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Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury.

Publication ,  Journal Article
Andersen, ND; Williams, JB; Fosbol, EL; Shah, AA; Bhattacharya, SD; Mehta, RH; Hughes, GC
Published in: J Thorac Cardiovasc Surg
June 2012

OBJECTIVE: Cardiac catheterization shortly before coronary artery bypass grafting or valve surgery has been associated with increased postoperative acute kidney injury. The relationship between catheterization timing and acute kidney injury after proximal aortic surgery remains unknown. METHODS: Between August 2005 and February 2011, a total of 285 consecutive patients underwent cardiac catheterization before elective proximal aortic surgery with cardiopulmonary bypass at a single institution. The association between timing of catheterization and postoperative acute kidney injury (defined as postoperative increase in serum creatinine ≥ 50% of baseline) was assessed using logistic regression analysis. RESULTS: Of 285 patients, 152 (53%) underwent catheterization on preoperative days 1 to 3 and 133 (47%) underwent catheterization on preoperative day 4 or before. Acute kidney injury occurred in 88 (31%) patients, 3 (1.1%) requiring dialysis. Acute kidney injury occurred in 37 (24%) patients catheterized on preoperative days 1 to 3, and 51 (38%) patients catheterized on preoperative day 4 or before. Catheterization on preoperative days 1 to 3 was not associated with an increased risk of acute kidney injury relative to catheterization on preoperative day 4 or before (unadjusted odds ratio, 0.52; 95% confidence interval, 0.31-0.86; P = .01; adjusted odds ratio, 0.35; 95% confidence interval, 0.17-0.73; P = .005). CONCLUSIONS: Cardiac catheterization within 1 to 3 days of elective proximal aortic surgery appears safe and should be considered acceptable practice for patients at low risk of acute kidney injury.

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Published In

J Thorac Cardiovasc Surg

DOI

EISSN

1097-685X

Publication Date

June 2012

Volume

143

Issue

6

Start / End Page

1404 / 1410

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Up-Regulation
  • Treatment Outcome
  • Time Factors
  • Risk Factors
  • Risk Assessment
  • Retrospective Studies
  • Respiratory System
  • Registries
  • Odds Ratio
 

Citation

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Andersen, N. D., Williams, J. B., Fosbol, E. L., Shah, A. A., Bhattacharya, S. D., Mehta, R. H., & Hughes, G. C. (2012). Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury. J Thorac Cardiovasc Surg, 143(6), 1404–1410. https://doi.org/10.1016/j.jtcvs.2012.01.069
Andersen, Nicholas D., Judson B. Williams, Emil L. Fosbol, Asad A. Shah, Syamal D. Bhattacharya, Rajendra H. Mehta, and G Chad Hughes. “Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury.J Thorac Cardiovasc Surg 143, no. 6 (June 2012): 1404–10. https://doi.org/10.1016/j.jtcvs.2012.01.069.
Andersen ND, Williams JB, Fosbol EL, Shah AA, Bhattacharya SD, Mehta RH, et al. Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury. J Thorac Cardiovasc Surg. 2012 Jun;143(6):1404–10.
Andersen, Nicholas D., et al. “Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury.J Thorac Cardiovasc Surg, vol. 143, no. 6, June 2012, pp. 1404–10. Pubmed, doi:10.1016/j.jtcvs.2012.01.069.
Andersen ND, Williams JB, Fosbol EL, Shah AA, Bhattacharya SD, Mehta RH, Hughes GC. Cardiac catheterization within 1 to 3 days of proximal aortic surgery is not associated with increased postoperative acute kidney injury. J Thorac Cardiovasc Surg. 2012 Jun;143(6):1404–1410.
Journal cover image

Published In

J Thorac Cardiovasc Surg

DOI

EISSN

1097-685X

Publication Date

June 2012

Volume

143

Issue

6

Start / End Page

1404 / 1410

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Up-Regulation
  • Treatment Outcome
  • Time Factors
  • Risk Factors
  • Risk Assessment
  • Retrospective Studies
  • Respiratory System
  • Registries
  • Odds Ratio