Examination of acute kidney injury after abdominal aortic aneurysm surgery

Kazuo Kamitani; Hitoshi Yoshida; Riho Arai; Hisakatsu Ito; Harumi Miyoshi; Manko Takebe; Ryousuke Komiya; Koso Matsuura

Examination of acute kidney injury after abdominal aortic aneurysm surgery

Kazuo Kamitani^*, Hitoshi Yoshida, Riho Arai, Hisakatsu Ito, Harumi Miyoshi, Manko Takebe, Ryousuke Komiya, Koso Matsuura

^*Corresponding author for this work

Anesthesiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background : Either suprarenal or infrarenal aortic clamping markedly reduces renal blood flow. This aortic clamping may cause postoperative acute kidney injury (AKI). Methods : Fifty-four patients undergoing open abdominal aortic aneurysm (AAA) surgery were included in a retrospective study. Postoperative AKI defined as an absolute increase in serum creatinine (Cre) of more than or equal to 0.3 mg · dl^-1 or an increase in Cre of more than or equal to 50% within 48 hours after the end of the procedure. Results : Thirteen patients developed AKI, but none of them required dialysis. The patients with AKI had higher preoperative Cre, longer operation, longer clamp time and more use of diuretics intra- and postoperatively. Conclusions : AKI occurred in 24.1% of patients undergoing AAA surgery. Risk factors for AKI were preoperative Cre, operation time, clamp time and use of diuretics.

Original language	English
Pages (from-to)	686-691
Number of pages	6
Journal	Japanese Journal of Anesthesiology
Volume	60
Issue number	6
State	Published - 2011/06/10

Keywords

Abdominal aortic aneurysm surgery
Acute kidney injury
Risk factors

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Cite this

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title = "Examination of acute kidney injury after abdominal aortic aneurysm surgery",

abstract = "Background : Either suprarenal or infrarenal aortic clamping markedly reduces renal blood flow. This aortic clamping may cause postoperative acute kidney injury (AKI). Methods : Fifty-four patients undergoing open abdominal aortic aneurysm (AAA) surgery were included in a retrospective study. Postoperative AKI defined as an absolute increase in serum creatinine (Cre) of more than or equal to 0.3 mg · dl-1 or an increase in Cre of more than or equal to 50% within 48 hours after the end of the procedure. Results : Thirteen patients developed AKI, but none of them required dialysis. The patients with AKI had higher preoperative Cre, longer operation, longer clamp time and more use of diuretics intra- and postoperatively. Conclusions : AKI occurred in 24.1% of patients undergoing AAA surgery. Risk factors for AKI were preoperative Cre, operation time, clamp time and use of diuretics.",

keywords = "Abdominal aortic aneurysm surgery, Acute kidney injury, Risk factors",

author = "Kazuo Kamitani and Hitoshi Yoshida and Riho Arai and Hisakatsu Ito and Harumi Miyoshi and Manko Takebe and Ryousuke Komiya and Koso Matsuura",

year = "2011",

month = jun,

day = "10",

language = "英語",

volume = "60",

pages = "686--691",

journal = "Japanese Journal of Anesthesiology",

issn = "0021-4892",

publisher = "Kokuseido Publishing Co. Ltd",

number = "6",

}

TY - JOUR

T1 - Examination of acute kidney injury after abdominal aortic aneurysm surgery

AU - Kamitani, Kazuo

AU - Yoshida, Hitoshi

AU - Arai, Riho

AU - Ito, Hisakatsu

AU - Miyoshi, Harumi

AU - Takebe, Manko

AU - Komiya, Ryousuke

AU - Matsuura, Koso

PY - 2011/6/10

Y1 - 2011/6/10

N2 - Background : Either suprarenal or infrarenal aortic clamping markedly reduces renal blood flow. This aortic clamping may cause postoperative acute kidney injury (AKI). Methods : Fifty-four patients undergoing open abdominal aortic aneurysm (AAA) surgery were included in a retrospective study. Postoperative AKI defined as an absolute increase in serum creatinine (Cre) of more than or equal to 0.3 mg · dl-1 or an increase in Cre of more than or equal to 50% within 48 hours after the end of the procedure. Results : Thirteen patients developed AKI, but none of them required dialysis. The patients with AKI had higher preoperative Cre, longer operation, longer clamp time and more use of diuretics intra- and postoperatively. Conclusions : AKI occurred in 24.1% of patients undergoing AAA surgery. Risk factors for AKI were preoperative Cre, operation time, clamp time and use of diuretics.

AB - Background : Either suprarenal or infrarenal aortic clamping markedly reduces renal blood flow. This aortic clamping may cause postoperative acute kidney injury (AKI). Methods : Fifty-four patients undergoing open abdominal aortic aneurysm (AAA) surgery were included in a retrospective study. Postoperative AKI defined as an absolute increase in serum creatinine (Cre) of more than or equal to 0.3 mg · dl-1 or an increase in Cre of more than or equal to 50% within 48 hours after the end of the procedure. Results : Thirteen patients developed AKI, but none of them required dialysis. The patients with AKI had higher preoperative Cre, longer operation, longer clamp time and more use of diuretics intra- and postoperatively. Conclusions : AKI occurred in 24.1% of patients undergoing AAA surgery. Risk factors for AKI were preoperative Cre, operation time, clamp time and use of diuretics.

KW - Abdominal aortic aneurysm surgery

KW - Acute kidney injury

KW - Risk factors

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M3 - 学術論文

C2 - 21710763

AN - SCOPUS:79959343862

SN - 0021-4892

VL - 60

SP - 686

EP - 691

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

IS - 6

ER -

Examination of acute kidney injury after abdominal aortic aneurysm surgery

Abstract

Keywords

ASJC Scopus subject areas

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