The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation
Abstract Objective: To evaluate the predictive value of mean perfusion pressure (mPP) in the development of acute kidney injury (AKIN) after transcatheter aortic valve implantation (TAVI). Methods: One hundred and forty seven consecutive patients with aortic stenosis (AS) were evaluated for this s...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000600559&lng=en&tlng=en |
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| author | Ilker Gül Levent Cerit Bihter Senturk Mustafa Zungur Mustafa Beyazıt Alkan Hatice Kemal Zeynep Cerit Belma Yaman Songul Usalp Hamza Duygu |
| author_facet | Ilker Gül Levent Cerit Bihter Senturk Mustafa Zungur Mustafa Beyazıt Alkan Hatice Kemal Zeynep Cerit Belma Yaman Songul Usalp Hamza Duygu |
| author_sort | Ilker Gül |
| collection | DOAJ |
| description | Abstract Objective: To evaluate the predictive value of mean perfusion pressure (mPP) in the development of acute kidney injury (AKIN) after transcatheter aortic valve implantation (TAVI). Methods: One hundred and forty seven consecutive patients with aortic stenosis (AS) were evaluated for this study and 133 of them were included. Mean arterial pressure (mAP) and central venous pressure (CVP) were used to calculate mPP before TAVI procedure (mPP = mAP-CVP). The occurrence of AKIN was evaluated with AKIN classification according to the Valve Academic Research Consortium-2 recommendations. The patients were divided into two groups according to the receiver operating characteristic (ROC) analysis of their mPP levels (high-risk group and low-risk group). Results: The AKIN prevalence was 22.6% in this study population. Baseline serum creatinine level, glomerular filtration rate, amount of contrast medium, and the level of mPP were determined as predictive factors for the development of AKIN. Conclusion: The occurrence of AKIN is associated with increased morbidity and mortality rates in patients with TAVI. In addition to the amount of contrast medium and basal kidney functions, our study showed that lower mPP was strongly associated with development of AKIN after TAVI. |
| first_indexed | 2024-04-12T14:53:35Z |
| format | Article |
| id | doaj.art-adf558efc978458b8e13c37224276ec5 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T14:53:35Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-adf558efc978458b8e13c37224276ec52022-12-22T03:28:20ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974133655956610.21470/1678-9741-2018-0137S0102-76382018000600559The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve ImplantationIlker GülLevent CeritBihter SenturkMustafa ZungurMustafa Beyazıt AlkanHatice KemalZeynep CeritBelma YamanSongul UsalpHamza DuyguAbstract Objective: To evaluate the predictive value of mean perfusion pressure (mPP) in the development of acute kidney injury (AKIN) after transcatheter aortic valve implantation (TAVI). Methods: One hundred and forty seven consecutive patients with aortic stenosis (AS) were evaluated for this study and 133 of them were included. Mean arterial pressure (mAP) and central venous pressure (CVP) were used to calculate mPP before TAVI procedure (mPP = mAP-CVP). The occurrence of AKIN was evaluated with AKIN classification according to the Valve Academic Research Consortium-2 recommendations. The patients were divided into two groups according to the receiver operating characteristic (ROC) analysis of their mPP levels (high-risk group and low-risk group). Results: The AKIN prevalence was 22.6% in this study population. Baseline serum creatinine level, glomerular filtration rate, amount of contrast medium, and the level of mPP were determined as predictive factors for the development of AKIN. Conclusion: The occurrence of AKIN is associated with increased morbidity and mortality rates in patients with TAVI. In addition to the amount of contrast medium and basal kidney functions, our study showed that lower mPP was strongly associated with development of AKIN after TAVI.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000600559&lng=en&tlng=enTranscatheter Aortic Valve ReplacementKidneyAcute Kidney InjuryPerfusion |
| spellingShingle | Ilker Gül Levent Cerit Bihter Senturk Mustafa Zungur Mustafa Beyazıt Alkan Hatice Kemal Zeynep Cerit Belma Yaman Songul Usalp Hamza Duygu The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation Brazilian Journal of Cardiovascular Surgery Transcatheter Aortic Valve Replacement Kidney Acute Kidney Injury Perfusion |
| title | The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation |
| title_full | The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation |
| title_fullStr | The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation |
| title_full_unstemmed | The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation |
| title_short | The Negative Effect of Mean Perfusion Pressure on the Development of Acute Kidney Injury after Transcatheter Aortic Valve Implantation |
| title_sort | negative effect of mean perfusion pressure on the development of acute kidney injury after transcatheter aortic valve implantation |
| topic | Transcatheter Aortic Valve Replacement Kidney Acute Kidney Injury Perfusion |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382018000600559&lng=en&tlng=en |
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