Renal dysfunction after vascular surgery
作者:
Madhav Swaminathan,
Mark Stafford-Smith,
期刊:
Current Opinion in Anaesthesiology
(OVID Available online 2003)
卷期:
Volume 16,
issue 1
页码: 45-51
ISSN:0952-7907
年代: 2003
出版商: OVID
关键词: postoperative complications;renal failure;vascular surgery
数据来源: OVID
摘要:
Purpose of reviewThe purpose of this review is to focus on the static incidence of renal dysfunction, the lack of evidence of benefit of traditional renoprotective strategies, and newer techniques that may provide an insight into the mechanisms of acute perioperative renal injury associated with vascular surgery.Recent findingsRecent studies that have investigated the long-term results of aortic surgery still report a significant incidence of postoperative renal dysfunction. This finding remains consistent in several reports. However, less invasive techniques such as endovascular repair seem to be associated with reduced inflammation and postoperative renal dysfunction. The possible association between genetic heterogeneity and renal dysfunction in vascular surgical patients is an exciting new area of research.SummaryRenal dysfunction after major vascular surgery remains a significant problem. New insights into the mechanisms of acute renal injury and less invasive techniques of vascular repair may help reduce the incidence of renal dysfunction in this patient population. The lack of a truly ‘renoprotective’ agent has hampered our efforts in preventing this major complication of vascular surgery.
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