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Risk factor analysis of acute kidney injury after one-stop hybrid coronary revascularization

Dongjie Li1, Jie Gao1, Yulin Guo1

  • 1Department of Cardiac Surgery, Heart Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Annals of Palliative Medicine
|July 15, 2021
PubMed

Insights

One-stop hybrid coronary revascularization (HCR) did not raise acute kidney injury (AKI) rates. Advanced age and perioperative transfusions are key risk factors for AKI following HCR procedures.

Area of Science:

  • Cardiology
  • Nephrology
  • Surgical Innovation

Background:

  • One-stop hybrid coronary revascularization (HCR) integrates coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI).
  • Acute kidney injury (AKI) is a known complication following CABG and PCI.
  • The incidence and risk factors of AKI after one-stop HCR remain to be fully elucidated.

Purpose of the Study:

  • To investigate the incidence of postoperative AKI after one-stop HCR.
  • To identify independent risk factors associated with AKI development in patients undergoing one-stop HCR.

Main Methods:

  • A retrospective analysis of 123 consecutive patients undergoing one-stop HCR.
  • Patients were categorized into AKI (n=11) and non-AKI (n=112) groups.
  • Baseline characteristics and perioperative variables were statistically analyzed to determine risk factors.

Main Results:

  • The incidence of postoperative AKI was 8.9% (11 patients).
  • Patients in the AKI group were significantly older, had higher preoperative creatinine, greater postoperative drainage, higher rates of chronic renal insufficiency, and received more perioperative transfusions.
  • Advanced age (≥75 years) and perioperative transfusions were identified as independent risk factors for AKI.

Conclusions:

  • One-stop HCR did not appear to increase the incidence of postoperative AKI in this cohort.
  • Advanced age and perioperative transfusions are significant independent risk factors for AKI post-HCR.
  • Further research is warranted to validate these findings and refine AKI risk prediction in HCR patients.
Abstract

Keywords:
Coronary artery bypass grafting (CABG)acute kidney injury (AKI)hybrid coronary revascularization (HCR)percutaneous coronary intervention (PCI)risk factor

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