循環器ジャーナル66巻2号

2018年04月発行

特集 Structural Heart Diseaseインターベンション—「新しい」インターベンションのすべて Ⅰ．TAVI

腎機能障害合併症に対するTAVI

著者： 白井伸一¹ 磯谷彰宏¹ 安藤献児¹

所属機関： ¹小倉記念病院循環器内科

ページ範囲：P.196 - P.201

Point
・腎機能障害はTAVI施行患者における短期ならびに長期予後における死亡の独立規定因子である．
・腎機能障害はAKIの発症予測因子であるだけでなく，AKI自体が短期および長期予後における死亡を増加させる因子である．
・術前のスクリーニングにおいてMRIは造影CTとほぼ同等の測定結果であり，代替として使用可能である．

参考文献

1) Matsushita K, van der Velde M, Astor BC, et al:Association of estimated glomerular filtration rate and albuminuria with all-cause and cardiovascular mortality in general population cohorts:a collaborative meta-analysis. Lancet 375:2073-2081, 2010

2) Sabroe JE, Thayssen P, Antonsen L, et al:Impact of renal insufficiency on mortality in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention. BMC Cardiovasc Disord 14:15, 2014

3) Hillis GS, Zehr KJ, Williams AW, et al:Outcome of patients with low ejection fraction undergoing coronary artery bypass grafting:renal function and mortality after 3.8 years. Circulation 114:I414-419, 2006

4) Thourani VH, Keeling WB, Sarin EL, et al:Impact of preoperative renal dysfunction on long-term survival for patients undergoing aortic valve replacement. Ann Thorac Surg 91:1798-1806;discussion 1806-1807, 2011

5) Yamamoto M, Hayashida K, Mouillet G, et al:Prognostic value of chronic kidney disease after transcatheter aortic valve implantation. J Am Coll Cardiol 62:869-877, 2013

6) Ferro CJ, Chue CD, de Belder MA, et al:Impact of renal function on survival after transcatheter aortic valve implantation（TAVI）:an analysis of the UK TAVI registry. Heart 101:546-552, 2015

7) Gargiulo G, Capodanno D, Sannino A, et al:Moderate and severe preoperative chronic kidney disease worsen clinical outcomes after transcatheter aortic valve implantation:meta-analysis of 4992 patients. Circ Cardiovasc Interv 8:e002220, 2015

8) Nuis RJ, Rodés-Cabau J, Sinning JM, et al:Blood transfusion and the risk of acute kidney injury after transcatheter aortic valve implantation. Circ Cardiovasc Interv 5:680-688, 2012

9) Chen C, Zhao Z-G, Liao Y-B, et al:Impact of Renal Dysfunction on Mid-Term Outcome after Transcatheter Aortic Valve Implantation:A Systematic Review and Meta-Analysis. PLoS ONE 10:e0119817. doi:10.1371, 2015

10) Blair JEA, Brummel K, Friedman JL, et al:Inhospital and Post-discharge Changes in Renal Function After Transcatheter Aortic Valve Replacement. Am J Cardiol 117:633-639, 2016

11) Pontone G, Andreini D, Bartorelli AL, et al:Comparison of accuracy of aortic root annulus assessment with cardiac magnetic resonance versus echocardiography and multidetector computed tomography in patients referred for transcatheter aortic valve implantation. Am J Cardiol 112:1790-1799, 2013

12) Yamamoto M, Hayashida K, Mouillet G, et al:Renal function-based contrast dosing predicts acute kidney injury following transcatheter aortic valve implantation. JACC Cardiovasc Interv 6:479-486, 2013

13) Joshi SB, Mendoza DD, Steinberg DH, et al:Ultra-low-dose intra-arterial contrast injection for iliofemoral computed tomographic angiography. JACC Cardiovasc Imaging 2:1404-1411, 2009.