Effect of Suprarenal Aortic Cross-Clamping:– Juxtarenal vs. Infrarenal Short and/or Large Neck Abdominal Aortic Aneurysm –
Effect of Suprarenal Aortic Cross-Clamping:– Juxtarenal vs. Infrarenal Short and/or Large Neck Abdominal Aortic Aneurysm –
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肾上主动脉阻断的效果：– 肾旁与肾下短颈和/或大颈腹主动脉瘤 –
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Toshiaki Watanabe
中科院分区：
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作者：
K. Hoshina;Masaru Nemoto;K. Shigematsu;A. Nishiyama;A. Hosaka;T. Miyahara;H. Okamoto;Toshiaki Watanabe
随着每家公司的使用说明书（IFU）和计算机断层扫描（CT）等成像方式的发展，模糊的概念变得清晰。对于AAA手术后的肾功能评估，肌酐水平一直是金标准，8，9但最近的研究使用了标准化的评估系统，称为步枪分类4，10（风险、损伤、失败、损失和终末期肾病），这对于分析急性肾损伤很有用。11，12它基于估计的肾小球滤过率（eGFR）的程度，并根据eGFR每25%的变化对肾功能进行分类。我们使用这种独特的分类来揭示肾功能的时间变化。本研究的目的是通过比较近肾AAA组与新概念的肾下AAA亚组（即短颈和/或大颈），评价与肾上主动脉夹闭相关的风险。
ambiguous, became clear with each company’s instructions for use (IFU) and with the development of imaging modalities such as computed tomography (CT). For the evaluation of renal function after AAA surgery, creatinine level has been the gold standard,8,9 but recent studies have used a standardized system of assessment4,10 known as the RIFLE classification (Risk, Injury, Failure, Loss, and Endstage renal disease), which is useful for analyzing acute kidney injuries.11,12 It is based on the degree of estimated glomerular filtration rate (eGFR) and categorizes renal function according to each 25% change in eGFR. We used this unique classification to reveal the chronological change in renal function. The objective of the study was to evaluate the risk associated with suprarenal aortic clamping by comparing a juxtarenal AAA group with a new conceptual subgroup of infrarenal AAAs (ie, short and/or large neck).