文献类型：期刊文献

英文题名：Risk factors and outcomes regarding the acute kidney injury after AngioJet thrombectomy for acute lower-extremity deep vein thrombosis

作者：Tian, Yong[1];Shi, Chao-Hai[2];Lu, Wei-Long[2];Zhang, Bang-Xing[1];Zhou, Cong[3];Huang, Ya-Long[3];Hao, Jian-Shu[1];Chen, Quan[4,5]

第一作者：Tian, Yong

通信作者：Chen, Q[1];Chen, Q[2]

机构：[1]Ningxia Med Univ, Sch Clin Med, Yinchuan, Ningxia, Peoples R China;[2]Gansu Prov Hosp, Dept Vasc Surg, Lanzhou, Gansu, Peoples R China;[3]Gansu Univ Chinese Med, Sch Clin Med, Lanzhou, Gansu, Peoples R China;[4]Dongguan Peoples Hosp, Dept Intervent & Vasc Surg, Dongguan, Guangdong, Peoples R China;[5]Dongguan Peoples Hosp, Dept Intervent & Vasc Surg, Dongguan 523000, Guangdong, Peoples R China

第一机构：Ningxia Med Univ, Sch Clin Med, Yinchuan, Ningxia, Peoples R China

通信机构：[1]corresponding author), Dongguan Peoples Hosp, Dept Intervent & Vasc Surg, Dongguan, Guangdong, Peoples R China;[2]corresponding author), Dongguan Peoples Hosp, Dept Intervent & Vasc Surg, Dongguan 523000, Guangdong, Peoples R China.

年份：2023

卷号：46

期号：9

起止页码：3505

外文期刊名：ASIAN JOURNAL OF SURGERY

收录：;Scopus(收录号：2-s2.0-85141229396);WOS:【SCI-EXPANDED(收录号:WOS:001068339900001)】；

语种：英文

外文关键词：Acute kidney injury; Deep vein thrombosis; AngioJet; Risk factor

摘要：Objective: To investigate the risk factors and outcomes regarding acute kidney injury (AKI) after AngioJet thrombectomy for acute lower-extremity deep vein thrombosis (DVT).Methods: Patients were divided into AKI and non-AKI groups according to whether AKI occurred postoperatively. The demographic data, pre-operative and post-operative laboratory data and surgical differences were compared between the two groups. Logistic regression and Wilcoxon signed-rank test were used to identify the AKI risk factors and outcomes, respectively.Results: Among the 341 patients who met the inclusion criteria, 45 developed AKI (AKI group) and 296 had normal renal function (non-AKI group) post-surgery. There were significant differences between the two groups in the course (t = 10.885, P = 0.000); preoperative history of a major surgery within 3 months (3M-MS) (odds ratio [OR] = 5.492, P = 0.001); duration of aspiration thrombectomy (Z = -8.803, P = 0.000); volumes of aspiration (Z = -8.215, P = 0.000); contrast volume (Z = -3.204, P = 0.001) and pulmonary thrombectomy (OR = 18.200, P = 0.002); and preoperative complications of hypertension (OR = 4.637, P = 0.002), diabetes (OR = 18.088, P = 0.000), or pulmonary embolism (OR = 0.085, P = 0.011). Wilcoxon signed-rank test showed that the renal function of every patient in the AKI group returned to normal 3 months after the surgery.Conclusions: The course, preoperative complications of diabetes or hypertension, 3M-MS, contrast volume, duration and volume of aspiration thrombectomy, and pulmonary thrombectomy are risk factors for post-AngioJet-thrombectomy AKI, which is temporary.& COPY; 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).