This Article Full Text (OnlineFirst PDF) All Versions of this Article: 1538574408318009v1 1538574408318009v2 1538574408318009v3 42/5/427    most recent Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Soong, C. V. Articles by Sharif, M. A. Search for Related Content PubMed PubMed Citation Articles by Soong, C. V. Articles by Sharif, M. A. Pubmed/NCBI databases Compound via MeSH Substance via MeSH Medline Plus Health Information Aortic Aneurysm Kidney Failure Social Bookmarking                         What's this?

Effect of Preoprative Renal Dysfunction on Mortality and Preoperative Renal Failure Following Endovascular Abdominal Aortic Aneurysm Repair

^* To whom correspondence should be addressed. E-mail: aneessharif{at}yahoo.co.uk.

	Abstract

This study was aimed to assess the effect of preoperative renal dysfunction on mortality and postoperative renal failure in patients undergoing elective endovascular repair of abdominal aortic aneurysm. A total of 155 patients with a mean age of 74.9 years (±6.4) were included. In all, 31 patients (20%) had a preoperative creatinine level of >1.5 mg/dL, whereas 66 patients (42.6%) had an estimated glomerular filtration rate of <60 mL/min. Perioperative mortality was 2.6% with no significant difference between those with and without abnormal renal indices. Long-term survival at 4 years was 30% in patients with creatinine >1.5 mg/dL compared to over 60% in those with normal creatinine (P < .02). The difference in long-term survival was not as significant in patients with normal or reduced glomerular filtration rate (P = .13). However, neither creatinine nor glomerular filtration rate were found to accurately predict survival even though both demonstrated strong predictivity for postoperative renal failure in patients undergoing elective endovascular repair of abdominal aortic aneurysm.

First published on July 11, 2008, doi:10.1177/1538574408318009

Vascular and Endovascular Surgery 2008;42:427.

A more recent version of this article appeared on October 1, 2008
This version was published on July 28, 2008


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