PMID: 9423709Jan 10, 1998Paper

Renal failure after thoracoabdominal aortic surgery

Journal of Vascular Surgery
V S KashyapG L'Italien

Abstract

Renal failure remains a common and morbid complication after complex aortic surgery. This study was performed to identify perioperative factors that contribute to postoperative renal failure. The perioperative outcomes of 183 patients who underwent thoracoabdominal aortic surgery with supraceliac clamping were reviewed. During the interval from Jan. 1987 to Nov. 1996, thoracoabdominal aneurysm repair was performed in 154 patients (type I, 49 patients [27%]; type II, 21 patients [11.5%]; type III, 55 patients [30%]; type IV, 29 patients [16%]), suprarenal abdominal aortic aneurysm repair in 17 patients (9%), and visceral/renal revascularization procedures in 12 patients (6.5%). Intraoperative management included thoracoabdominal aortic exposure and clamp-and-sew technique with renal artery cold perfusion whenever the renal arteries were accessible (79% of cases). Relevant clinical features included preoperative hypertension (85%), diabetes mellitus (8%), single functioning kidney (10%), recent intravenous contrast injection (34%), renal insufficiency (creatinine level greater than 1.5 mg/dl; 24%), and emergent operation (19%). Acute renal failure, defined as both a doubling of serum creatinine level and an absolute value greater...Continue Reading

Citations

Nov 30, 2000·Anesthesiology Clinics of North America·M Hladunewich, M H Rosenthal
Oct 16, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R P Cambria
Apr 15, 2003·Journal of the American College of Surgeons·Thomas F Rehring, H Whitton Hollis
Jan 8, 2004·Seminars in Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosSuzan F Murphy
Feb 26, 2010·Mediators of Inflammation·Ali AkcayCharles L Edelstein
Sep 5, 2012·BMC Nephrology·Konstantinos KaterosGeorge A Macheras
Jun 28, 2011·Critical Care : the Official Journal of the Critical Care Forum·Jianteng GuDaqing Ma
Dec 4, 2008·Clinical Nephrology·R Yalavarthy, C L Edelstein
Jun 17, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K MorishitaT Abe
Apr 5, 2001·International Anesthesiology Clinics·N Sadovnikoff
Feb 14, 2006·European Journal of Anaesthesiology·D ObalW Schlack
May 23, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M HornumB Feldt-Rasmussen
Aug 10, 2011·International Journal of Nephrology·Laura E White, Heitham T Hassoun
Mar 9, 2006·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Etienne MacedoJose M Vieira
Oct 3, 2006·Current Opinion in Anaesthesiology·N Sadovnikoff, S Gelman
Nov 27, 2009·The British Journal of Surgery·J M J RichardsR T A Chalmers
Sep 23, 2008·AJR. American Journal of Roentgenology·Ryota KawasakiYutaka Okita
Oct 14, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·J A MacierewiczB R Hopkinson
Oct 14, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·R L YueC J White
Mar 17, 2016·World Journal of Nephrology·Salwa Farooqi, Jeffrey G Dickhout
Jul 2, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Manabu KudakaKageharu Koja
Oct 6, 2006·Current Opinion in Anaesthesiology·Madhav Swaminathan, Mark Stafford-Smith
Dec 20, 2020·Journal of Vascular Surgery·Luis Cajas-MonsonRandall R DeMartino
Nov 9, 2004·British Journal of Anaesthesia·J W Sear
Jan 15, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C-M Wahlgren, E Wahlberg
Oct 20, 2009·La Presse médicale·Eric BourgeoisLaurent Jacob
Feb 15, 2011·Journal of Vascular Surgery·Mark F ConradRichard P Cambria
Apr 26, 2011·Journal of Vascular Surgery·Virendra I PatelRichard P Cambria
Jul 5, 2011·Journal of Vascular Surgery·Virendra I PatelRichard P Cambria

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