Key result
Suprarenal clamping during elective open aortic repair was associated with a significantly higher incidence of acute kidney injury compared to infrarenal clamping (37% vs. 15%, P<0.001).
Why the study?
Does suprarenal aortic clamping increase the incidence of acute kidney injury compared to infrarenal clamping in patients undergoing elective open aortic repair?
Cohort (n=833)
No
Does suprarenal aortic clamping increase the incidence of acute kidney injury compared to infrarenal clamping in patients undergoing elective open aortic repair?
Absolute Event Rate: 37% vs 15%
p-value: p=<0.001
Suprarenal clamping during elective open aortic repair is associated with a significantly higher risk of postoperative acute kidney injury, driven by prolonged renal ischemia and substantial intraoperative bleeding.
: Prolonged renal ischemia and substantial intraoperative bleeding are associated with postoperative AKI following suprarenal clamping.
No takes yet. Share an insight, caveat, or question.
Yokoyama et al. (2020) conducted a cohort in Abdominal aortic aneurysm (n=833). Suprarenal clamping vs. Infrarenal clamping was evaluated on Incidence of acute kidney injury (KDIGO criteria) (p=<0.001). Suprarenal clamping during elective open aortic repair was associated with a significantly higher incidence of acute kidney injury compared to infrarenal clamping (37% vs. 15%, P<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: