Interrelationship Between Kidney Function and Percutaneous Mitral Valve Interventions: A Comprehensive Review
| Autor: | Vincent M. Figueredo, Janani Rangaswami, Leandro Slipczuk, Pradhum Ram, Kevin Bryan Lo, Sandeep Dayanand, Pradeep Dayanand |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment review patient outcomes 030204 cardiovascular system & hematology urologic and male genital diseases Article 03 medical and health sciences 0302 clinical medicine Mitral valve Internal medicine Humans Medicine 030212 general & internal medicine Cardiac Surgical Procedures Renal Insufficiency Chronic Heart Valve Prosthesis Implantation Mitral regurgitation Mitral valve repair business.industry MitraClip renal function Hemodynamics Mitral valve replacement General Medicine medicine.disease Treatment Outcome medicine.anatomical_structure cardiovascular system Cardiology Mitral Valve Female Percutaneous mitral repair mitraclip Cardiology and Cardiovascular Medicine business chronic kidney disease Percutaneous Mitral Valve Repair Kidney disease |
| Zdroj: | Current Cardiology Reviews |
| ISSN: | 1573-403X |
| DOI: | 10.2174/1573403x14666181024155247 |
| Popis: | Percutaneous mitral valve repair is emerging as a reasonable alternative especially in those with an unfavorable surgical risk profile in the repair of mitral regurgitation. At this time, our understanding of the effects of underlying renal dysfunction on outcomes with percutaneous mitral valve repair and the effects of this procedure itself on renal function is evolving, as more data emerges in this field. The current evidence suggests that the correction of mitral regurgitation via percutaneous mitral valve repair is associated with some degree of improvement in cardiac function, hemodynamics and renal function. The improvement in renal function was more significant for those with greater renal dysfunction at baseline. The presence of Chronic Kidney Disease (CKD) in turn has been associated with poor long-term outcomes including increased mortality and hospitalization among patients who undergo percutaneous mitral valve repair. This was true regardless of the degree of improvement in GFR post repair advanced CKD. The adverse impact of CKD on long-term outcomes was consistent across all studies and was more prominent in those with GFR |
| Databáze: | OpenAIRE |
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