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May 1, 2014EuroIntervention

Acute kidney injury after transcatheter aortic valve implantation with self-expanding CoreValve prosthesis: results from a large multicentre Italian research project

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Why the study?

Does post-procedural acute kidney injury increase mortality in patients with severe aortic stenosis undergoing TAVI?

Population

n=1,157 patients with severe aortic stenosis treated with the third-generation CoreValve prosthesis in seven…

Comparison

Post-procedural acute kidney injury after TAVI vs No post-procedural AKI

Design

Cohort

Follow-up

3 years

Authors

Marco Barbanti
Marco BarbantiInterventional / Structural Cardiology
Azeem Latib
Azeem LatibInterventional / Structural Cardiology
CSCarmelo SgroiInterventional Cardiology

Discussion

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Implication

Post-TAVI AKI warrants close monitoring; leaves open whether prevention reduces mortality in prospective trials.

Structured PICO

Does post-procedural acute kidney injury increase mortality in patients with severe aortic stenosis undergoing TAVI?

P
Population
n=1,157 patients with severe aortic stenosis treated with the third-generation CoreValve prosthesis in seven Italian sites, with creatinine data available at baseline and during the post-TAVI in-hospital course.
I
Intervention
Post-procedural acute kidney injury (AKI) after TAVI
C
Comparator
No post-procedural AKI
O
Outcome
Three-year all-cause mortality and cardiovascular mortalityhard clinical

Post-procedural acute kidney injury after TAVI is a frequent complication (20%) that independently doubles the risk of three-year all-cause and cardiovascular mortality.

Cite This Study

Barbanti et al. (2014) studied this question.

synapsesocial.com/papers/6a719723f44fa9f079df5c7chttps://doi.org/10.4244/eijv10i1a20

Topics

TAVR in low-risk patientsTranscatheter aortic valve replacementEchocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute renal failure following cardiac surgery1999 · 613 citations
  2. 2Clopidogrel Use and Long-term Clinical Outcomes After Drug-Eluting Stent Implantation2006 · 873 citations
  3. 3Blood Transfusion and the Risk of Acute Kidney Injury After Transcatheter Aortic Valve Implantation2012 · 145 citations
  4. 4The effects of VARC-defined acute kidney injury after transcatheter aortic valve implantation (TAVI) using the Edwards bioprosthesis2012 · 80 citations
  5. 5Transcatheter aortic valve implantation: 3-year outcomes of self-expanding CoreValve prosthesis2012 · 284 citations