The risk of renal function deterioration in abdominal aortic stent graft patients with and without previous kidney function failure : an analysis of risk factors
| Autor: | Tomasz Urbanek, Wacław Kuczmik, Maciej Jusko, Beata Hapeta, Wojciech Zelawski, Grzegorz Biolik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Creatinine
medicine.medical_specialty Kidney Original Paper renal failure business.industry Acute kidney injury Contrast-induced nephropathy Renal function medicine.disease Abdominal aortic aneurysm Surgery chemistry.chemical_compound contrast induced nephropathy medicine.anatomical_structure abdominal aortic aneurysm chemistry Concomitant medicine aortic stent-graft business Kidney disease |
| Zdroj: | Polish Journal of Radiology |
| Popis: | Purpose: Kidney failure influences the treatment outcomes of abdominal aortic aneurysm (AAA). A prospective study of renal function before and after aortic stent-graft treatment was performed. Special attention was paid to the influence of preoperative kidney function as well as the impact of the radiological follow-up. Material and methods: A total of 214 endovascularly treated AAA patients were included. In all cases, pre- and postoperative estimated glomerular filtration rate (eGFR) and serum creatinine were noted. Patients were prospectively followed up for a minimum of two years. Results: The baseline eGFR was 69.38 ± 16.29 ml/min/1.73 m2. Chronic kidney disease at baseline was noted in 29% of patients. In the direct postoperative period, acute kidney injury was identified in 8.4% of cases. Additional endovascular procedures within two years of observation were performed in 5.6% of cases, and over the two years of follow-up, in the study group from one to six angio-computed tomographic scans (angio-CT) per patient were performed. The mean eGFR value after the 24-month follow-up was significantly lower than the preoperative value. Among the factors influencing kidney function, an angio-CT during the same hospital stay of the primary stent-graft procedures was identified. The type of stent-graft, contrast volume during the primary procedure, need for reintervention, concomitant disease presence, and statin use did not show statistical significance. Conclusions: Angio-CT followed by stent-graft implantation over a short time interval (within the same hospitalisation) significantly worsened renal function in the late follow-up and should be avoided in elective AAA cases. |
| Databáze: | OpenAIRE |
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