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Published: 2023-01-30
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DOI: https://doi.org/10.52852/tcncyh.v160i12V2.1245
Issue
Vol. 160 No. 12V2 (2022)
Section
Các bài báo
How to Cite
Trường, L. V. ., Tuấn, P. M. ., Quang, N. N. ., Hùng, P. M. ., & Thận, L. X. . (2023). 10. Factors related to acute kidney injury in patients with type B acute aortic dissection recived thoracic endovascular aortic repair. Journal of Medical Research, 160(12V2), 77-85. https://doi.org/10.52852/tcncyh.v160i12V2.1245

10. Factors related to acute kidney injury in patients with type B acute aortic dissection recived thoracic endovascular aortic repair

Le Van Truong, Pham Minh Tuan, Nguyen Ngoc Quang, Pham Manh Hung, Le Xuan Than

Main Article Content

Abstract

Aortic dissection (AD) is a cardiovascular emergency with a high mortality rate. Thoracic endovascular aortic repair in patients with type B acute aortic dissection is an effective, less invasive treatment compared to surgical treatment. Incidence of acute kidney injury (AKI) before and after the intervention was still high, so the study aimed to evaluate the evolution of kidney function before and after the intervention as well as to learn some factors related to acute kidney injury. The study was conducted at the Vietnam Heart Hospital with 99 patients. In our study, male/female ratio was 8/1, the mean age was 579 ± 10.6 (years old), the lowest age was 31 and the oldest was 82 years old. The study team used the KDIGO 2012 criteria to assess acute kidney injury based on the change in creatinine levels within 48 hours before or after stent grafting. In our study, the rate of acute kidney injury was 29.3%. Systolic blood pressure ≥ 160mmHg was a risk factor for an increased rate of acute kidney injury with (OR = 4.52, p = 0.008), post-intervention inflammatory response is also a risk factor for an increased rate of acute kidney injury with (OR = 9.24, p < 0.001).

Article Details

Keywords

type B acute aortic dissection, stent graft, acute kidney injury

References

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