Glomerular filtration rate is superior to serum creatinine for prediction of mortality after thoracoabdominal aortic surgery Tam T.T. Huynh, MD, Randolph.

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Presentation transcript:

Glomerular filtration rate is superior to serum creatinine for prediction of mortality after thoracoabdominal aortic surgery Tam T.T. Huynh, MD, Randolph G. Statius van Eps, MD, Charles C. Miller, PhD, Martin A. Villa, MD, Anthony L. Estrera, MD, Ali Azizzadeh, MD, Eyal E. Porat, MD, Jennifer S. Goodrick, MS, RN, Hazim J. Safi, MD Journal of Vascular Surgery Volume 42, Issue 2, Pages 206-212 (August 2005) DOI: 10.1016/j.jvs.2005.03.062 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Classification of thoracoabdominal aortic aneurysms. Extent I, distal to the left subclavian artery to above the renal arteries. Extent II, distal to the left subclavian artery to below the renal arteries. Extent III, from the sixth intercostal space to below the renal arteries. Extent IV, the 12th intercostal space to below the renal arteries (total abdominal aortic aneurysm). Extent V, below the sixth intercostal space to just above the renal arteries. DTAA, Descending thoracic aortic aneurysm. Journal of Vascular Surgery 2005 42, 206-212DOI: (10.1016/j.jvs.2005.03.062) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Visceral and renal perfusion. The BioMedicus pump circuit is set up to perfuse the celiac axis, superior mesenteric artery, and renal artery with cold blood (or crystalloid solution) and, at the same time, warm blood to the lower extremities to maintain body temperature at 33°C to 35°C. Journal of Vascular Surgery 2005 42, 206-212DOI: (10.1016/j.jvs.2005.03.062) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Glomerular filtration rate (GFR) vs serum creatinine. Reference lines are at normal values: creatinine 1.5 mg/dL and GFR 90 mL/min. *Correctly classified by both tests; +normal creatinine and abnormal GFR; □ = normal GFR and abnormal creatinine. Creatinine misses abnormal GFR in 71% of cases. Pre-op, Preoperative. Journal of Vascular Surgery 2005 42, 206-212DOI: (10.1016/j.jvs.2005.03.062) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions