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Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD,

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Presentation on theme: "Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD,"— Presentation transcript:

1 Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD, Charles Acher, MD, MPH, Erich Marks, MD, Travis Engelbert, MD, C.W. Acher, MD  Journal of Vascular Surgery  Volume 61, Issue 3, Pages (March 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 The decline in estimated glomerular filtration rate (eGFR) in all patients is transient, with recovery starting by postoperative day (POD)3. Patients with return to baseline creatinine concentration at POD7 did not have creatinine determination at POD30, so eGFR was not calculated. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 The area under each curve shows percentage of kidney risk, acute kidney injury (AKI), and acute renal failure (ARF) from postoperative day (POD)1 to POD30. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Patients with baseline estimated glomerular filtration rate (eGFR) >60, 30-60, and <30 mL/min all recover baseline renal function by postoperative day (POD)60. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Time course of recovery by degree of kidney injury shows that more severe kidney injury recovers slowly to about 75% of baseline estimated glomerular filtration rate (eGFR) by postoperative day (POD)60. Of 18 acute renal failure (ARF) patients, 12 had dialysis. AKI, Acute kidney injury. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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