Incidence, predictors, and effects of acute kidney injury after percutaneous valve implantation
| Autor: | J, García-Lara, E, Pinar-Bermúdez, J R, Gimeno-Blanes, J, Lacunza-Ruiz, J A, Hurtado Martinez, R, Valdesuso-Aguilar, M, Valdés-Chávarri |
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| Rok vydání: | 2014 |
| Předmět: |
Aged
80 and over Heart Valve Prosthesis Implantation Male Cardiac Catheterization Incidence Aortic Valve Stenosis Acute Kidney Injury Length of Stay Prognosis Cohort Studies Survival Rate Postoperative Complications Predictive Value of Tests Aortic Valve Humans Female Aged Glomerular Filtration Rate Retrospective Studies |
| Zdroj: | The Journal of invasive cardiology. 26(4) |
| ISSN: | 1557-2501 |
| Popis: | Acute kidney injury is a common complication after surgical aortic replacement and entails a worse prognosis. Percutaneous valve implantation is an alternative to surgical replacement. We sought to elucidate incidence, predictors, and effects of acute kidney injury after percutaneous aortic valve implantation.A cohort of consecutive patients who underwent percutaneous aortic valve implantation at one center were studied, excluding those who died in the first 24 hours and those on prior hemodialysis.A total of 131 patients (age, 80.8 ± 6 years; 42% male; Euroscore II, 10.27 ± 6.9) were included. Acute kidney injury was defined as a reduction25% in glomerular filtration rate (GFR). GFR was 62.09 ± 22 mL/min/1.73 m² at baseline, 62.7 ± 25 mL/min/1.73 m² after the procedure, and 68.03 ± 25 mL/min/1.73 m² at discharge. Acute kidney injury appeared in 17 patients (13%). Of these, 11 recovered and only 6 (4.5%) showed impaired GFR25% upon discharge. Patients with acute kidney injury showed longer hospitalization length (median 7 days [IQR, 5-12 days] vs 3 days [IQR, 2-6 days]; P=.01) and higher 30-day mortality rate (17.6% vs 0.9%; P=.01). The only independent predictor for acute kidney injury development was Euroscore II (odds ratio, 1.192; confidence interval, 1.042-1.326; P=.01).Incidence of acute kidney injury after transcatheter aortic valve implantation was 13% in our cohort. Patients with acute kidney injury showed longer hospitalization and higher 30-day mortality rate. Euroscore II was an independent predictor of acute kidney injury. |
| Databáze: | OpenAIRE |
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