Incidence and risk factors of renal dysfunction after thoracic endovascular aortic repair  George T. Pisimisis, MD, Ali Khoynezhad, MD, PhD, Khalid Bashir,

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Presentation transcript:

Incidence and risk factors of renal dysfunction after thoracic endovascular aortic repair  George T. Pisimisis, MD, Ali Khoynezhad, MD, PhD, Khalid Bashir, MD, Matthew J. Kruse, MD, Carlos E. Donayre, MD, Rodney A. White, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 140, Issue 6, Pages S161-S167 (December 2010) DOI: 10.1016/j.jtcvs.2010.10.014 Copyright © 2010 Terms and Conditions

Figure 1 Proximal landing zones for all patients undergoing thoracic endovascular repair. Zone 0, Covering the innominate artery; zone I, covering the left carotid artery; zone II, covering the left subclavian artery; zone III, involving the proximal one third of the descending thoracic aorta; zone IV, involving the distal two thirds of the descending thoracic aorta. The Journal of Thoracic and Cardiovascular Surgery 2010 140, S161-S167DOI: (10.1016/j.jtcvs.2010.10.014) Copyright © 2010 Terms and Conditions

Figure 2 Rates of acute decline in renal function from baseline after TEVAR. RIFLE classification: class R, risk of acute renal dysfunction (eGFR decline > 25%); class I, injury to the kidney (eGFR decline > 50%); class F, failure of kidney function (eGFR decline > 75%). AKI, Acute kidney injury; ARF, acute renal failure; HD, hemodialysis; TEVAR, thoracic endovascular aortic repair; eGFR, estimated glomerular filtration rate. The Journal of Thoracic and Cardiovascular Surgery 2010 140, S161-S167DOI: (10.1016/j.jtcvs.2010.10.014) Copyright © 2010 Terms and Conditions

Figure 3 Rate of worsening renal function from baseline, at one and six months after TEVAR. HD, Hemodialysis; eGFR, estimated glomerular filtration rate; TEVAR, thoracic endovascular aortic repair. The Journal of Thoracic and Cardiovascular Surgery 2010 140, S161-S167DOI: (10.1016/j.jtcvs.2010.10.014) Copyright © 2010 Terms and Conditions