Incidence of Acute Kidney Injury in Patients with Chronic Renal Insufficiency: Transcatheter versus Surgical Aortic Valve Replacement
Joint Authors
Rutkin, Bruce
Catalano, Michael
Lin, Dishen
Cassiere, Hugh
Kohn, Nina
Maurer, Greg
Berg, Jacinda A.
Jahn, Jaclyn
Esposito, Rick
Hartman, Alan
Yu, Pey-Jen
Source
Journal of Interventional Cardiology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objectives.
The objective of this study is to determine incidence of acute kidney injury (AKI) associated with transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR) in patients with preexisting chronic kidney disease.
Background.
The incidence of AKI in patients with preexisting renal insufficiency undergoing TAVR versus SAVR is not well described.
Methods.
All patients with preexisting chronic kidney disease who underwent SAVR for aortic stenosis with or without concomitant coronary artery bypass grafting or TAVR from 5/2008 to 6/2017.
Patients requiring preoperative hemodialysis were excluded.
Chronic kidney disease was defined as an estimated glomerular filtrate rate (eGFR) of < 60 mL/min/1.73 m2.
The incidence of postoperative AKI was compared using the RIFLE classification system for acute kidney injury.
Results.
A total of 406 SAVR patients and 407 TAVR patients were included in this study.
TAVR patients were older and had lower preoperative eGFR as compared to SAVR patients.
Covariate adjustment using propensity score between the two groups showed that SAVR patients were more likely to have a more severe degree of postoperative AKI as compared to TAVR patients (OR = 4.75; 95% CI: 3.15, 7.17; p <.001).
SAVR patients were more likely to require dialysis postoperatively as compared to TAVR patients (OR = 4.55; 95% CI: 1.29, 15.99; p <.018).
Conclusion.
In patients with preexisting chronic kidney disease, TAVR was associated with significantly less AKI as compared to SAVR.
American Psychological Association (APA)
Catalano, Michael& Lin, Dishen& Cassiere, Hugh& Kohn, Nina& Rutkin, Bruce& Maurer, Greg…[et al.]. 2019. Incidence of Acute Kidney Injury in Patients with Chronic Renal Insufficiency: Transcatheter versus Surgical Aortic Valve Replacement. Journal of Interventional Cardiology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1181309
Modern Language Association (MLA)
Catalano, Michael…[et al.]. Incidence of Acute Kidney Injury in Patients with Chronic Renal Insufficiency: Transcatheter versus Surgical Aortic Valve Replacement. Journal of Interventional Cardiology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1181309
American Medical Association (AMA)
Catalano, Michael& Lin, Dishen& Cassiere, Hugh& Kohn, Nina& Rutkin, Bruce& Maurer, Greg…[et al.]. Incidence of Acute Kidney Injury in Patients with Chronic Renal Insufficiency: Transcatheter versus Surgical Aortic Valve Replacement. Journal of Interventional Cardiology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1181309
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1181309