ArticleJournal of geriatric cardiology : JGC2015
Relationship between acute kidney injury before thoracic endovascular aneurysm repair and in-hospital outcomes in patients with type B acute aortic dissection.
Article in Journal of geriatric cardiology : JGC, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Development and validation of a nomogram for predicting acute kidney injury risks in patients undergoing acute stanford type A aortic dissection repair surgery.BMC nephrology · 2025Article
- Risk factors for acute kidney injury and its impact on 3-year mortality after thoracic endovascular repair for type B aortic dissection.Frontiers in cardiovascular medicine · 2025Article
- Prognostic significance of serum secreted frizzled-related protein 5 in patients with acute aortic dissection.Heliyon · 2024Article
- Risk factors of acute kidney injury in patients with Stanford type B aortic dissection involving the renal artery who underwent thoracic endovascular aortic repair.Renal failure · 2021Article
- Outcomes and risk management in type B aortic dissection patients with acute kidney injury: a concise review.Renal failure · 2021Review
- Risk factors for continuous renal replacement therapy after surgical repair of type A aortic dissection.Journal of thoracic disease · 2017Article
- Risk factors and early outcomes of acute renal injury after thoracic aortic endograft repair for type B aortic dissection.Therapeutics and clinical risk management · 2017Article
- Predictors and in-hospital outcomes of preoperative acute kidney injury in patients with type A acute aortic dissection.Journal of geriatric cardiology : JGC · 2016Article
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8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAcute kidney injury (AKI) frequently occurs after catheter-based interventional procedures and increases mortality. However, the implications of AKI before thoracic endovascular aneurysm repair (TEVAR) of type B acute aortic dissection (AAD) remain unclear. This study evaluated the incidence, predictors, and in-hospital outcomes of AKI before TEVAR in patients with type B AAD.
methodsBetween 2009 and 2013, 76 patients were retrospectively evaluated who received TEVAR for type B AAD within 36 h from symptom onset. The patients were classified into no-AKI vs. AKI groups, and the severity of AKI was further staged according to kidney disease: improving global outcomes criteria before TEVAR.
resultsThe incidence of preoperative AKI was 36.8%. In-hospital complications was significantly higher in patients with preoperative AKI compared with no-AKI (50.0% vs. 4.2%, respectively; P < 0.001), including acute renal failure (21.4% vs. 0, respectively; P < 0.001), and they increased with severity of AKI (P < 0.001). The maximum levels of body temperature and white blood cell count were significantly related to maximum serum creatinine level before TEVAR. Multivariate analysis showed that systolic blood pressure on admission (OR: 1.023; 95% CI: 1.003-1.044; P = 0.0238) and bilateral renal artery involvement (OR: 19.076; 95% CI: 1.914-190.164; P = 0.0120) were strong predictors of preoperative AKI.
conclusionsPreoperative AKI frequently occurred in patients with type B AAD, and correlated with higher in-hospital complications and enhanced inflammatory reaction. Systolic blood pressure on admission and bilateral renal artery involvement were major risk factors for AKI before TEVAR.
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