Kidney injury as post-interventional complication of TAVI

被引:9
|
作者
Morcos, Michael [1 ,2 ]
Burgdorf, Christof [3 ]
Vukadinivikj, Andrijana [3 ]
Mahfoud, Felix [4 ,5 ]
Latus, Joerg [6 ]
Persson, Pontus B. [7 ]
Schwenger, Vedat [6 ]
Remppis, Andrew [3 ]
机构
[1] Heidelberg Univ, Univ Med Mannheim, Med Klin 5, Theodor Kutzer Ufer 1-3, D-68167 Mannheim, Germany
[2] Stoffwechselzentrum Rhein Pfalz, Belchenstr 1-5, D-69163 Mannheim, Germany
[3] Klin Kardiol Herz & Gefasszentrum, Bad Bevensen, Germany
[4] Univ Klinikum Saarlandes, Klin Innere Med Kardiol Angiol & Internist Intens, Homburg, Germany
[5] MIT, Inst Med Engn & Sci, Cambridge, MA 02139 USA
[6] Klinikum Stuttgart, Transplantat Zentrum, Klin Nieren & Hochdruckkrankheiten, Stuttgart, Germany
[7] Charite Univ Med Berlin, Inst Vegetat Physiol, Charitepl 1, D-10117 Berlin, Germany
关键词
Transcatheter aortic valve replacement; Aortic valve stenosis; Renal insufficiency; Contrast media; Forced diuresis; AORTIC-VALVE-REPLACEMENT; CONTRAST-INDUCED NEPHROPATHY; RENAL-FUNCTION; EUROSCORE II; RISK-FACTORS; TRANSCATHETER; IMPLANTATION; DISEASE; METAANALYSIS; MORTALITY;
D O I
10.1007/s00392-020-01732-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transcatheter aortic valve implantation (TAVI) is an accepted treatment approach of aortic stenosis. In the beginning, this technique was executed in high-risk patients only. Today, intermediate-risk patients are also amenable for TAVI, as long as the transfemoral approach is chosen. Numerous predictors have been identified that could lead to periprocedural complications and are defined by patient co-morbidities as well as being inherent to the technical approach. Although vascular complications and postinterventional paravalvular regurgitation have been minimized over the past years by revised technologies and techniques, there is a prevailing individual risk brought about by the specific pathophysiology of the cardiorenal syndrome.
引用
收藏
页码:313 / 322
页数:10
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