Occurrence and associated factors of carotid artery calcification detected by digital panoramic radiography in chronic kidney disease patients undergoing hemodialysis

Publication date: Available online 24 April 2018
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Paulo R.L. Maia, Ana M.C. Medeiros, Hallissa S.G. Pereira, Kenio C. Lima, Patrícia T. Oliveira
ObjectivesTo investigate the occurrence and associated factors of carotid artery calcification (CAC) in chronic kidney disease (CKD) patients undergoing hemodialysis.Study DesignA total of 309 panoramic radiographs of CKD patients (180 men and 129 women with a mean age of 43.7 years) undergoing hemodialysis were evaluated by a single radiologist to evaluate the frequency of CAC. An evaluation of the associated factors of age, gender, time spent in hemodialysis, arterial hypertension, diabetes mellitus, biochemical parameters, and other systemic diseases was also performed.ResultsThe occurrence of CAC detected by the panoramic radiographs of these patients was 15.9% The chi-squared test found that there was a statistically significant association between age, gender, and diabetes mellitus and the presence of CAC (p<0.05). Multivariate analysis demonstrated that time spent in hemodialysis was significantly associated with the occurrence of CAC.ConclusionThere was a significant presence of CAC detected on digital panoramic radiographs in CKD patients undergoing hemodialysis. Calcification was more frequent in older patients, women, individuals with diabetes mellitus, and patients who had undergone hemodialysis for longer periods.



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