Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management

Marta Zaleska-Kociecka,1 Maciej Dabrowski,2 Janina Stepinska1 1Cardiac Intensive Therapy Clinic, Institute of Cardiology, Warsaw, Poland; 2Interventional Cardiology and Angiology Clinic, Institute of Cardiology, Warsaw, Poland Abstract: Aortic stenosis is the most common cause of valve replacement...

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Autores principales:	Zaleska-Kociecka M, Dabrowski M, Stepinska J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	acute kidney injury TAVR TAVI transcatheter valve replacement valvular disease aortic stenosis aortic valve replacement Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/1888a0dea3ab4d65b3f05a43be80a493
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spelling	oai:doaj.org-article:1888a0dea3ab4d65b3f05a43be80a4932021-12-02T05:43:39ZAcute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management1178-1998https://doaj.org/article/1888a0dea3ab4d65b3f05a43be80a4932019-01-01T00:00:00Zhttps://www.dovepress.com/acute-kidney-injury-after-transcatheter-aortic-valve-replacement-in-th-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Marta Zaleska-Kociecka,1 Maciej Dabrowski,2 Janina Stepinska1 1Cardiac Intensive Therapy Clinic, Institute of Cardiology, Warsaw, Poland; 2Interventional Cardiology and Angiology Clinic, Institute of Cardiology, Warsaw, Poland Abstract: Aortic stenosis is the most common cause of valve replacement in Europe and North America with prevalence increasing with age. Transcatheter valve replacement (TAVR) represents an alternative for surgical valve replacement of severely stenotic valves. Despite lower risk of acute kidney injury compared to that associated with surgery, this complication remains prevalent in patients undergoing TAVR. There is a paucity of data confirming the relation of acute kidney injury with high morbidity and mortality, especially when superimposed on chronic kidney disease, which is a frequent comorbidity in the elderly with severe aortic stenosis. As there is no consensus on the prevention of acute kidney injury in patients undergoing TAVR, identification and limitation of risk factors are crucial. In this review, we aim to discuss the key aspects of acute kidney injury diagnosis, risk assessment, and outcomes in TAVR patients, and to point out gaps in current knowledge. Keywords: acute kidney injury, TAVI, transcatheter valve replacement, valvular disease, aortic stenosis, aortic valve replacementZaleska-Kociecka MDabrowski MStepinska JDove Medical Pressarticleacute kidney injuryTAVRTAVItranscatheter valve replacementvalvular diseaseaortic stenosisaortic valve replacementGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 195-201 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute kidney injury TAVR TAVI transcatheter valve replacement valvular disease aortic stenosis aortic valve replacement Geriatrics RC952-954.6
spellingShingle	acute kidney injury TAVR TAVI transcatheter valve replacement valvular disease aortic stenosis aortic valve replacement Geriatrics RC952-954.6 Zaleska-Kociecka M Dabrowski M Stepinska J Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
description	Marta Zaleska-Kociecka,1 Maciej Dabrowski,2 Janina Stepinska1 1Cardiac Intensive Therapy Clinic, Institute of Cardiology, Warsaw, Poland; 2Interventional Cardiology and Angiology Clinic, Institute of Cardiology, Warsaw, Poland Abstract: Aortic stenosis is the most common cause of valve replacement in Europe and North America with prevalence increasing with age. Transcatheter valve replacement (TAVR) represents an alternative for surgical valve replacement of severely stenotic valves. Despite lower risk of acute kidney injury compared to that associated with surgery, this complication remains prevalent in patients undergoing TAVR. There is a paucity of data confirming the relation of acute kidney injury with high morbidity and mortality, especially when superimposed on chronic kidney disease, which is a frequent comorbidity in the elderly with severe aortic stenosis. As there is no consensus on the prevention of acute kidney injury in patients undergoing TAVR, identification and limitation of risk factors are crucial. In this review, we aim to discuss the key aspects of acute kidney injury diagnosis, risk assessment, and outcomes in TAVR patients, and to point out gaps in current knowledge. Keywords: acute kidney injury, TAVI, transcatheter valve replacement, valvular disease, aortic stenosis, aortic valve replacement
format	article
author	Zaleska-Kociecka M Dabrowski M Stepinska J
author_facet	Zaleska-Kociecka M Dabrowski M Stepinska J
author_sort	Zaleska-Kociecka M
title	Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
title_short	Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
title_full	Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
title_fullStr	Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
title_full_unstemmed	Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
title_sort	acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/1888a0dea3ab4d65b3f05a43be80a493
work_keys_str_mv	AT zaleskakocieckam acutekidneyinjuryaftertranscatheteraorticvalvereplacementintheelderlyoutcomesandriskmanagement AT dabrowskim acutekidneyinjuryaftertranscatheteraorticvalvereplacementintheelderlyoutcomesandriskmanagement AT stepinskaj acutekidneyinjuryaftertranscatheteraorticvalvereplacementintheelderlyoutcomesandriskmanagement
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Acute kidney injury after transcatheter aortic valve replacement in the elderly: outcomes and risk management

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