ArticleJournal of vascular surgery2017
Predictors of renal dysfunction after endovascular and open repair of abdominal aortic aneurysms.
Article in Journal of vascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Comparison of endoleak diagnostic efficacy of contrast-enhanced ultrasound and computed tomography angiography after endovascular aneurysm repair for abdominal aortic aneurysm.Journal of vascular surgery cases and innovative techniques · 2026Article
- The Effect of Induced Hypothermia on Postoperative Outcomes Following Hyperthermic Intraperitoneal Chemotherapy: A Negative Finding.Therapeutics and clinical risk management · 2025Article
- A Systematic Review of Renal Perfusion in Complex Abdominal Aortic Aneurysm Open Repair.Journal of cardiovascular development and disease · 2024Review
- Biomarkers in EndoVascular Aneurysm Repair (EVAR) and Abdominal Aortic Aneurysm: Pathophysiology and Clinical Implications.Diagnostics (Basel, Switzerland) · 2022Review
- Society for Vascular Nursing endovascular repair of abdominal aortic aneurysm updated nursing clinical practice guideline.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2020Article
- Intra-arterial catheter-directed CT angiography for assessment of endovascular aortic aneurysm repair.PloS one · 2019Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveRenal complications after repair of abdominal aortic aneurysms (AAAs) have been associated with increased morbidity and mortality. However, limited data have assessed risk factors for renal complications in the endovascular era. This study aimed to identify predictors of renal complications after endovascular AAA repair (EVAR) and open repair.
methodsPatients who underwent EVAR or open repair of a nonruptured infrarenal AAA between 2011 and 2013 were identified in the National Surgical Quality Improvement Project Targeted Vascular module. Patients on hemodialysis preoperatively were excluded. Renal complications were defined as new postoperative dialysis or creatinine increase >2 mg/dL. Patient demographics, comorbidities, glomerular filtration rate (GFR), operative details, and outcomes were compared using univariate analysis between those with and without renal complications. Multivariable logistic regression was used to identify independent predictors of renal complications.
resultsWe identified 4503 patients who underwent elective repair of an infrarenal AAA (EVAR: 3869, open repair: 634). Renal complication occurred in 1% of patients after EVAR and in 5% of patients after open repair. There were no differences in comorbidities between patients with and without renal complications. A preoperative GFR <60 mL/min/1.73m
conclusionsPredictors of renal complications include elevated baseline GFR, open approach, transfusion, and prolonged operative time. Given the dramatic increase in mortality associated with renal complications, care should be taken to use renal protective strategies, achieve meticulous hemostasis to limit transfusions, and to use an endovascular approach when technically feasible.
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