共 34 条
Acute kidney injury after transcatheter aortic valve implantation: Impact of contrast agents, predictive factors, and prognostic importance in 203 patients with long-term follow-up
被引:30
作者:

Chatani, Kenichi
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Abdel-Wahab, Mohamed
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机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Wuebken-Kleinfeld, Nora
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Gordian, Ken
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Poetzing, Kathrin
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机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Mostafa, Ahmad E.
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Kraatz, Ernst-Guenter
论文数: 0 引用数: 0
h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiovasc Surg, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Richardt, Doreen
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h-index: 0
机构:
Univ Hosp Schleswig Holstein, Dept Cardiovasc Surg, Lubeck, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

El-Mawardy, Mohamed
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany

Richardt, Gert
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h-index: 0
机构:
Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany
机构:
[1] Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiol, D-23795 Bad Segeberg, Germany
[2] Segeberger Kliniken GmbH, Ctr Heart, Dept Cardiovasc Surg, D-23795 Bad Segeberg, Germany
[3] Univ Hosp Schleswig Holstein, Dept Cardiovasc Surg, Lubeck, Germany
关键词:
Transcatheter aortic valve implantation;
Acute kidney injury;
Contrast medium;
Long-term clinical outcome;
PERCUTANEOUS CORONARY INTERVENTION;
END-POINT DEFINITIONS;
HIGH-RISK PATIENTS;
INDUCED NEPHROPATHY;
MEDIUM IODIXANOL;
RENAL-FUNCTION;
OSMOLAR;
VASOCONSTRICTION;
INTRAARTERIAL;
METAANALYSIS;
D O I:
10.1016/j.jjcc.2015.02.007
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background: Acute kidney injury (AKI) frequently occurs following transcatheter aortic valve implantation (TAVI) and has been related to a worse outcome. We investigated the importance of contrast medium composition, either iso-osmolar (IOCM) or low-osmolar (LOCM) and assessed predictors for AKI after TAVI. Methods and results: We assessed AKI in 203 TAVI patients treated mainly with trans-femoral implantation and analgosedation. A total of 100 patients received IOCM and 103 LOCM. AKI was defined according to the Valve Academic Research Consortium. Following TAVI, 39 patients (19.2%) developed AKI; 17.0% of the IOCM and 21.4% of the LOCM group (p = 0.43). The only independent predictor for AKI was baseline serum creatinine [odds ratio (OR) 0.26, 95% confidence interval (Cl) 0.01-0.64, p = 0.002]. Patients with advanced AKI (stages 2 and 3) post-TAVI had significantly higher mortality at 2 years (log rank p < 0.001), whereas patients with AKI stage 1 had a similar long-term outcome to non-AKI patients. Conclusions: Following TAVI, we observed no difference in the occurrence of AKI between IOCM and LOCM. Baseline creatinine was the only independent predictor of AKI, and patients who developed advanced AKI had significantly higher mortality at 2 years. (C) 2015 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
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页码:514 / 519
页数:6
相关论文
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论文数: 0 引用数: 0
h-index: 0
机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA

Lansky, AJ
论文数: 0 引用数: 0
h-index: 0
机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA

Kent, KM
论文数: 0 引用数: 0
h-index: 0
机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA

Pichard, AD
论文数: 0 引用数: 0
h-index: 0
机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA

Satler, LF
论文数: 0 引用数: 0
h-index: 0
机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA

Leon, MB
论文数: 0 引用数: 0
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机构: Washington Hosp Ctr, Cardiac Catheterizat Lab, Washington, DC 20010 USA
[10]
Sex-Related Differences in Clinical Presentation and Outcome of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis
[J].
Hayashida, Kentaro
;
Morice, Marie-Claude
;
Chevalier, Bernard
;
Hovasse, Thomas
;
Romano, Mauro
;
Garot, Philippe
;
Farge, Arnaud
;
Donzeau-Gouge, Patrick
;
Bouvier, Erik
;
Cormier, Bertrand
;
Lefevre, Thierry
.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY,
2012, 59 (06)
:566-571

Hayashida, Kentaro
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Morice, Marie-Claude
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Chevalier, Bernard
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Hovasse, Thomas
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Romano, Mauro
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Garot, Philippe
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Farge, Arnaud
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Donzeau-Gouge, Patrick
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Bouvier, Erik
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Cormier, Bertrand
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France

Lefevre, Thierry
论文数: 0 引用数: 0
h-index: 0
机构:
Inst Cardiovasc Paris Sud, Massy, France Inst Cardiovasc Paris Sud, Massy, France