Saratzis, Athanasios N., Goodyear, Steven, Sur, Hariom, Saedon, Mahmud H., Imray, C. (Chris) and Mahmood, Asif (2013) Acute kidney injury after endovascular repair of abdominal aortic aneurysm. Journal of Endovascular Therapy, Volume 20 (Number 3). pp. 315-330. doi:10.1583/12-4104MR2.1 ISSN 1526-6028.

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Abstract

Acute kidney injury (AKI) after any type of intervention negatively impacts mortality, length of hospitalization, and perhaps long-term survival. In the case of endovascular aneurysm repair (EVAR), the incidence of AKI ranges from 1% to 23% for elective and emergency procedures and is lower compared to open repair. The pathophysiology of AKI in EVAR is complex: contrast-induced nephropathy, renal microembolization, and acute tubular necrosis are all implicated. Prevention strategies include hydration, ischemic preconditioning, regional anesthesia, and pharmacological agents. There is no level I evidence regarding the prevention of AKI in EVAR, so this review sought to examine the mechanisms and prevention strategies for this potentially fatal complication.

Item Type:	Journal Article
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title:	Journal of Endovascular Therapy
Publisher:	Allen Press Inc
ISSN:	1526-6028
Official Date:	2013
Dates:	Date Event 2013 Published
Volume:	Volume 20
Number:	Number 3
Page Range:	pp. 315-330
DOI:	10.1583/12-4104MR2.1
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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