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Kidney Injury After Vascular Surgery

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Perioperative Kidney Injury

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Abstract

Acute kidney injury (AKI) frequently develops after vascular surgery and has a direct impact on short- and long-term outcomes of the patients. Though many aortic pathologies (aneurysms and chronic occlusions) are being managed by stenting and endovascular procedures, the risk of AKI remains appreciable and may be related to contrast-induced kidney injury. This chapter discusses the incidence and risk factors that predispose patients to AKI after vascular surgery. Risk factors are grouped into three broad categories: patient-related factors (these include patient’s age, the presence of chronic kidney disease (pre-procedure or baseline renal function), and proteinuria), surgery-related factors (type and complexity of surgery, emergency surgery, hemodynamic and inflammatory perturbations resulting from the surgery, and specific surgical techniques or maneuvers that may affect renal function), and management-related factors (nephrotoxic drugs, choice of intravenous fluids). Current prophylactic and management strategies that may protect the kidney in patients undergoing vascular procedures are also discussed.

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Authors and Affiliations

  1. Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, TMP #3, New Haven, CT, 06520, USA

    Shamsuddin Akhtar MD

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  1. Shamsuddin Akhtar MD
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Correspondence to Shamsuddin Akhtar MD .

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Editors and Affiliations

  1. Division of Nephrology and Hypertension, University of Cincinnati, Cincinnati, Ohio, USA

    Charuhas V. Thakar

  2. Program of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA

    Chirag R. Parikh

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Akhtar, S. (2015). Kidney Injury After Vascular Surgery. In: Thakar, C., Parikh, C. (eds) Perioperative Kidney Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1273-5_10

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  • DOI: https://doi.org/10.1007/978-1-4939-1273-5_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1272-8

  • Online ISBN: 978-1-4939-1273-5

  • eBook Packages: MedicineMedicine (R0)

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