The risk of renal function deterioration in abdominal aortic stent graft patients with and without previous kidney function failure : an analysis of risk factors

2020
journal article
article
dc.abstract.enPurpose: Kidney failure influences the treatment outcomes of abdominal aortic aneurysm (AAA). A prospective study of renal function before and after aortic stent-graft treatment was performed. Special attention was paid to the influence of preoperative kidney function as well as the impact of the radiological follow-up. Material and methods: A total of 214 endovascularly treated AAA patients were included. In all cases, pre- and postoperative estimated glomerular filtration rate (eGFR) and serum creatinine were noted. Patients were prospectively followed up for a minimum of two years. Results: The baseline eGFR was 69.38 ± 16.29 ml/min/1.73 m2. Chronic kidney disease at baseline was noted in 29% of patients. In the direct postoperative period, acute kidney injury was identified in 8.4% of cases. Additional endovascular procedures within two years of observation were performed in 5.6% of cases, and over the two years of follow-up, in the study group from one to six angio-computed tomographic scans (angio-CT) per patient were performed. The mean eGFR value after the 24-month follow-up was significantly lower than the preoperative value. Among the factors influencing kidney function, an angio-CT during the same hospital stay of the primary stent-graft procedures was identified. The type of stent-graft, contrast volume during the primary procedure, need for reintervention, concomitant disease presence, and statin use did not show statistical significance. Conclusions: Angio-CT followed by stent-graft implantation over a short time interval (within the same hospitalisation) significantly worsened renal function in the late follow-up and should be avoided in elective AAA cases.pl
dc.contributor.authorUrbanek, Tomaszpl
dc.contributor.authorBiolik, Grzegorzpl
dc.contributor.authorZelawski, Wojciechpl
dc.contributor.authorHapeta, Beatapl
dc.contributor.authorJusko, Maciejpl
dc.contributor.authorKuczmik, Waclawpl
dc.date.accessioned2020-12-30T17:23:42Z
dc.date.available2020-12-30T17:23:42Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e648-e649pl
dc.description.physicale643-e649pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume85pl
dc.identifier.doi10.5114/pjr.2020.102194pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/259522
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enrenal failurepl
dc.subject.enabdominal aortic aneurysmpl
dc.subject.encontrast induced nephropathypl
dc.subject.enaortic stent-graftpl
dc.subtypeArticlepl
dc.titleThe risk of renal function deterioration in abdominal aortic stent graft patients with and without previous kidney function failure : an analysis of risk factorspl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Purpose: Kidney failure influences the treatment outcomes of abdominal aortic aneurysm (AAA). A prospective study of renal function before and after aortic stent-graft treatment was performed. Special attention was paid to the influence of preoperative kidney function as well as the impact of the radiological follow-up. Material and methods: A total of 214 endovascularly treated AAA patients were included. In all cases, pre- and postoperative estimated glomerular filtration rate (eGFR) and serum creatinine were noted. Patients were prospectively followed up for a minimum of two years. Results: The baseline eGFR was 69.38 ± 16.29 ml/min/1.73 m2. Chronic kidney disease at baseline was noted in 29% of patients. In the direct postoperative period, acute kidney injury was identified in 8.4% of cases. Additional endovascular procedures within two years of observation were performed in 5.6% of cases, and over the two years of follow-up, in the study group from one to six angio-computed tomographic scans (angio-CT) per patient were performed. The mean eGFR value after the 24-month follow-up was significantly lower than the preoperative value. Among the factors influencing kidney function, an angio-CT during the same hospital stay of the primary stent-graft procedures was identified. The type of stent-graft, contrast volume during the primary procedure, need for reintervention, concomitant disease presence, and statin use did not show statistical significance. Conclusions: Angio-CT followed by stent-graft implantation over a short time interval (within the same hospitalisation) significantly worsened renal function in the late follow-up and should be avoided in elective AAA cases.
dc.contributor.authorpl
Urbanek, Tomasz
dc.contributor.authorpl
Biolik, Grzegorz
dc.contributor.authorpl
Zelawski, Wojciech
dc.contributor.authorpl
Hapeta, Beata
dc.contributor.authorpl
Jusko, Maciej
dc.contributor.authorpl
Kuczmik, Waclaw
dc.date.accessioned
2020-12-30T17:23:42Z
dc.date.available
2020-12-30T17:23:42Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e648-e649
dc.description.physicalpl
e643-e649
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
85
dc.identifier.doipl
10.5114/pjr.2020.102194
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/259522
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
renal failure
dc.subject.enpl
abdominal aortic aneurysm
dc.subject.enpl
contrast induced nephropathy
dc.subject.enpl
aortic stent-graft
dc.subtypepl
Article
dc.titlepl
The risk of renal function deterioration in abdominal aortic stent graft patients with and without previous kidney function failure : an analysis of risk factors
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
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