Usefulness of Updated Valve Academic Research Consortium–2 Criteria for Acute Kidney Injury Following Transcatheter Aortic Valve Implantation

Acute kidney injury (AKI) after transcatheter aortic valve implantation (TAVI) is frequent and associated with adverse outcomes. We aimed to identify the incidence and risk factors for AKI after TAVI using the updated Valve Academic Research Consortium–2 classification criteria. We performed a retro...

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Veröffentlicht in:The American journal of cardiology 2013-12, Vol.112 (11), p.1807-1811
Hauptverfasser: Konigstein, Maayan, MD, Ben-Assa, Eyal, MD, Abramowitz, Yigal, MD, Steinvil, Arie, MD, MHA, Leshem Rubinow, Eran, MD, MHA, Havakuk, Ofer, MD, Arbel, Yaron, MD, Halkin, Amir, MD, Keren, Gad, MD, Banai, Shmuel, MD, Finkelstein, Ariel, MD
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container_end_page 1811
container_issue 11
container_start_page 1807
container_title The American journal of cardiology
container_volume 112
creator Konigstein, Maayan, MD
Ben-Assa, Eyal, MD
Abramowitz, Yigal, MD
Steinvil, Arie, MD, MHA
Leshem Rubinow, Eran, MD, MHA
Havakuk, Ofer, MD
Arbel, Yaron, MD
Halkin, Amir, MD
Keren, Gad, MD
Banai, Shmuel, MD
Finkelstein, Ariel, MD
description Acute kidney injury (AKI) after transcatheter aortic valve implantation (TAVI) is frequent and associated with adverse outcomes. We aimed to identify the incidence and risk factors for AKI after TAVI using the updated Valve Academic Research Consortium–2 classification criteria. We performed a retrospective analysis of 300 consecutive patients undergoing TAVI using either Edwards SAPIEN XT or CoreValve bioprostheses at our medical center. Change in serum creatinine from base line to 48 to 72 hours after TAVI was used to define AKI stages 1 to 3. The final study cohort included 251 patients. Overall incidence of AKI was 16.7% (42 of 251); of which, stage 1 AKI was 15.1% (38 of 251), stage 2 AKI was 1.6% (4 of 251), and none had stage 3 AKI or required hemodialysis. All-cause mortality at 30 days and 1 year was greater among patients with AKI (9.5% vs 1%, p
doi_str_mv 10.1016/j.amjcard.2013.07.048
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We aimed to identify the incidence and risk factors for AKI after TAVI using the updated Valve Academic Research Consortium–2 classification criteria. We performed a retrospective analysis of 300 consecutive patients undergoing TAVI using either Edwards SAPIEN XT or CoreValve bioprostheses at our medical center. Change in serum creatinine from base line to 48 to 72 hours after TAVI was used to define AKI stages 1 to 3. The final study cohort included 251 patients. Overall incidence of AKI was 16.7% (42 of 251); of which, stage 1 AKI was 15.1% (38 of 251), stage 2 AKI was 1.6% (4 of 251), and none had stage 3 AKI or required hemodialysis. All-cause mortality at 30 days and 1 year was greater among patients with AKI (9.5% vs 1%, p &lt;0.01% and 25.7% vs 12.3%, p = 0.041, respectively). Despite greater volume of contrast media used in Edwards SAPIEN versus CoreValve (162 ml vs 142 ml, p = 0.02), there was no difference in the incidence of AKI between the 2 valve types (23.7% vs 15.5%, p = 0.238) or when comparing larger (29 to 31 mm) versus smaller size valves (23 to 26 mm; 17.7% vs 16.1%, p = 0.745). AKI was associated with chronic kidney disease, history of peripheral vascular disease, blood transfusion, and higher EuroSCORE (p &lt;0.05 for all). In conclusion, according to the new Valve Academic Research Consortium–2 classification, 1 in every 6 patients in our cohort developed AKI after TAVI (most were stage 1 AKI). AKI was associated with increased mortality. 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All rights reserved.</rights><rights>Copyright Elsevier Limited Dec 1, 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-71c62acbc1ab1726cd1a0b423510c3843ef0a0149e3714e6d6f6ec7a601c63f73</citedby><cites>FETCH-LOGICAL-c448t-71c62acbc1ab1726cd1a0b423510c3843ef0a0149e3714e6d6f6ec7a601c63f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1464980006?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24012024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Konigstein, Maayan, MD</creatorcontrib><creatorcontrib>Ben-Assa, Eyal, MD</creatorcontrib><creatorcontrib>Abramowitz, Yigal, MD</creatorcontrib><creatorcontrib>Steinvil, Arie, MD, MHA</creatorcontrib><creatorcontrib>Leshem Rubinow, Eran, MD, MHA</creatorcontrib><creatorcontrib>Havakuk, Ofer, MD</creatorcontrib><creatorcontrib>Arbel, Yaron, MD</creatorcontrib><creatorcontrib>Halkin, Amir, MD</creatorcontrib><creatorcontrib>Keren, Gad, MD</creatorcontrib><creatorcontrib>Banai, Shmuel, MD</creatorcontrib><creatorcontrib>Finkelstein, Ariel, MD</creatorcontrib><title>Usefulness of Updated Valve Academic Research Consortium–2 Criteria for Acute Kidney Injury Following Transcatheter Aortic Valve Implantation</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Acute kidney injury (AKI) after transcatheter aortic valve implantation (TAVI) is frequent and associated with adverse outcomes. We aimed to identify the incidence and risk factors for AKI after TAVI using the updated Valve Academic Research Consortium–2 classification criteria. We performed a retrospective analysis of 300 consecutive patients undergoing TAVI using either Edwards SAPIEN XT or CoreValve bioprostheses at our medical center. Change in serum creatinine from base line to 48 to 72 hours after TAVI was used to define AKI stages 1 to 3. The final study cohort included 251 patients. Overall incidence of AKI was 16.7% (42 of 251); of which, stage 1 AKI was 15.1% (38 of 251), stage 2 AKI was 1.6% (4 of 251), and none had stage 3 AKI or required hemodialysis. All-cause mortality at 30 days and 1 year was greater among patients with AKI (9.5% vs 1%, p &lt;0.01% and 25.7% vs 12.3%, p = 0.041, respectively). Despite greater volume of contrast media used in Edwards SAPIEN versus CoreValve (162 ml vs 142 ml, p = 0.02), there was no difference in the incidence of AKI between the 2 valve types (23.7% vs 15.5%, p = 0.238) or when comparing larger (29 to 31 mm) versus smaller size valves (23 to 26 mm; 17.7% vs 16.1%, p = 0.745). AKI was associated with chronic kidney disease, history of peripheral vascular disease, blood transfusion, and higher EuroSCORE (p &lt;0.05 for all). In conclusion, according to the new Valve Academic Research Consortium–2 classification, 1 in every 6 patients in our cohort developed AKI after TAVI (most were stage 1 AKI). AKI was associated with increased mortality. 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Ben-Assa, Eyal, MD ; Abramowitz, Yigal, MD ; Steinvil, Arie, MD, MHA ; Leshem Rubinow, Eran, MD, MHA ; Havakuk, Ofer, MD ; Arbel, Yaron, MD ; Halkin, Amir, MD ; Keren, Gad, MD ; Banai, Shmuel, MD ; Finkelstein, Ariel, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-71c62acbc1ab1726cd1a0b423510c3843ef0a0149e3714e6d6f6ec7a601c63f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acute Kidney Injury - blood</topic><topic>Acute Kidney Injury - diagnosis</topic><topic>Acute Kidney Injury - epidemiology</topic><topic>Acute Kidney Injury - etiology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Blood transfusions</topic><topic>Cardiac Catheterization</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Classification</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Contrast agents</topic><topic>Contrast Media</topic><topic>Coronary vessels</topic><topic>Creatinine - blood</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Female</topic><topic>Heart attacks</topic><topic>Heart Failure - epidemiology</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Humans</topic><topic>Hydration</topic><topic>Hypertension - epidemiology</topic><topic>Kidney diseases</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mens health</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Peripheral Vascular Diseases - epidemiology</topic><topic>Proportional Hazards Models</topic><topic>Prostheses</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Konigstein, Maayan, MD</creatorcontrib><creatorcontrib>Ben-Assa, Eyal, MD</creatorcontrib><creatorcontrib>Abramowitz, Yigal, MD</creatorcontrib><creatorcontrib>Steinvil, Arie, MD, MHA</creatorcontrib><creatorcontrib>Leshem Rubinow, Eran, MD, MHA</creatorcontrib><creatorcontrib>Havakuk, Ofer, MD</creatorcontrib><creatorcontrib>Arbel, Yaron, MD</creatorcontrib><creatorcontrib>Halkin, Amir, MD</creatorcontrib><creatorcontrib>Keren, Gad, MD</creatorcontrib><creatorcontrib>Banai, Shmuel, MD</creatorcontrib><creatorcontrib>Finkelstein, Ariel, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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We aimed to identify the incidence and risk factors for AKI after TAVI using the updated Valve Academic Research Consortium–2 classification criteria. We performed a retrospective analysis of 300 consecutive patients undergoing TAVI using either Edwards SAPIEN XT or CoreValve bioprostheses at our medical center. Change in serum creatinine from base line to 48 to 72 hours after TAVI was used to define AKI stages 1 to 3. The final study cohort included 251 patients. Overall incidence of AKI was 16.7% (42 of 251); of which, stage 1 AKI was 15.1% (38 of 251), stage 2 AKI was 1.6% (4 of 251), and none had stage 3 AKI or required hemodialysis. All-cause mortality at 30 days and 1 year was greater among patients with AKI (9.5% vs 1%, p &lt;0.01% and 25.7% vs 12.3%, p = 0.041, respectively). Despite greater volume of contrast media used in Edwards SAPIEN versus CoreValve (162 ml vs 142 ml, p = 0.02), there was no difference in the incidence of AKI between the 2 valve types (23.7% vs 15.5%, p = 0.238) or when comparing larger (29 to 31 mm) versus smaller size valves (23 to 26 mm; 17.7% vs 16.1%, p = 0.745). AKI was associated with chronic kidney disease, history of peripheral vascular disease, blood transfusion, and higher EuroSCORE (p &lt;0.05 for all). In conclusion, according to the new Valve Academic Research Consortium–2 classification, 1 in every 6 patients in our cohort developed AKI after TAVI (most were stage 1 AKI). AKI was associated with increased mortality. No difference in AKI incidence was observed between different types and sizes of bioprostheses used.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24012024</pmid><doi>10.1016/j.amjcard.2013.07.048</doi><tpages>5</tpages></addata></record>
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identifier ISSN: 0002-9149
ispartof The American journal of cardiology, 2013-12, Vol.112 (11), p.1807-1811
issn 0002-9149
1879-1913
language eng
recordid cdi_proquest_miscellaneous_1459161614
source MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland
subjects Acute Kidney Injury - blood
Acute Kidney Injury - diagnosis
Acute Kidney Injury - epidemiology
Acute Kidney Injury - etiology
Aged
Aged, 80 and over
Aortic Valve - surgery
Aortic Valve Stenosis - surgery
Blood transfusions
Cardiac Catheterization
Cardiovascular
Cardiovascular disease
Chronic obstructive pulmonary disease
Classification
Cohort Studies
Confidence intervals
Contrast agents
Contrast Media
Coronary vessels
Creatinine - blood
Diabetes Mellitus - epidemiology
Female
Heart attacks
Heart Failure - epidemiology
Heart Valve Prosthesis Implantation - adverse effects
Humans
Hydration
Hypertension - epidemiology
Kidney diseases
Logistic Models
Male
Mens health
Mortality
Multivariate Analysis
Myocardial Infarction - epidemiology
Peripheral Vascular Diseases - epidemiology
Proportional Hazards Models
Prostheses
Renal Insufficiency, Chronic - epidemiology
Retrospective Studies
Risk Factors
Studies
Variables
title Usefulness of Updated Valve Academic Research Consortium–2 Criteria for Acute Kidney Injury Following Transcatheter Aortic Valve Implantation
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