Related Experiment Video

Updated: May 7, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
09:02

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion

Published on: February 2, 2021

4.1K

Risk factors for acute kidney injury in patients undergoing same admission coronary angiography and valve replacement

Yijie Hu1, Zhiping Li, Jianming Chen

  • 1Department of Cardiovascular Surgery, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Yuzhong District, Chongqing, China.

Journal of Cardiac Surgery
|October 15, 2013
PubMed

Insights

Diabetes and cerebrovascular disease significantly increase the risk of acute kidney injury (AKI) in patients undergoing same-admission coronary angiography and valve replacement. Caution is advised for these high-risk individuals.

Area of Science:

  • Cardiology
  • Nephrology
  • Cardiovascular Surgery

Background:

  • Investigated risk factors for acute kidney injury (AKI) in patients undergoing same-admission coronary angiography (CAG) and valve replacement.
  • Examined a cohort of 283 patients undergoing valve surgery, with 71 included for analysis of preoperative CAG.
  • Focused on the incidence and predictors of AKI in a specific surgical population.

Purpose of the Study:

  • To identify risk factors for acute kidney injury (AKI) in patients undergoing combined coronary angiography and valve replacement.
  • To determine the association between pre-existing conditions and AKI development post-procedure.
  • To inform clinical practice regarding patient selection and procedural caution.

Main Methods:

  • Univariable and multivariate logistic regression analyses were employed.
  • Identified predictors of AKI using variables with p < 0.1 from univariable analysis and known AKI risk factors.
  • Included 71 patients undergoing same-admission coronary angiography and valve replacement.

Main Results:

  • Twenty-two (31.0%) patients developed AKI.
  • Diabetes mellitus (OR 10.361) and cerebrovascular disease (OR 26.070) were identified as significant independent risk factors for AKI.
  • Concomitant tricuspid valve repair/replacement and atrial fibrillation were risk factors in univariable analysis, but not significant in multivariate analysis.

Conclusions:

  • Diabetes mellitus and cerebrovascular disease are significant risk factors for AKI in patients undergoing same-admission CAG and valve replacement.
  • These procedures should be approached with caution in patients with diabetes and cerebrovascular disease.
  • Further research may explore preventative strategies for AKI in this vulnerable patient group.
Abstract

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

10.9K
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

10.5K

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
3.4K
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
582
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
1.5K
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
2.4K
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
548
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
814