Mitral and aortic valve surgery-related acute kidney injury:  affecting factors and its one year follow-up

İşcan, Şahin

doi:10.5606/tgkdc.dergisi.2017.13185

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…One of the other important factors affecting postoperative morbidity and mortality is AKI. In many studies investigating AKI associated with coronary bypass and heart valve surgery, the amount of blood transfusion and duration of cardiopulmonary bypass has been described as the most important factors influencing AKI [12,13]. In a study conducted by Lio, et al [14] in 96 patients with aortic hemiarch and total aortic arch replacement, the rate of AKI was 22% and postoperative dialysis requirement was 1%.…”

Section: Discussionmentioning

confidence: 99%

Neurologic and Renal Outcomes of Elective Proximal Aortic Repair and Current Cannulation Trends

İşcan¹,

Eygi²

2018

Int J Clin Cardiol

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Background: We aimed to determine factors influencing neurologic dysfunction and acute kidney injury (AKI) in patients undergoing elective aortic aneurysm repair and we also investigated them according to cannulation sites. Methods: From January 2012 to April 2018, 112 patients received proximal aortic repair. We used aortic arch, axillary and femoral artery cannulation. Antegrade cerebral protection and total circulatory arrest were used. Results: We detected 6 (5.4%) transient and 6 (5.4%) permanent neurologic dysfunction. Peripheral arterial diseases, total bypass time, transfusion and AKI showed correlation with neurologic dysfunction. Peripheral arterial diseases and AKI were independent risk factors (p < 0.05). AKI was reported in 38 patients. Postoperative revision, cross-clamp time, total bypass time and total circulatory arrest showed correlation with AKI (p < 0.05). Patients with neurologic dysfunction (66%) and patients with AKI (63%) had more femoral cannulation. Conclusion: Proximal aortic repair can be achieved with low morbidity and mortality using appropriate cerebral protection and cannulation technique. Neurologic dysfunction and AKI are important factors for aortic surgery and femoral cannulation has the highest risk for neurologic dysfunction and AKI.

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Section: Discussionmentioning

confidence: 99%