Renal Complications in Patients Undergoing Transcatheter Aortic Valve Replacement

Justin M Dunn; E Murat Tuzcu; Samir R Kapadia

doi:10.1016/j.iccl.2014.03.003

Renal Complications in Patients Undergoing Transcatheter Aortic Valve Replacement

Interv Cardiol Clin. 2014 Jul;3(3):449-454. doi: 10.1016/j.iccl.2014.03.003. Epub 2014 Jun 28.

Authors

Justin M Dunn¹, E Murat Tuzcu¹, Samir R Kapadia²

Affiliations

¹ Cleveland Clinic, 9500 Euclid Avenue, J2-3, Cleveland, OH 44195, USA.
² Cardiac Catheterization Laboratory, Cleveland Clinic, 9500 Euclid Avenue, J2-3, Cleveland, OH 44195, USA. Electronic address: KAPADIS@ccf.org.

PMID: 28582229
DOI: 10.1016/j.iccl.2014.03.003

Abstract

Acute kidney injury in hospitalized patients is associated with significantly increased mortality across a broad spectrum of conditions. According to the Society of Thoracic Surgeons database, patients with chronic kidney disease undergoing surgical aortic valve replacement with or without coronary artery bypass grafting had a more than 50% reduction in observed 8-year survival compared with those without chronic kidney disease. Transcatheter aortic valve replacement is an exciting new approach for the treatment of aortic stenosis in high-risk or inoperable patients with severe aortic stenosis. This article discusses the incidence, predictors, impact, and potential avoidance and management strategies of renal dysfunction associated with transcatheter aortic valve replacement.

Keywords: Acute kidney injury; Kidney; Renal insufficiency; TAVR.

Publication types

Review