Key result
Renal insufficiency in acute aortic dissection was associated with increased mesenteric ischemia (10.7% vs 1.4% in type A, P<0.0001; 17.7% vs 3.0% in type B, P<0.0001).
Why the study?
Does renal insufficiency increase the risk of complications in patients with acute aortic dissection?
Observational (n=1,003)
Yes
Does renal insufficiency increase the risk of complications in patients with acute aortic dissection?
Absolute Event Rate: 10.7% vs 1.4%
p-value: p=<0.0001
Renal insufficiency in patients with acute aortic dissection serves as a readily accessible clinical marker for increased risk of drug-resistant hypertension and aortic branch vessel compromise, such as mesenteric ischemia.
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Renal insufficiency may flag higher mesenteric ischemia risk in acute aortic dissection; observational data leaves open need for prospective validation before guiding care.
Beckman et al. (2004) conducted an observational in Acute aortic dissection (n=1,003). Renal insufficiency vs. No renal insufficiency was evaluated on Mesenteric ischemia in type A aortic dissection (p=<0.0001). Renal insufficiency in acute aortic dissection was associated with increased mesenteric ischemia (10.7% vs 1.4% in type A, P<0.0001; 17.7% vs 3.0% in type B, P<0.0001).
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