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Sede
Social
Colegio Oficial
de Médicos
de Barcelona
Paseo de la Bonanova, 47
08017 Barcelona
Telf.: 93 863 02 38
Fax: 93 863 05 58
secretariaseacv@telefonica.net |
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Lunes, 23 de Enero de 2012
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| Publicación
Española del Mes Nº 10 |
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Son las 01:37:10 horas del 5-2-2012 |
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Archivo PDF
(59 KB)
Comparative analysis of renal function after
treatment of infrarenal abdominal aortic aneurysms with
a suprarenal fixation device as opposed to open surgery.
García JM, Monzón EO, Martínez
AP, Palonés FJ, Mompó JI, Estébanez
JL, Parreño CM, Bolaños BA, Almonacil VS,
Blanco AT, Moreno IC, Perelló IM.
Ann Vasc Surg. 2008 Jul-Aug;22(4):513-9.
Vascular Surgery Department, Dr. Peset Hospital,
Valencia, Spain. jozagar@hotmail.com.
Factor de impacto de Ann Vasc Surg =
1.500.
We analyzed the repercussions on renal function between
suprarenal endograft fixation and open surgery in the
treatment of infrarenal abdominal aortic aneurysms (IAAAs)
and determined the influential factors. Between 1999 and
2005, 59 IAAAs were treated with elective OS and 56 with
SEF. The serum creatinine (Cr) level and its clearance
were determined before the procedure, in the intensive
care unit (ICU), on discharge, and after 1, 6, 12, and
24 months. A deterioration in renal function was considered
to be a >30% increase in Cr or a Cr >2 mg/dL. A
univariate statistical analysis and a logistical regression
analysis were carried out to determine the predictive
factors for repercussions on renal function. There were
no statistically significant differences in the rate of
renal exacerbation between the groups either on discharge
(p = 0.52) or after 1 month (p = 0.483), 6 months (p =
0.451), 12 months (p = 0.457), and 24 months (p = 0.682).
The only significant difference was that detected in the
ICU (p = 0.033). Diabetes mellitus, time spent in the
ICU, postoperative intubation time, intraoperative transfusion,
and transfusion in the ICU were factors that influenced
the deterioration of renal function in the univariate
analysis. The only significant factor in the multivariate
analysis was the need for transfusion in the ICU. Exacerbation
of renal function occurred in both groups independently
of treatment type. In the immediate postoperative period,
hemodynamic deterioration is more frequent in the open
surgery group. Renal exacerbation tended to disappear
in both groups during follow-up.
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