Short Term Prognosis of Renal Artery Stenosis Secondary to Acute Type B Aortic Dissection With TEVAR

被引：4

作者：

Li, Lei ^{[1
,2
,3
]}

Wang, Maozhou ^{[1
,2
,3
]}

Li, Jinzhang ^{[1
,2
,3
]}

Guan, Xinliang ^{[1
,2
,3
]}

Xin, Pu ^{[2
,3
,4
]}

Wang, Xiaolong ^{[1
,2
,3
]}

Liu, Yuyong ^{[1
,2
,3
]}

Li, Haiyang ^{[1
,2
,3
]}

Jiang, Wenjian ^{[1
,2
,3
]}

Gong, Ming ^{[1
,2
,3
]}

Zhang, Hongjia ^{[1
,2
,3
]}

机构：

[1] Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China

[2] Cardiovasc Surg Ctr, Beijing Aort Dis Ctr, Beijing, Peoples R China

[3] Beijing Lab Cardiovasc Precis Med, Beijing, Peoples R China

[4] Capital Med Univ, Beijing Anzhen Hosp, Dept Med Imaging, Beijing, Peoples R China

来源：

FRONTIERS IN CARDIOVASCULAR MEDICINE | 2021年 / 8卷

基金：

国家重点研发计划; 美国国家科学基金会;

关键词：

renal artery stenosis; acute type B aortic dissection; acute kidney injury; hypertension; early prognosis;

D O I：

10.3389/fcvm.2021.658952

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To determine the effect of renal artery stenosis (RAS) resulting from acute type B aortic dissection (ATBAD) with thoracic endovascular aortic repair (TEVAR) on early prognosis in patients with ATBAD. Methods: A total of 129 ATBAD patients in the National Acute Aortic Syndrome Database (AASCN) who underwent TEVAR between 2019 and 2020 were enrolled in our study. Patients were divided into two groups: the RAS group and the non-RAS group. Results: There were 21 RAS patients (16.3%) and 108 non-RAS patients (83.7%) in our cohort. No patient in our cohort died during the 1-month follow-up. There was no significant difference in preoperative creatinine clearance rate (CCr) between the two groups (90.6 +/- 46.1 mu mol/L in the RAS group vs. 78.7 +/- 39.2 mu mol/L in the non-RAS group, P = 0.303) but the RAS group had a significantly lower estimated glomerular filtration rate (eGFR) than the non-RAS group (83.3 +/- 25.0 vs. 101.9 +/- 26.9 ml/min, respectively; P = 0.028).One month after TEVAR, CCr was significantly higher (99.0 +/- 68.1 vs. 78.5 +/- 25.8 ml/min, P = 0.043) and eGFR (81.7 +/- 23.8 vs. 96.0 +/- 20.0 ml/min, P = 0.017) was significantly lower in the RAS group than in the non-RAS group. Conclusions: In ATBAD, RAS could result in acute kidney injury (AKI) in the early stage after TEVAR. The RAS group had a high incidence of hypertension. These results suggest that patients with RAS may need further treatment.

引用

页数：7

共 33 条

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