Background. This study sought to determine whether assessment of the renal resistive index (RRI) can predict the short-term reversibility of acute kidney injury (AKI) after repair of acute type A aortic dissection (TAAD).& para;& para;Methods. This prospective study included 62 patients undergoing repair of acute TAAD. Doppler-based RRIs were obtained preoperatively, immediately after the surgical procedure, and 6, 24, and 48 hours postoperatively. The occurrence of AKI was evaluated daily according to Acute Kidney Injury Network criteria. Persistent AKI was defined as AKI lasting longer than 3 days. The association between the maximum RRI level at different time points and persistent AKI was analyzed by the receiver-operating characteristic curve.& para;& para;Results. Of the 62 patients, 22 (35.5%) had no AKI, 21(33.9%) had transient AKI, and 19 (30.6%) had persistent AKI. The maximum RRI was 0.67 +/- 0.03 (0.62 to 0.71), 0.71 +/- 0.05 (0.59 to 0.79), and 0.78 +/- 0.05 (0.70 to 0.92) in the no AKI, transient AKI, and persistent AKI groups, respectively.The maximum level of RRI was significantly correlated with that of SCr during the first 48 hours postoperatively (rho = 0.606; p < 0.001). RRI could predict persistent AKI with an area under the receiver-operating characteristic curve of 0.918 (95% confidence interval, 0.850 to 0.986; p <0.001). A postoperative RRI of 0.725 or higher was a marker for early detection of persistent AKI with high sensitivity and specificity (94.7% and 72.1%, respectively).& para;& para;Conclusions. An elevated maximum RRI may be a predictor of persistent AKI after repair of acute TAAD.This is helpful for management decision making and improving the prognosis of patients with AKI. (C) 2017 by The Society of Thoracic Surgeons.
基金:
Special Research Fund for Public Health and Welfare [201402009]; National Key Technologies Research and Development ProgramNational Key Technology R&D Program [2015BAU2B03]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2016]版:
大类|2 区医学
小类|2 区外科3 区心脏和心血管系统3 区呼吸系统
最新[2023]版:
大类|2 区医学
小类|2 区呼吸系统2 区外科3 区心脏和心血管系统
JCR分区:
出版当年[2015]版:
Q1SURGERYQ2CARDIAC & CARDIOVASCULAR SYSTEMSQ2RESPIRATORY SYSTEM
第一作者机构:[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiovasc Surg, 2 Anzhen Rd, Beijing 100029, Peoples R China;[2]Capital Med Univ, Beijing Anzhen Hosp, Dept Ultrasound, Beijing, Peoples R China;[3]Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China;[4]Beijing Engn Res Ctr Vasc Prostheses, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiovasc Surg, 2 Anzhen Rd, Beijing 100029, Peoples R China;[2]Capital Med Univ, Beijing Anzhen Hosp, Dept Ultrasound, Beijing, Peoples R China;[3]Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China;[4]Beijing Engn Res Ctr Vasc Prostheses, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Wu Hai-Bo,Qin Huai,Ma Wei-Guo,et al.Can Renal Resistive Index Predict Acute Kidney Injury After Acute Type A Aortic Dissection Repair?[J].ANNALS OF THORACIC SURGERY.2017,104(5):1583-1589.doi:10.1016/j.athoracsur.2017.03.057.
APA:
Wu, Hai-Bo,Qin, Huai,Ma, Wei-Guo,Zhao, Hong-Lei,Zheng, Jun...&Sun, Li-Zhong.(2017).Can Renal Resistive Index Predict Acute Kidney Injury After Acute Type A Aortic Dissection Repair?.ANNALS OF THORACIC SURGERY,104,(5)
MLA:
Wu, Hai-Bo,et al."Can Renal Resistive Index Predict Acute Kidney Injury After Acute Type A Aortic Dissection Repair?".ANNALS OF THORACIC SURGERY 104..5(2017):1583-1589