scholarly journals Clinical impact of baseline chronic kidney disease in patients undergoing transcatheter or surgical aortic valve replacement

2018 ◽  
Vol 93 (4) ◽  
pp. 740-748 ◽  
Author(s):  
Andres M. Pineda ◽  
J. Kevin Harrison ◽  
Neal S. Kleiman ◽  
Michael J. Reardon ◽  
John V. Conte ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Clinical Impact ◽  
Surgical Aortic Valve Replacement

scholarly journals Incidence of Acute Kidney Injury in Patients with Chronic Renal Insufficiency: Transcatheter versus Surgical Aortic Valve Replacement

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Michael Catalano ◽  
Dishen Lin ◽  
Hugh Cassiere ◽  
Nina Kohn ◽  
Bruce Rutkin ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Acute Kidney Injury ◽  
Kidney Disease ◽  
Aortic Valve ◽  
Renal Insufficiency ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Kidney Injury ◽  
Surgical Aortic Valve Replacement ◽  
Postoperative Aki

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.

Comparison of Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Chronic Kidney Disease

2018 ◽  
Vol 121 (3) ◽  
pp. 343-348 ◽  
Author(s):  
Nilay Kumar ◽  
Rohan Khera ◽  
Neetika Garg ◽  
Justin B. Echouffo-Tcheugui ◽  
Anand Venkatraman ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Surgical Aortic Valve Replacement
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