Analysis of risk factors for acute kidney injury after ascending aortic replacement combined with open placement of triple-branched stent graft in type A aortic dissection: a new technique versus the traditional method in a single Chinese center

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Zhihuang QiuQiang Chen

Abstract

We aimed to analyze the risk factors and prognosis of acute kidney injury (AKI) after aortic arch repair in type A aortic dissection. We included 155 patients undergoing arch repair surgery for type A aortic dissection from January 2009 to January 2014 in our hospital. Ninety-three patients underwent ascending aortic replacement combined with open placement of triple-branched stent graft and 62 underwent arch replacement with 4-branched Dacron graft combined with stented elephant trunk implantation into the descending aorta. Univariate analysis and multiple logistic regression were performed to evaluate possible parameters associated with AKI according to the AKI Network (AKIN). Postoperative AKI occurred in 56 patients, with a morbidity of 36.13%. Advanced age (OR=2.32 per decade, 95% CI; range, 1.47-3.67); aortic arch replacement with 4-branched Dacron graft combined with stented elephant trunk implantation (OR=3.29, 95% CI; range, 1.12-9.67); cardiopulmonary bypass time >180 min (OR=3.91, 95% CI; range, 1.35-11.35) and packed red blood cells >10 U (OR=4.88, 95% CI; range, 2.03-11.76) were independent risk factors. AKI is a complication after arch repair in type A aortic dissection. Advanced age; aortic arch replacement with ...Continue Reading

References

Oct 22, 1987·The New England Journal of Medicine·R W DeSanctisM J Buckley
Nov 1, 1995·Circulation·J I FannN E Shumway
Aug 31, 2002·The Journal of Thoracic and Cardiovascular Surgery·Masaaki KatoKenji Ohnishi
Nov 26, 2004·Journal of the American Society of Nephrology : JASN·Charuhas V ThakarEmil P Paganini
Jan 24, 2006·The Annals of Thoracic Surgery·Anne KuitunenVille Pettilä
Sep 22, 2006·Journal of the American Society of Nephrology : JASN·Ying-Chun MaHai-Yan Wang
Mar 3, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ravindra L MehtaUNKNOWN Acute Kidney Injury Network
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Mitchell H Rosner, Mark D Okusa
Apr 16, 2010·The Journal of Thoracic and Cardiovascular Surgery·Lars EnglbergerHartzell V Schaff
Jun 26, 2012·The Annals of Thoracic Surgery·Go Un RohYon Hee Shim
Sep 4, 2012·The Annals of Thoracic Surgery·Hsing-Shan TsaiPao-Hsien Chu

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Citations

Apr 13, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Andrzej PrystupaWojciech Załuska
Feb 12, 2020·Interactive Cardiovascular and Thoracic Surgery·Ning DongKexiang Liu
Sep 11, 2019·Interactive Cardiovascular and Thoracic Surgery·Kentaro AmanoYasushi Takagi
Dec 15, 2020·Frontiers in Endocrinology·Jihong LiuYuanfei Zhao
Jun 11, 2021·Journal of Cardiac Surgery·Sven Z C P TanMohamad Bashir

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Methods Mentioned

BETA
dissection
coronary artery bypass

Software Mentioned

SPSS

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