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Factors that impact kidney function during open and endovascular reconstruction of aortic aneurysms.
- Source :
-
Cirugia y cirujanos [Cir Cir] 2019; Vol. 87 (2), pp. 170-175. - Publication Year :
- 2019
-
Abstract
- Background: To analyze the factors that influence the deterioration of postoperative renal function in patients undergoing open or endovascular aortic reconstruction, and the impact on survival.<br />Method: Retrospective review of patients who underwent invasive treatment was conducted. Demographics, laboratory data, clinical, intraoperative and postoperative variables were recorded; renal function was determined, Fisher's exact test was used to find associations and Kaplan Meier analysis to estimate survival.<br />Results: From 2007 to 2017, 80 patients (mean age: 70 years) were studied. Fifty-eight (73%) were male, none of these patients had known diagnosis of chronic kidney insufficiency. Twelve (15%) patients had elevated creatinine in the postoperative period; variables such as intraoperative bleeding greater than 1500 ml were associated with acute renal failure (p = 0.005). During the follow-up period of 60 months, 8 (10%) patients progressed to chronic renal failure, 2 (2.5%) requiring hemodialysis, 18 (22%). Age, gender, comorbidities and anatomic characteristics of the aneurysm, type of intervention or level of aortic cross-clamping did not impact the postoperative renal function.<br />Conclusions: The repair of complex aortic aneurysms continues to be a challenge. Intraoperative bleeding greater than 1500 ml and the need of blood transfusion was associated with deterioration of postoperative renal function, affecting the 5-year survival of patients.<br /> (Copyright: © 2019 Permanyer.)
- Subjects :
- Acute Kidney Injury blood
Acute Kidney Injury mortality
Adult
Aged
Aged, 80 and over
Aortic Aneurysm mortality
Blood Loss, Surgical
Creatinine blood
Endovascular Procedures statistics & numerical data
Female
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Kidney Failure, Chronic blood
Kidney Failure, Chronic mortality
Kidney Failure, Chronic therapy
Male
Middle Aged
Postoperative Complications blood
Postoperative Complications mortality
Plastic Surgery Procedures statistics & numerical data
Renal Dialysis statistics & numerical data
Retrospective Studies
Young Adult
Acute Kidney Injury etiology
Aortic Aneurysm surgery
Endovascular Procedures adverse effects
Kidney Failure, Chronic etiology
Postoperative Complications etiology
Plastic Surgery Procedures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 2444-054X
- Volume :
- 87
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Cirugia y cirujanos
- Publication Type :
- Academic Journal
- Accession number :
- 30768059
- Full Text :
- https://doi.org/10.24875/CIRU.18000448