Abstract
Renal insufficiency (RI) seems to be a source of complications after carotid endarterectomy (CEA). However, published studies do not use a common definition of RI. Our objective was to analyze the effects of RI on carotid surgery using three classifications of renal function. Using a prospective database, we studied renal function and postoperative complications in patients operated on between January 1, 2003 and December 31, 2008. Renal function was studied using the level of plasma creatinine, creatinine clearance calculated according to the Cockcroft formula, and to the Modification of Diet in Renal Disease (MDRD) equation. For each method, the patients were divided into three groups: normal renal function, moderate RI, and severe RI. The principal judgment criterion was the 30-day non-fatal stroke and death rate. The analysis concerned 961 CEAs carried out in 901 patients. The 30-day non-fatal stroke and death rate was 2%. In the analysis of renal function using the level of creatinine, there was no statistical difference between the groups in the 30-day stroke and death rate (normal renal function: 1.8%, moderate: 2.7%, severe: 8.3%, P = .21). The analysis of renal function according to creatinine clearance calculated usin...Continue Reading
References
Jan 1, 1976·Nephron·D W Cockcroft, M H Gault
Nov 1, 1995·Journal of Neurosurgery·A P GaseckiH J Barnett
Dec 1, 1994·Stroke; a Journal of Cerebral Circulation
Aug 1, 1997·American Journal of Surgery·R J PowellB E Sumpio
Sep 18, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·T CoatesA P Disney
Nov 20, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R N FoleyM J Sarnak
Mar 13, 1999·Annals of Internal Medicine·A S LeveyD Roth
Apr 9, 1999·Journal of Vascular Surgery·W C SternberghS R Money
Jun 9, 1999·Journal of Vascular Surgery·A D HamdanF W LoGerfo
Apr 23, 2003·Journal of the American Society of Nephrology : JASN·Ann M O'HareKirsten L Johansen
May 24, 2003·Journal of Vascular Surgery·Amy B ReedMichael S Conte
Jul 16, 2003·Annals of Internal Medicine·Andrew S LeveyUNKNOWN National Kidney Foundation
Mar 27, 2004·Lancet·P M RothwellUNKNOWN Carotid Endarterectomy Trialists Collaboration
Sep 25, 2004·American Heart Journal·Charmaine E LokJack V Tu
Feb 8, 2005·Journal of Vascular Surgery·Enrico AscherAnil P Hingorani
Oct 14, 2005·Vascular Surgery·J AyerdiS K Gupta
Nov 5, 2005·La Presse médicale·J F E Mann
May 30, 2006·Lancet·Alan D LopezChristopher J L Murray
Jun 3, 2006·Annals of Vascular Surgery·Erik Debing, Pierre Van den Brande
Sep 15, 2006·Current Surgery·Ahmad TarakjiGary G Nicholas
Nov 23, 2006·The American Journal of Medicine·Gregg C Fonarow, J Thomas Heywood
Mar 30, 2007·Journal of Vascular Surgery·Christopher D OwensMichael S Conte
Nov 27, 2007·Journal of the American College of Cardiology·Kristian ThygesenUNKNOWN Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction
Feb 2, 2008·Cardiology·Amala P ChirumamillaHashmat Ashraf
Oct 3, 2008·Journal of Vascular Surgery·Anton N SidawyWilliam G Henderson
Citations
Feb 14, 2013·Journal of the American College of Surgeons·Ali F AbuRahmaAmanda Koszewski
Jun 22, 2012·Annals of Vascular Surgery·Benjamin KretzEric Steinmetz
Feb 8, 2013·Journal of Vascular Surgery·Margriet FokkemaMarc L Schermerhorn
Dec 17, 2014·Journal of Vascular Surgery·Ali F AbuRahmaAlbeir Y Mousa
Dec 3, 2014·Annals of Vascular Surgery·B KretzE Steinmetz
Apr 26, 2016·Journal of Vascular Surgery·Caroline KazandjianEric Steinmetz
Aug 10, 2012·Diseases of the Colon and Rectum·Hiroaki NozawaToshiaki Watanabe