Influence of preoperative serum creatinine level and intraoperative volume of contrast medium on the risk of acute kidney injury after transfemoral transcatheter aortic valve implantation: a retrospective observational study

BMC Research Notes
Daisuke MiuraYoshiro Sakaguchi

Abstract

This study aimed to determine if contrast medium volume (CMV) is a risk factor for acute kidney injury (AKI) during transcatheter aortic valve implantation (TAVI) via a transfemoral approach performed without major complications. All TAVI procedures performed at our institution between March 2014 and March 2018 were retrospectively reviewed. AKI was diagnosed using the Acute Kidney Injury Network classification based on the Valve Academic Research Consortium-2 definition. Procedures performed via a transapical approach and those in which circulatory dynamics failed intraoperatively were excluded. Eighty-one (96.4%) of 100 patients scheduled for TAVI were enrolled; seven (8.6%) developed AKI and 74 (91.4%) did not. The serum creatinine (SCr) level was significantly higher (p < 0.05) and the estimated glomerular filtration rate was significantly lower in the AKI group (p < 0.05). The CMV was significantly higher in the AKI group (103 ml vs 84 ml, p < 0.05), as was the CMV × SCr/BW value (3.34 vs 1.49, p < 0.01). The area under the curve for CMV × SCr/BW was 0.9228 and the cut-off value was 2.99. The CMV, SCr, and estimated glomerular filtration rate affect the likelihood of AKI after transfemoral TAVI and a CMV × SCr/BW value > 2...Continue Reading

References

Jun 1, 1989·The American Journal of Medicine·R G CigarroaL D Hillis
May 12, 1998·The American Journal of Medicine·G M ChertowJ Daley
Nov 9, 2002·The American Journal of Cardiology·Rosario V FreemanUNKNOWN Blue Cross-Blue Shield of Michigan Cardiovascular Consortium (BMC2)
Sep 25, 2004·American Heart Journal·Charmaine E LokJack V Tu
Nov 26, 2004·Journal of the American Society of Nephrology : JASN·Berthus G LoefCoen A Stegeman
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
Feb 13, 2009·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Fabienne AreggerFelix J Frey
Jul 1, 2010·Circulation. Cardiovascular Interventions·Jeremiah R BrownDavid J Malenka
Nov 10, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Rutger-Jan M NuisPeter P T de Jaegere
Nov 23, 2010·JACC. Cardiovascular Interventions·Jan-Malte SinningNikos Werner
Dec 28, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arnaud Van LindenThomas Walther
Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Navid MadershahianThorsten Wahlers
Jun 20, 2012·American Heart Journal·Israel M BarbashRon Waksman
Sep 22, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Muhammed Zeeshan KhawajaSimon Redwood
Oct 11, 2012·Circulation. Cardiovascular Interventions·Rutger-Jan NuisPeter P de Jaegere
Nov 21, 2012·International Journal of Cardiology·Francesco SaiaAntonio Marzocchi
May 25, 2013·JACC. Cardiovascular Interventions·Masanori YamamotoEmmanuel Teiger
Jun 19, 2013·The Annals of Thoracic Surgery·Nora GoebelUlrich F W Franke
Feb 22, 2014·Archives of Cardiovascular Diseases·Yacine ElhmidiNicolo Piazza
Nov 8, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Robert H ThieleMitchell H Rosner
Dec 31, 2014·The Canadian Journal of Cardiology·Maayan KonigsteinYaron Arbel
Dec 8, 2015·The American Journal of Cardiology·Fausto BiancariUNKNOWN OBSERVANT Research Group
Sep 8, 2018·The American Journal of Cardiology·Nilay KumarDeepak L Bhatt

❮ Previous
Next ❯

Citations

Aug 28, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Michael MorcosAndrew Remppis

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass
urine volume

Software Mentioned

JMP Pro

Related Concepts

Related Feeds

Related Papers

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Loes D SaurenGerrit J Kemerink
© 2021 Meta ULC. All rights reserved