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Acute Kidney Injury after Complex Endovascular Aneurysm Repair.
Curr Pharm Des 2019; 25(44):4686-4694CP

Abstract

BACKGROUND

Complex endovascular repair of abdominal aortic aneurysm carries higher perioperative morbidity than standard infrarenal endovascular repair.

OBJECTIVE

This study reviews the incidence and associated factors of acute kidney injury in complex aortic endovascular repair of juxtarenal, pararenal, and thoracoabdominal aortic aneurysms.

METHODS

A literature review was performed for all studies on the endovascular repair of juxtarenal, pararenal, and thoracoabdominal aneurysms that evaluated rates of acute kidney injury as an outcome. Outcomes were further analyzed by the level of anatomic complexity and method of repair.

RESULTS

52 studies met inclusion criteria, with a total of 5454 individuals undergoing repair from 2004 to 2017. The overall rate of acute kidney injury ranged widely from 0 to 41%, with a rate of hemodialysis from 0 to 19% (temporary) and 0 to 14% (permanent). Increasing anatomic complexity was associated with higher rates of acute kidney injury. Mode of endovascular repair, learning curve effect, and preoperative chronic renal insufficiency did not demonstrate any associations with the outcome.

CONCLUSION

Published rates of acute kidney injury in complex aortic aneurysm repair vary widely with few definitively associated factors other than increasing anatomic complexity and operative time. Further study is needed for the identification of predictors related to postoperative acute kidney injury.

Authors+Show Affiliations

Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh PA, Penn, United States.Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh PA, Penn, United States.Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh PA, Penn, United States.Department of Vascular and Endovascular Surgery, Paracelsus Medical University Nuremberg, General Hospital Nuremberg, Nuremberg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31782361

Citation

Liang, Nathan L., et al. "Acute Kidney Injury After Complex Endovascular Aneurysm Repair." Current Pharmaceutical Design, vol. 25, no. 44, 2019, pp. 4686-4694.
Liang NL, Mohapatra A, Avgerinos ED, et al. Acute Kidney Injury after Complex Endovascular Aneurysm Repair. Curr Pharm Des. 2019;25(44):4686-4694.
Liang, N. L., Mohapatra, A., Avgerinos, E. D., & Katsargyris, A. (2019). Acute Kidney Injury after Complex Endovascular Aneurysm Repair. Current Pharmaceutical Design, 25(44), pp. 4686-4694. doi:10.2174/1381612825666191129095829.
Liang NL, et al. Acute Kidney Injury After Complex Endovascular Aneurysm Repair. Curr Pharm Des. 2019;25(44):4686-4694. PubMed PMID: 31782361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Kidney Injury after Complex Endovascular Aneurysm Repair. AU - Liang,Nathan L, AU - Mohapatra,Abhisekh, AU - Avgerinos,Efthymios D, AU - Katsargyris,Athanasios, PY - 2020/10/19/received PY - 2020/11/25/accepted PY - 2019/11/30/pubmed PY - 2019/11/30/medline PY - 2019/11/30/entrez KW - Aorta KW - aneurysm KW - endovascular KW - juxtarenal KW - kidney KW - pararenal KW - renal KW - thoracoabdominal. SP - 4686 EP - 4694 JF - Current pharmaceutical design JO - Curr. Pharm. Des. VL - 25 IS - 44 N2 - BACKGROUND: Complex endovascular repair of abdominal aortic aneurysm carries higher perioperative morbidity than standard infrarenal endovascular repair. OBJECTIVE: This study reviews the incidence and associated factors of acute kidney injury in complex aortic endovascular repair of juxtarenal, pararenal, and thoracoabdominal aortic aneurysms. METHODS: A literature review was performed for all studies on the endovascular repair of juxtarenal, pararenal, and thoracoabdominal aneurysms that evaluated rates of acute kidney injury as an outcome. Outcomes were further analyzed by the level of anatomic complexity and method of repair. RESULTS: 52 studies met inclusion criteria, with a total of 5454 individuals undergoing repair from 2004 to 2017. The overall rate of acute kidney injury ranged widely from 0 to 41%, with a rate of hemodialysis from 0 to 19% (temporary) and 0 to 14% (permanent). Increasing anatomic complexity was associated with higher rates of acute kidney injury. Mode of endovascular repair, learning curve effect, and preoperative chronic renal insufficiency did not demonstrate any associations with the outcome. CONCLUSION: Published rates of acute kidney injury in complex aortic aneurysm repair vary widely with few definitively associated factors other than increasing anatomic complexity and operative time. Further study is needed for the identification of predictors related to postoperative acute kidney injury. SN - 1873-4286 UR - https://www.unboundmedicine.com/medline/citation/31782361/Acute_Kidney_Injury_after_Complex_Endovascular_Aneurysm_Repair L2 - http://www.eurekaselect.com/177050/article DB - PRIME DP - Unbound Medicine ER -