Impact of Preoperative Coronary Angiography on Postoperative Acute Kidney Injury in Patients with Valve Replacement_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YUFeng-lei , LIUHong-duan , LIXin , YANGFan , DENGMing-bin , LIAOBin

Department of Thoracic and Cardiovascular Surgery of Southwest Medical University, Luzhou 646000 Sichuan, P. R. China;

Corresponding author：

Keywords：

Coronary artery angiography; Acute kidney injury; Valvular disease; Cardiac surgery

DOI：

10.7507/1007-4848.20160214

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Objective To explore whether preoperative coronary angiography could increase the incidence of postoperative acute kidney injury for patients with valve replacement. Methods A total of 638 patients underwent routine cardiac valve replacement in our hospital from January 2013 through September 2015. There were 118 patients with preoperative coronary angiography (a coronary angiography group), and 520 patients without coronary angiography (a non-coronary angiography group). Serum creatinine (Scr), urea nitrogen(Bun), brain natriuretic peptide (BNP), creatine kinase myocardial band (CK-MB), cardiac troponin I (cTnI) values were recorded at 4 time points:before surgery (T0), after surgery 12 h (T1), 24 h (T2), 48 h (T3). The number of patients with acute kidney injury at the time of 48 hours after surgery was recorded. Results Scr values (91.6±37.7 μmol/L vs. 81.0±27.4 μmol/L, 84.9±23.6 μmol/L vs. 73.5±25.3 μmol/L) increased in the patients who did not undergo coronary angiography at the time of 24 hours and 48 hours after cardiac surgery compared with the patients with coronary angiography with statistical differences. While there was no statistical difference in the incidence of acute kidney injury between the two groups. The cardiac enzymes had no statistical difference between the two groups. Conclusion Preoperative coronary angiography does not increase the probability of postoperative acute kidney injury.

Citation： YUFeng-lei, LIUHong-duan, LIXin, YANGFan, DENGMing-bin, LIAOBin. Impact of Preoperative Coronary Angiography on Postoperative Acute Kidney Injury in Patients with Valve Replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 894-897. doi: 10.7507/1007-4848.20160214 Copy

1.	Loef BG, Epema AH, Smilde TD, et al. Immediate postoperative renal function deterioration in cardiac surgical patients predicts in-hospital mortality and long-term survival. J Am Soc Nephrol, 2005, 16(1):195-200.
2.	Brown JR, Cochran RP, Dacey LJ, et al. Perioperative increases in serum creatinine is predictive of increased 90-day mortality after coronary artery bypass graft surgery. Circulation, 2006, 114(1 Suppl): I409-I413.
3.	Vellinga S, Verbrugghe W, De Paep R, et al. Identification of modifiable risk factors for acute kidney injury after cardiac surgery. Neth J Med, 2012, 70(10):450-454.
4.	Karkouti K, Wijeysundera DN, Yau TM, et al. Acute kidney injury after cardiac surgery:focus on modifiable risk factors. Circulation, 2009, 119(4):495-502.
5.	Ko B, Garcia S, Mithani S, et al. Risk of acute kidney injury in patients who undergo coronary angiography and cardiac surgery in close succession. Eur Heart J, 2012, 33:2065-2070.
6.	Zhang Y, Ye N, Chen YP, et al. Relation between the interval from coronary angiography to selective off-pump coronary artery bypass grafting and postoperative acute kidney injury. Am J Cardiol, 2013, 112(10):1571-1575.
7.	Mehta RL, Kellum JA, Shah SV, et al. Acute Kidney Injury Network:report of an initiative to improve outcomes in acute kidney injury. Crit Care, 2007, 11(2):R31.
8.	Rydén L, Ahnve S, Bell M, et al. Acute kidney injury following coronary artery bypass grafting:early mortality and postoperative complications. Scand Cardiovasc J, 2012, 46(2):114-120.
9.	Coca SG, Singanamala S, Parikh CR. Chronic kidney disease after acute kidney injury:a systematic review and meta-analysis. Kidney Int, 2012, 81(5):442-448.
10.	Olsson D, Sartipy U, Braunschweig F, et al. Acute kidney injury following coronary artery bypass surgery and long-term risk of heart failure. Circ Heart Fail, 2013, 6(1):83-90.
11.	Hobson CE, Yavas S, Segal MS et al. Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery. Circulation, 2009, 119(18):2444-2453.
12.	Bihorac A, Yavas S, Subbiah S, et al. Long-term risk of mortality and acute kidney injury during hospitalization after major surgery. Ann Surg, 2009, 249(5):851-858.
13.	Ranucci M, Ballotta A, Agnelli B, et al. Acute kidney injury in patients undergoing cardiac surgery and coronary angiography on the same day. Ann Thorac Surg, 2013, 95(2):513-519.
14.	Hu Y, Li Z, Chen J, et al. The time interval between coronary angiography and on-pump cardiac surgery on risk of postoperative acute kidney injury:a meta-analysis. J Cardiothorac Surg, 2013, 8:178.
15.	Song S, Lee SH, Lee HC, et al. Preoperative coronary angiography within one day of valve surgery is not associated with postoperative acute kidney injury in patients with preserved renal function. J Card Surg, 2015, 30(1):7-12.
16.	Hennessy SA, LaPar DJ, Stukenborg GJ, et al. Cardiac catheterizaion within 24 hours of valve surgery is significantly associated with acute renal failure. J Thorac Cardiovasc Surg, 2010, 140(5):1011-1017.
17.	Mehran R, Aymong ED, Nikolsky E, et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention:development and initial validation. J Am Coll Cardiol, 2004, 44(7):1393-1399.
18.	Karkouti K, Wijeysundera DN, Yau TM, et al. Advance targeted transfusion in anemic cardiac surgical patients for kidney protection: an unblinded randomized pilot clinical trial. Anesthesiology, 2012, 116(3):613-621.
19.	Liakopoulos OJ, Choi YH, Haldenwang PL, et al. Impact of preoperative statin therapy on adverse postoperative outcomes in patients undergoing cardiac surgery:a meta-analysis of over 30, 000 patients. Eur Heart J, 2008, 29(12):1548-1559.
20.	Drenger B, Fontes ML, Miao Y, et al. Patterns of use of perioperative angiotensin-converting enzyme inhibitors in coronary artery bypass graft surgery with cardiopulmonary bypass:effects on in-hospital morbidity and mortality. Circulation, 2012, 126(3):261-269.

1. Loef BG, Epema AH, Smilde TD, et al. Immediate postoperative renal function deterioration in cardiac surgical patients predicts in-hospital mortality and long-term survival. J Am Soc Nephrol, 2005, 16(1):195-200.
2. Brown JR, Cochran RP, Dacey LJ, et al. Perioperative increases in serum creatinine is predictive of increased 90-day mortality after coronary artery bypass graft surgery. Circulation, 2006, 114(1 Suppl): I409-I413.
3. Vellinga S, Verbrugghe W, De Paep R, et al. Identification of modifiable risk factors for acute kidney injury after cardiac surgery. Neth J Med, 2012, 70(10):450-454.
4. Karkouti K, Wijeysundera DN, Yau TM, et al. Acute kidney injury after cardiac surgery:focus on modifiable risk factors. Circulation, 2009, 119(4):495-502.
5. Ko B, Garcia S, Mithani S, et al. Risk of acute kidney injury in patients who undergo coronary angiography and cardiac surgery in close succession. Eur Heart J, 2012, 33:2065-2070.
6. Zhang Y, Ye N, Chen YP, et al. Relation between the interval from coronary angiography to selective off-pump coronary artery bypass grafting and postoperative acute kidney injury. Am J Cardiol, 2013, 112(10):1571-1575.
7. Mehta RL, Kellum JA, Shah SV, et al. Acute Kidney Injury Network:report of an initiative to improve outcomes in acute kidney injury. Crit Care, 2007, 11(2):R31.
8. Rydén L, Ahnve S, Bell M, et al. Acute kidney injury following coronary artery bypass grafting:early mortality and postoperative complications. Scand Cardiovasc J, 2012, 46(2):114-120.
9. Coca SG, Singanamala S, Parikh CR. Chronic kidney disease after acute kidney injury:a systematic review and meta-analysis. Kidney Int, 2012, 81(5):442-448.
10. Olsson D, Sartipy U, Braunschweig F, et al. Acute kidney injury following coronary artery bypass surgery and long-term risk of heart failure. Circ Heart Fail, 2013, 6(1):83-90.
11. Hobson CE, Yavas S, Segal MS et al. Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery. Circulation, 2009, 119(18):2444-2453.
12. Bihorac A, Yavas S, Subbiah S, et al. Long-term risk of mortality and acute kidney injury during hospitalization after major surgery. Ann Surg, 2009, 249(5):851-858.
13. Ranucci M, Ballotta A, Agnelli B, et al. Acute kidney injury in patients undergoing cardiac surgery and coronary angiography on the same day. Ann Thorac Surg, 2013, 95(2):513-519.
14. Hu Y, Li Z, Chen J, et al. The time interval between coronary angiography and on-pump cardiac surgery on risk of postoperative acute kidney injury:a meta-analysis. J Cardiothorac Surg, 2013, 8:178.
15. Song S, Lee SH, Lee HC, et al. Preoperative coronary angiography within one day of valve surgery is not associated with postoperative acute kidney injury in patients with preserved renal function. J Card Surg, 2015, 30(1):7-12.
16. Hennessy SA, LaPar DJ, Stukenborg GJ, et al. Cardiac catheterizaion within 24 hours of valve surgery is significantly associated with acute renal failure. J Thorac Cardiovasc Surg, 2010, 140(5):1011-1017.
17. Mehran R, Aymong ED, Nikolsky E, et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention:development and initial validation. J Am Coll Cardiol, 2004, 44(7):1393-1399.
18. Karkouti K, Wijeysundera DN, Yau TM, et al. Advance targeted transfusion in anemic cardiac surgical patients for kidney protection: an unblinded randomized pilot clinical trial. Anesthesiology, 2012, 116(3):613-621.
19. Liakopoulos OJ, Choi YH, Haldenwang PL, et al. Impact of preoperative statin therapy on adverse postoperative outcomes in patients undergoing cardiac surgery:a meta-analysis of over 30, 000 patients. Eur Heart J, 2008, 29(12):1548-1559.
20. Drenger B, Fontes ML, Miao Y, et al. Patterns of use of perioperative angiotensin-converting enzyme inhibitors in coronary artery bypass graft surgery with cardiopulmonary bypass:effects on in-hospital morbidity and mortality. Circulation, 2012, 126(3):261-269.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Impact of Preoperative Coronary Angiography on Postoperative Acute Kidney Injury in Patients with Valve Replacement

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