Abdominal aorta surgical intervention and acute renal injury
The OBJECTIVE of this scientific research was to study risk factors, frequency and consequences of acute kidney injury (AKI) after open surgery on the abdominal aorta.METHODS AND MATERIALS. Outcome of surgical interventions in 65 patients were analyzed. AKI was detected in 11 of them; in rest 54 cas...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2020-06-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1404 |
| _version_ | 1797877566841815040 |
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| author | N. I. Glushkov M. A. Ivanov K. V. Samko P. D. Puzdriak P. B. Bondarenko K. V. Zhdanovich K. A. Petrova I. A. Kolchinsky N. Yu. Ponikarova |
| author_facet | N. I. Glushkov M. A. Ivanov K. V. Samko P. D. Puzdriak P. B. Bondarenko K. V. Zhdanovich K. A. Petrova I. A. Kolchinsky N. Yu. Ponikarova |
| author_sort | N. I. Glushkov |
| collection | DOAJ |
| description | The OBJECTIVE of this scientific research was to study risk factors, frequency and consequences of acute kidney injury (AKI) after open surgery on the abdominal aorta.METHODS AND MATERIALS. Outcome of surgical interventions in 65 patients were analyzed. AKI was detected in 11 of them; in rest 54 cases, AKI was not registered. The features of the perioperative period, kidney injury markers (creatinine, diuresis, urine), and the comorbidity were evaluated.RESULTS. The initial changes in renal activity, the emergency of intervention, hemodynamic instability, especially after more than 1000 ml perioperative blood loss, the presence of operations for multilevel peripheral arterial disease (MPAD) negatively affected on the AKI occurrence.CONCLUSION. Post-surgical AKI after infrarenal aortic interventions were observed more often in patients with previous kidney insufficiency, as well as after emergency interventions, in cases of hemodynamic instability. |
| first_indexed | 2024-04-10T02:19:19Z |
| format | Article |
| id | doaj.art-2db42cf661054f618e466baf5fa6170a |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:19:19Z |
| publishDate | 2020-06-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-2db42cf661054f618e466baf5fa6170a2023-03-13T08:09:18ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252020-06-011792202510.24884/0042-4625-2020-179-2-20-251127Abdominal aorta surgical intervention and acute renal injuryN. I. Glushkov0M. A. Ivanov1K. V. Samko2P. D. Puzdriak3P. B. Bondarenko4K. V. Zhdanovich5K. A. Petrova6I. A. Kolchinsky7N. Yu. Ponikarova8North-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. Mechnikov; Almazov National Medical Research CentreNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovThe OBJECTIVE of this scientific research was to study risk factors, frequency and consequences of acute kidney injury (AKI) after open surgery on the abdominal aorta.METHODS AND MATERIALS. Outcome of surgical interventions in 65 patients were analyzed. AKI was detected in 11 of them; in rest 54 cases, AKI was not registered. The features of the perioperative period, kidney injury markers (creatinine, diuresis, urine), and the comorbidity were evaluated.RESULTS. The initial changes in renal activity, the emergency of intervention, hemodynamic instability, especially after more than 1000 ml perioperative blood loss, the presence of operations for multilevel peripheral arterial disease (MPAD) negatively affected on the AKI occurrence.CONCLUSION. Post-surgical AKI after infrarenal aortic interventions were observed more often in patients with previous kidney insufficiency, as well as after emergency interventions, in cases of hemodynamic instability.https://www.vestnik-grekova.ru/jour/article/view/1404cardiovascular surgeryacute renal injurykidney failureabdominal aortainfrarenal aneurysmreconstructive arterial interventions |
| spellingShingle | N. I. Glushkov M. A. Ivanov K. V. Samko P. D. Puzdriak P. B. Bondarenko K. V. Zhdanovich K. A. Petrova I. A. Kolchinsky N. Yu. Ponikarova Abdominal aorta surgical intervention and acute renal injury Вестник хирургии имени И.И. Грекова cardiovascular surgery acute renal injury kidney failure abdominal aorta infrarenal aneurysm reconstructive arterial interventions |
| title | Abdominal aorta surgical intervention and acute renal injury |
| title_full | Abdominal aorta surgical intervention and acute renal injury |
| title_fullStr | Abdominal aorta surgical intervention and acute renal injury |
| title_full_unstemmed | Abdominal aorta surgical intervention and acute renal injury |
| title_short | Abdominal aorta surgical intervention and acute renal injury |
| title_sort | abdominal aorta surgical intervention and acute renal injury |
| topic | cardiovascular surgery acute renal injury kidney failure abdominal aorta infrarenal aneurysm reconstructive arterial interventions |
| url | https://www.vestnik-grekova.ru/jour/article/view/1404 |
| work_keys_str_mv | AT niglushkov abdominalaortasurgicalinterventionandacuterenalinjury AT maivanov abdominalaortasurgicalinterventionandacuterenalinjury AT kvsamko abdominalaortasurgicalinterventionandacuterenalinjury AT pdpuzdriak abdominalaortasurgicalinterventionandacuterenalinjury AT pbbondarenko abdominalaortasurgicalinterventionandacuterenalinjury AT kvzhdanovich abdominalaortasurgicalinterventionandacuterenalinjury AT kapetrova abdominalaortasurgicalinterventionandacuterenalinjury AT iakolchinsky abdominalaortasurgicalinterventionandacuterenalinjury AT nyuponikarova abdominalaortasurgicalinterventionandacuterenalinjury |