Influence of preoperative serum creatinine level and intraoperative volume of contrast medium on the risk of acute kidney injury after transfemoral transcatheter aortic valve implantation: a retrospective observational study

This study aimed to determine if contrast medium volume (CMV) is a risk factor for acute kidney injury (AKI) during transcatheter aortic valve implantation (TAVI) via a transfemoral approach performed without major complications. All TAVI procedures performed at our institution between March 2014 an...

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Bibliographic Details
Published in:BMC research notes 2019-08, Vol.12 (1), p.484-484, Article 484
Main Authors: Miura, Daisuke, Yamada, Yasutaka, Kusaba, Shinichiro, Nogami, Eijiro, Yunoki, Junji, Sakamoto, Yoshiko, Hikichi, Yutaka, Node, Koichi, Sakaguchi, Yoshiro
Format: Article
Language:English
Subjects:
Acute kidney failure
Acute kidney injury
Acute Kidney Injury - blood
Acute Kidney Injury - diagnosis
Acute Kidney Injury - physiopathology
Aged, 80 and over
Complications and side effects
Contrast media
Contrast Media - metabolism
Contrast medium
Creatinine
Creatinine - blood
Female
Glomerular Filtration Rate
Health aspects
Heart valve diseases
Heart Valve Prosthesis Implantation - methods
Heart Valve Prosthesis Implantation - statistics & numerical data
Heart valve replacement
Humans
Intraoperative Period
Logistic Models
Male
Measurement
Preoperative Period
Research Note
Retrospective Studies
Risk Factors
Serum creatinine
Transcatheter Aortic Valve Replacement - methods
Transcatheter Aortic Valve Replacement - statistics & numerical data
Transfemoral transcatheter aortic valve implantation
University research
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Summary:This study aimed to determine if contrast medium volume (CMV) is a risk factor for acute kidney injury (AKI) during transcatheter aortic valve implantation (TAVI) via a transfemoral approach performed without major complications. All TAVI procedures performed at our institution between March 2014 and March 2018 were retrospectively reviewed. AKI was diagnosed using the Acute Kidney Injury Network classification based on the Valve Academic Research Consortium-2 definition. Procedures performed via a transapical approach and those in which circulatory dynamics failed intraoperatively were excluded. Eighty-one (96.4%) of 100 patients scheduled for TAVI were enrolled; seven (8.6%) developed AKI and 74 (91.4%) did not. The serum creatinine (SCr) level was significantly higher (p 
ISSN:1756-0500
1756-0500
DOI:10.1186/s13104-019-4527-2