Incidence of Contrast-Induced Nephropathy and Post-Operative Outcomes in Patients Undergoing Chimney Endovascular Aortic Aneurysm Repair

Caradu, Caroline; Coatsaliou, Quentin; Colacchio, Elda Chiara; Ducasse, Éric; Lareyre, Fabien; Raffort, Juliette

doi:10.1177/00033197221075852

Cited by 4 publications

(1 citation statement)

References 52 publications

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“…Of note, our team showed in a previous study, with a smaller size sample of the same cohort, that postoperative NLR was also predictive of AKI after EVAR [ 12 ]. Similar findings were also supported by recently published data where the platelet to lymphocyte ratio was related with post-chimney-EVAR AKI [ 40 ]. These findings highlight the fact that a simple, inexpensive and routine preoperative marker might be used and evaluated as a predictor of postoperative morbidity and mortality.…”

Section: Discussionsupporting

confidence: 90%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

JCM

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Background: We evaluated the 30-day postoperative outcome after elective endovascular aneurysm repair (EVAR) and the possible predictors for the 30-day postoperative outcome. Materials: Demographics, medical history, laboratory values, intensive care unit (ICU) admission and 30-day complications classified as major (major adverse cardiovascular events (MACEs), acute kidney injury (AKI) and death of any cause) and minor (postimplantation syndrome (PIS), postoperative delirium (POD), urinary tract infection (UTI) and technical graft failure) were documented (March 2016 to February 2019). Results: We included 322 patients. The majority were managed under general anesthesia (83%) with femoral cutdown (98.1%). Overall, 121 (37.5%) complications, mostly minor (n = 103, 31.9%), were recorded. In total, 11 patients (3.4%) developed MACEs, 5 (1.6%) experienced AKI and 2 (0.6%) died in the ICU. Moreover, 77 patients (23.9%) suffered from PIS, 11 from POD, 11 from UTI and 4 from technical graft failure. The multivariate logistic regression analysis revealed that aneurysm diameter (p = 0.01) and past smoking (p = 0.003) were predictors for complications. PAD was an independent predictor of MACEs (p = 0.003), preoperative neutrophil to lymphocyte ratio (NLR) of AKI (p = 0.003) and past smoking of PIS (p = 0.008), respectively. Conclusions: Our study showed that the 30-day morbidity after EVAR exceeded 35%. However, the majority of complications were minor, and the associated mortality was low. Aneurysm diameter and past smoking were independent predictors for postoperative outcome.

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Section: Discussionsupporting

confidence: 90%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

JCM

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Contrast Induced Nephropathy After Elective Infrarenal and Complex Endovascular Repair

Lareyre

Raffort

2023

European Journal of Vascular and Endovascular Surgery

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Prognostic Role of Neutrophil to Lymphocyte Ratio in Contrast-Induced Nephropathy: A Systematic Review and Meta-analysis

He,

Mohammadpour,

Willman

et al. 2024

Angiology

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This meta-analysis assessed the use of the neutrophil-to-lymphocyte ratio (NLR) as a means of early detection of contrast-induced nephropathy (CIN) following diagnostic or therapeutic procedures. We used Web of Science, PubMed, and Scopus to conduct a systematic search. There was no limitation regarding language or date of publication. We reported standardized mean difference (SMD) with a 95% confidence interval (CI). Due to high heterogeneity, a random-effects model was used, and the Newcastle–Ottawa scale was used for quality assessment. Thirty-one articles were included in the analysis. Patients in the CIN group had elevated levels of NLR compared with those in the non-CIN group (SMD = 0.78, 95% CI = 0.52–1.04, P < .001). Similar results were observed in either prospective (SMD = 1.03, 95% CI = 0.13–1.93, P = .02) or retrospective studies (SMD = 0.70, 95% CI = 0.45–0.96, P < .001). The pooled sensitivity of NLR was 74.02% (95% CI = 66.54%–81.02%), and the pooled specificity was 60.58% (95% CI = 53.94%–66.84%). NLR shows potential as a cost-effective biomarker for predicting CIN associated with contrast-involved treatments. This could help implement timely interventions to mitigate CIN and improve outcomes.

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Incidence of Contrast-Induced Nephropathy and Post-Operative Outcomes in Patients Undergoing Chimney Endovascular Aortic Aneurysm Repair

Cited by 4 publications

References 52 publications

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Contrast Induced Nephropathy After Elective Infrarenal and Complex Endovascular Repair

Prognostic Role of Neutrophil to Lymphocyte Ratio in Contrast-Induced Nephropathy: A Systematic Review and Meta-analysis

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