Can Renal Resistive Index Predict Acute Kidney Injury After Acute Type A Aortic Dissection Repair? Hai-Bo Wu, MD, Huai Qin, MD, Wei-Guo Ma, MD, Hong-Lei.

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Can Renal Resistive Index Predict Acute Kidney Injury After Acute Type A Aortic Dissection Repair? Hai-Bo Wu, MD, Huai Qin, MD, Wei-Guo Ma, MD, Hong-Lei Zhao, MD, Jun Zheng, MD, Jian-Rong Li, MD, Li-Zhong Sun, MD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages 1583-1589 (November 2017) DOI: 10.1016/j.athoracsur.2017.03.057 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow chart of the study. (AKI = acute kidney injury; postop = postoperative; TAAD = type A aortic dissection; TAR + FET = total arch replacement and frozen elephant trunk implantation.) The Annals of Thoracic Surgery 2017 104, 1583-1589DOI: (10.1016/j.athoracsur.2017.03.057) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Receiver-operating characteristic of serum creatinine before the operation and maximum renal resistive index (RRImax, the maximum renal resistive index measured at different time points: immediately after the surgical procedure and at 6, 24, and 48 postoperative hours). (AUC = areas under receiver-operating characteristic curve; pre-SCr = preoperative serum creatinine.) The Annals of Thoracic Surgery 2017 104, 1583-1589DOI: (10.1016/j.athoracsur.2017.03.057) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed tomography in a patient with arch entry tear, (A) the right kidney was perfused from both the true and false lumina, whereas (B) the left kidney was perfused from the true lumen. (C, D) The perfusion of both kidneys remained unchanged at 3 months after ascending aortic and total arch replacement with frozen elephant trunk implantation. The Annals of Thoracic Surgery 2017 104, 1583-1589DOI: (10.1016/j.athoracsur.2017.03.057) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions