P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY
Vascular calcification (VC) is linked to post-transplant cardiovascular events in the long term. We aimed to evaluate whether pretransplant chest X-ray based aortic arch calcification (AoAC) or pulse wave velocity measurement can better predict post- transplant cardiovascular or cerebrovascular even...
Main Authors: | , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Atlantis Press
2017-12-01
|
Series: | Artery Research |
Online Access: | https://www.atlantis-press.com/article/125930320/view |
id |
doaj-f4179f1ab34348118e2b6d70ba45ef5a |
---|---|
record_format |
Article |
spelling |
doaj-f4179f1ab34348118e2b6d70ba45ef5a2020-11-25T03:00:26ZengAtlantis PressArtery Research 1876-44012017-12-012010.1016/j.artres.2017.10.140P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDYAgne Laucyte-CibulskieneEvelina BoreikaiteGediminas AucinaMigle GudynaiteIlona RudminieneSigita AniskoLoreta VareikieneLiutauras GumbysNerijus TeresiusDileta ValancieneLigita RyliskyteLaurynas RimseviciusMarius MiglinasKestutis StrupasVascular calcification (VC) is linked to post-transplant cardiovascular events in the long term. We aimed to evaluate whether pretransplant chest X-ray based aortic arch calcification (AoAC) or pulse wave velocity measurement can better predict post- transplant cardiovascular or cerebrovascular events, and to assess the progression of calcification within 2 years. Methods: Our single-center observational longitudinal study enrolled 40 kidney transplant recipients (KTR) without previous history of vascular events (no cardiovascular, cerebrovascular events, no peripheral artery disease). Two radiologists evaluated pretransplant and postransplant (after 2 years) AoAC on chest X-ray by using two different AoAC scales: AoAC grade evaluation [1] and AoAC score as suggested by Ogawa et al. in 2009 [2]. Cohen’s kappa coefficient was 0.75. The mismatching results were repeatedly reviewed and resulted in consensus. Carotid-femoral (cfPWV) and carotid-radial pulse wave velocity (crPWV) was measured using applanation tonometry and the PWV ratio (cfPWV/rPWV) was calculated. Patient clinical, biochemical data and cardiovascular/cerebrovascular event rate were monitored within 2 years. Results: During 2-year follow-up 5 patients experienced cardiovascular events, which were predicted by PWV ratio, but not related to AoAC. In 3 patients, we observed progression of AoAC, in others – AoAC was less evident or remained unchanged in 2-years follow-up. AoAC score [2] could better describe the extent of vascular calcification in KTR. Conclusions: KTR without previous vascular events have quite low cardiovascular/ cerebrovascular event rate within 2-year follow-up, which are better predicted by pretransplant PWV ratio. AoAC postransplant regression is evident even when using simplified chest X- ray scales.https://www.atlantis-press.com/article/125930320/view |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Agne Laucyte-Cibulskiene Evelina Boreikaite Gediminas Aucina Migle Gudynaite Ilona Rudminiene Sigita Anisko Loreta Vareikiene Liutauras Gumbys Nerijus Teresius Dileta Valanciene Ligita Ryliskyte Laurynas Rimsevicius Marius Miglinas Kestutis Strupas |
spellingShingle |
Agne Laucyte-Cibulskiene Evelina Boreikaite Gediminas Aucina Migle Gudynaite Ilona Rudminiene Sigita Anisko Loreta Vareikiene Liutauras Gumbys Nerijus Teresius Dileta Valanciene Ligita Ryliskyte Laurynas Rimsevicius Marius Miglinas Kestutis Strupas P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY Artery Research |
author_facet |
Agne Laucyte-Cibulskiene Evelina Boreikaite Gediminas Aucina Migle Gudynaite Ilona Rudminiene Sigita Anisko Loreta Vareikiene Liutauras Gumbys Nerijus Teresius Dileta Valanciene Ligita Ryliskyte Laurynas Rimsevicius Marius Miglinas Kestutis Strupas |
author_sort |
Agne Laucyte-Cibulskiene |
title |
P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY |
title_short |
P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY |
title_full |
P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY |
title_fullStr |
P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY |
title_full_unstemmed |
P109 PROGRESSION OF AORTIC ARCH CALCIFICATION AFTER KIDNEY TRANSPLANT AND ITS IMPORTANCE IN PREDICTING CARDIOVASCULAR RISK: SINGLE-CENTER 2-YEAR FOLLOW-UP STUDY |
title_sort |
p109 progression of aortic arch calcification after kidney transplant and its importance in predicting cardiovascular risk: single-center 2-year follow-up study |
publisher |
Atlantis Press |
series |
Artery Research |
issn |
1876-4401 |
publishDate |
2017-12-01 |
description |
Vascular calcification (VC) is linked to post-transplant cardiovascular events in the long term. We aimed to evaluate whether pretransplant chest X-ray based aortic arch calcification (AoAC) or pulse wave velocity measurement can better predict post- transplant cardiovascular or cerebrovascular events, and to assess the progression of calcification within 2 years.
Methods: Our single-center observational longitudinal study enrolled 40 kidney transplant recipients (KTR) without previous history of vascular events (no cardiovascular, cerebrovascular events, no peripheral artery disease). Two radiologists evaluated pretransplant and postransplant (after 2 years) AoAC on chest X-ray by using two different AoAC scales: AoAC grade evaluation [1] and AoAC score as suggested by Ogawa et al. in 2009 [2]. Cohen’s kappa coefficient was 0.75. The mismatching results were repeatedly reviewed and resulted in consensus. Carotid-femoral (cfPWV) and carotid-radial pulse wave velocity (crPWV) was measured using applanation tonometry and the PWV ratio (cfPWV/rPWV) was calculated. Patient clinical, biochemical data and cardiovascular/cerebrovascular event rate were monitored within 2 years.
Results: During 2-year follow-up 5 patients experienced cardiovascular events, which were predicted by PWV ratio, but not related to AoAC. In 3 patients, we observed progression of AoAC, in others – AoAC was less evident or remained unchanged in 2-years follow-up. AoAC score [2] could better describe the extent of vascular calcification in KTR.
Conclusions: KTR without previous vascular events have quite low cardiovascular/ cerebrovascular event rate within 2-year follow-up, which are better predicted by pretransplant PWV ratio. AoAC postransplant regression is evident even when using simplified chest X- ray scales. |
url |
https://www.atlantis-press.com/article/125930320/view |
work_keys_str_mv |
AT agnelaucytecibulskiene p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT evelinaboreikaite p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT gediminasaucina p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT miglegudynaite p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT ilonarudminiene p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT sigitaanisko p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT loretavareikiene p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT liutaurasgumbys p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT nerijusteresius p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT diletavalanciene p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT ligitaryliskyte p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT laurynasrimsevicius p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT mariusmiglinas p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy AT kestutisstrupas p109progressionofaorticarchcalcificationafterkidneytransplantanditsimportanceinpredictingcardiovascularrisksinglecenter2yearfollowupstudy |
_version_ |
1724698197645852672 |