Retrospective analysis of renal injury after surgery for Type A aortic dissection in western third-tier city
LIU Yun
WANG Gang
TANG Zhiqing
LONG Xiaoju
ZHAO Wentao
WANG Yongwang
Abstract：Objective To explore the risk factors of postoperative acute kidney injury(AKI)and the need for continuous renal replacement therapy(CRRT)in Stanford Type A aortic dissection patients,summarize the experience and lessons of perioperative management,and provide recommendations for future clinical practice.Methods The clinical data of 31 Stanford Type A aortic dissection patients undergoing concurrent surgical treatment were collected from January 2019 to May 2023 in the Affiliated Hospital of Guilin Medical University.According to whether AKI occurred after surgery,they were divided into AKI group(n=26)and non-AKI group(n=5).AKI patients were further divided into CRRT group(n=5)and non-CRRT group(n=21),according to whether they received CRRT.Clinical case data of patients were compared,and univariate analysis and multivariate logistic regression analysis were performed.Results Among the 31 patients included in the study,26 patients(83.9%)had postoperative AKI,91.7%of patients could recover to the preoperative level of serum creatinine(SCr)within 2-14 days,100%of patients could recover within 2 months,and 5 patients(16.1%)with severe renal insufficiency had received CRRT.Multivariate Logistic regression analysis showed that postoperative WBC was an independent risk factor for renal replacement therapy in AKI patients.Conclusion After surgery for Type A aortic dissection,WBCs count is an independent risk factor for renal replacement therapy in AKI patients.
Keywords：Stanford type A aortic dissectionacute kidney injuryrenal replacement therapy
Publication Date：2024-06-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 135-140 )