renal Injuryen_US
dc.subjectMortalityen_US
dc.subjectAtherosclerosisen_US
dc.titleRelationship between contrast-induced nephropathy and long-term mortality after percutaneous coronary intervention in patients with chronic coronary total occlusionen_US
dc.titleRelationship between contrast-induced nephropathy and long-term mortality after percutaneous coronary intervention in patients with chronic coronary total occlusion
dc.typeArticleen_US

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