ASSESSMENT OF AORTIC ARCH CALCIFICATION IN CHRONIC KIDNEY DISEASE
Ayman Ali Moussa Awad;
Abstract
The present study was designed for detection of aortic arch calcification (AoAC) and its correlation with biochemical markers in chronic kidney disease patients. It included 60 patients of chronic kidney disease, selected from Dameitta General hospital, during the period from February 2013 till August 2013.
They were divided into two groups: Group 1: included 30 patients (stage 3 to stage 5 on conservative treatment). Group 2: included 30 patients (stag 5D) undergoing regular hemodialysis for more than 3 months.
All patients were subjected to the following: full history and clinical examination, laboratory investigations and radiological investigation in the form of plain chest X-ray and multi-detector computed tomography.
The results of the present study showed that, AoAC is frequent in HD patients and is related to widespread atherosclerosis.
The evaluation of AoACS on chest radiography is a very simple tool, easy to use by an attending physician without the assistance of a radiologist, but, despite the fact that CT scans provide information that is more precise in terms of the extent and distribution of AAC, high radiation doses imposed on patients can be potentially hazardous.
Moreover, the natural history of aortic calcification (its clinical implication and how it evolves over time) has not been adequately studied by CT imaging. Thus, it is advisable to use chest X-ray as a preliminary screening tool and in negative cases, further CT evaluation seems to be mandatory.
They were divided into two groups: Group 1: included 30 patients (stage 3 to stage 5 on conservative treatment). Group 2: included 30 patients (stag 5D) undergoing regular hemodialysis for more than 3 months.
All patients were subjected to the following: full history and clinical examination, laboratory investigations and radiological investigation in the form of plain chest X-ray and multi-detector computed tomography.
The results of the present study showed that, AoAC is frequent in HD patients and is related to widespread atherosclerosis.
The evaluation of AoACS on chest radiography is a very simple tool, easy to use by an attending physician without the assistance of a radiologist, but, despite the fact that CT scans provide information that is more precise in terms of the extent and distribution of AAC, high radiation doses imposed on patients can be potentially hazardous.
Moreover, the natural history of aortic calcification (its clinical implication and how it evolves over time) has not been adequately studied by CT imaging. Thus, it is advisable to use chest X-ray as a preliminary screening tool and in negative cases, further CT evaluation seems to be mandatory.
Other data
| Title | ASSESSMENT OF AORTIC ARCH CALCIFICATION IN CHRONIC KIDNEY DISEASE | Other Titles | تقييم تكلس قوس الأبهر لدي مرضي أمراض الكلي المزمنة | Authors | Ayman Ali Moussa Awad | Issue Date | 2014 |
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