In the January issue of Heart, Lung and Circulation, Li et al. highlighted blood transfusion as an important determinant of acute kidney injury
(AKI) following total aortic arch replacement, in a retrospective study including
421 patients with acute Stanford type A aortic dissection [
[1]
]. The index findings are indeed noteworthy from a perioperative management perspective.
Nonetheless, the following observations surrounding possible confounding mandate elucidation,
given the multifactorial aetiology of post-cardiac surgery AKI.To read this article in full you will need to make a payment
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References
- Blood transfusion and acute kidney injury after total aortic arch replacement for acute Stanford type A aortic dissection.Heart Lung Circ. 2022; 31: 136-143
- Hemodilution during cardiopulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgery.J Thorac Cardiovasc Surg. 2005; 129: 391-400
- Nadir hematocrit on bypass and rates of acute kidney injury: Does sex matter?.Ann Thorac Surg. 2015; 100: 1549-1554
- Role of hemodilutional anemia and transfusion during cardiopulmonary bypass in renal injury after coronary revascularization: Implications on operative outcome.Crit Care Med. 2005; 33: 1749-1756
- Bleeding classifications in CABG: perspective on prognostic performance.Braz J Cardiovasc Surg. 2020; 35: 409-410
- Packed red blood cell transfusion associates with acute kidney injury after transcatheter aortic valve replacement.BMC Anesthesiol. 2019; 19: 99
- Correlation between vasoactive-inotropic score and postoperative acute kidney injury after cardiovascular surgery.Heart Surg Forum. 2021; 24: E282-E292
- Hyperglycemia and acute kidney injury during the perioperative period.Curr Diab Rep. 2016; 16: 10
Article info
Publication history
Published online: March 15, 2022
Accepted:
February 24,
2022
Received:
January 30,
2022
Identification
Copyright
© 2022 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
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- Blood Transfusion and Acute Kidney Injury After Total Aortic Arch Replacement for Acute Stanford Type A Aortic DissectionHeart, Lung and CirculationVol. 31Issue 1