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Justus T. Strauch, MD, Maximilian P. Scherner, MD, Peter L

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Presentation on theme: "Justus T. Strauch, MD, Maximilian P. Scherner, MD, Peter L"— Presentation transcript:

1 Minimally Invasive Transapical Aortic Valve Implantation and the Risk of Acute Kidney Injury 
Justus T. Strauch, MD, Maximilian P. Scherner, MD, Peter L. Haldenwang, MD, Roman Pfister, MD, Elmar W. Kuhn, MD, Navid Madershahian, MD, Parwis Rahmanian, MD, Jens Wippermann, MD, Thorsten Wahlers, MD  The Annals of Thoracic Surgery  Volume 89, Issue 2, Pages (February 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Changes in serum creatinine levels (n = 28). (POD = postoperative day.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Preoperative serum creatinine as a strong predictor of the development of acute kidney injury (AKI) (*p = 0.003). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Upper curve (■): changes in serum creatinine levels of patients with a serum creatinine greater than 1.1 mg/dL (n = 10). Lower curve (♦): changes in serum creatinine levels of patients with a serum creatinine less than 1.1 mg/dL (n = 18). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Development of acute kidney injury (AKI) in patients with preexisting congenital heart disease (CHD) and patients without CHD. The left bar shows the prevalence of AKI in patients without CHD (50%), the right bar shows the prevalence in patients with preexisting CHD (70%). The analysis showed no statistical significance (p = 0.28). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Mortality in patients with postsurgical acute kidney injury (AKI) is considerably higher in comparison with patients without postsurgical impairment of renal function, although univariate analysis revealed no statistical significance (p = 0.13). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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