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|a urn:nbn:de:hbz:6-27379424985
|2 urn
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|a 10.1155/2012/483748
|2 doi
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|a eng
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|a 610 Medizin und Gesundheit
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|a Gebauer, Katrin
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/12903777X
|0 http://viaf.org/viaf/37987233
|4 aut
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|a Universitäts- und Landesbibliothek Münster
|0 http://d-nb.info/gnd/5091030-9
|4 own
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|a The Risk of Acute Kidney Injury and Its Impact on 30-Day and Long-Term Mortality after Transcatheter Aortic Valve Implantation
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|a [Electronic ed.]
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|c 2012
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|b Universitäts- und Landesbibliothek Münster
|c 2013-02-26
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|a 8 S.
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|a Finanziert durch den Open-Access-Publikationsfonds 2012/2013 der Deutschen Forschungsgemeinschaft (DFG) und der Westfälischen Wilhelms-Universität Münster (WWU Münster).
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|a free access
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|a International Journal of Nephrology 2012 (2012) 483748
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|a Background. Transcatheter aortic valve implantation (TAVI) is widely used in high risk patients (pts) with aortic stenosis. Underlying chronic kidney disease implicates a high risk of postprocedural acute kidney injury (AKI).We analyzed its occurrence, impact on hospital stay, and mortality. Methods. 150 consecutive pts underwent TAVI in our institution (mean age 81±7 years; logistic EuroSCORE 24±15%). AKI definition was a creatinine rise of 26.5 μmol/L or more within 48 hours postprocedural. Ten patients on chronic hemodialysis were excluded. Results. AKI occurred in 28 pts (20%). Baseline creatinine was higher in AKI pts (126.4±59.2 μmol/L versus 108.7±45.1 μmol/L, P = 0.09). Contrast media use was distributed evenly. Both, 30-day mortality (29% versus 7%, P < 0.0001) and long-term mortality (43% versus 18%, P < 0.0001) were higher; hospital stay was longer in AKI pts (20±12 versus 15±10 days, P = 0.03). Predicted renal failure calculated STS Score was similar (8.0±5.0% [AKI] versus 7.1±4.0% [non-AKI], P = 0.32) and estimated lower renal failure rates than observed. Conclusion. AKI remains a frequent complication with increased mortality in TAVI pts. Careful identification of risk factors and development of more suitable risk scores are essential.
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|a CC BY 2.5
|u http://creativecommons.org/licenses/by/2.5/
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|2 DRIVER Types
|a Artikel
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|2 DCMI Types
|a Text
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|a Diller, Gerhard-Paul
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/129002100
|4 aut
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|a Kaleschke, Gerrit Tobias
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/141044586
|4 aut
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|a Kerckhoff, Gregor
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/173598072
|4 aut
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|a Malyar, Nasser
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/129992836
|4 aut
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|a Meyborg, Matthias John-Philipp
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/122773012
|4 aut
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|a Reinecke, Holger
|0 http://d-nb.info/gnd/1173905731
|4 aut
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|a Baumgartner, Helmut
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/13255691X
|4 aut
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|3 Zum Volltext
|q text/html
|u https://nbn-resolving.de/urn:nbn:de:hbz:6-27379424985
|u urn:nbn:de:hbz:6-27379424985
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|3 Zum Volltext
|q application/pdf
|u https://repositorium.uni-muenster.de/document/miami/e62d7de1-32f3-4716-8898-6d5b75b84f45/483748.pdf
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