The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1539-1544 , June 2010

The effect of cardiac angiography timing, contrast media dose, and preoperative renal function on acute renal failure after coronary artery bypass grafting

  • Benjamin Medalion, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationAddress for reprints: Benjamin Medalion, MD, Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, 49100, Israel.
    • ,
  • Hilit Cohen, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Abid Assali, MD

      Affiliations

    • Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Hana Vaknin Assa, MD

      Affiliations

    • Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Ariel Farkash, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Eitan Snir, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Erez Sharoni, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Philip Biderman, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Gai Milo, MD

      Affiliations

    • Department of Nephrology, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Alexander Battler, MD

      Affiliations

    • Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Ran Kornowski, MD

      Affiliations

    • Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
    • ,
  • Eyal Porat, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tiqva, Israel. Affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Received 19 February 2009 ,Revised 23 August 2009 ,Accepted 10 October 2009.

References 

  1. Chertow GM, Levy EM, Hammermeister KE, Grover F, Daley J. Independent association between acute renal failure and mortality following cardiac surgery. Am J Med. 1998;104:343–348
  2. Lassnigg A, Schmidlin D, Mouhieddine M, Bachmann LM, Druml W, Bauer P, et al. Minimal changes of serum creatinine predict prognosis in patients after cardiothoracic surgery: a prospective cohort study. J Am Soc Nephrol. 2004;15:1597–1605
  3. Mangano CM, Diamondstone LS, Ramsay JG, Aggarwal A, Herskowitz A, Mangano DT. Renal dysfunction after myocardial revascularization: risk factors, adverse outcomes, and hospital resource utilization. The Multicenter Study of Perioperative Ischemia Research Group. Ann Intern Med. 1998;128:194–203
  4. Zanardo G, Michielon P, Paccagnella A, Rosi P, Calo M, Salandin V, et al. Acute renal failure in the patient undergoing cardiac operation: prevalence, mortality rate, and main risk factors. J Thorac Cardiovasc Surg. 1994;107:1489–1495
  5. McCullough PA, Wolyn R, Rocher LL, Levin RN, O'Neill WW. Acute renal failure after coronary intervention: incidence, risk factors, and relationship to mortality. Am J Med. 1997;103:368–375
  6. Morcos SK. Contrast media-induced nephrotoxicity—questions and answers. Br J Radiol. 1998;71:357–365
  7. Mehran R, Aymong ED, Nikolsky E, Lasic Z, Iakovou I, Fahy M, et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation. J Am Coll Cardiol. 2004;44:1393–1399
  8. Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron. 1976;16:31–41
  9. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1-266
  10. Kelly AM, Dwamena B, Cronin P, Bernstein SJ, Carlos RC. Meta-analysis: effectiveness of drugs for preventing contrast-induced nephropathy. Ann Intern Med. 2008;148:284–294
  11. Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J. 2003;24:881–882
  12. Blackstone EH. Comparing apples and oranges. J Thorac Cardiovasc Surg. 2002;123:8–15
  13. Rubin DB. Estimating causal effects from large data sets using propensity scores. Ann Intern Med. 1997;127:757–763
  14. Blackstone EH. Breaking down barriers: helpful breakthrough statistical methods you need to understand better. J Thorac Cardiovasc Surg. 2001;122:430–439
  15. Conlon PJ, Stafford-Smith M, White WD, Newman MF, King S, Winn MP, et al. Acute renal failure following cardiac surgery. Nephrol Dial Transplant. 1999;14:1158–1162
  16. Del Duca D, Iqbal S, Rahme E, Goldberg P, de Varennes B. Renal failure after cardiac surgery: timing of cardiac catheterization and other perioperative risk factors. Ann Thorac Surg. 2007;84:1264–1271
  17. Ranucci M, Ballotta A, Kunkl A, De Benedetti D, Kandil H, Conti D, et al. Influence of the timing of cardiac catheterization and the amount of contrast media on acute renal failure after cardiac surgery. Am J Cardiol. 2008;101:1112–1118
  18. Khalpey ZI, Ganim RB, Rawn JD. Postoperative care of cardiac surgery patients. In:  Cohn LH editors. Cardiac surgery in the adult. New York: McGraw-Hill; 2008;p. 465–486
  19. Barrett BJ. Contrast nephrotoxicity. J Am Soc Nephrol. 1994;5:125–137
  20. McCullough PA. Contrast-induced acute kidney injury. J Am Coll Cardiol. 2008;51:1419–1428
  21. Thakar CV, Arrigain S, Worley S, Yared JP, Paganini EP. A clinical score to predict acute renal failure after cardiac surgery. J Am Soc Nephrol. 2005;16:162–168
  22. Brown ML, Holmes DR, Tajik AJ, Sarano ME, Schaff HV. Safety of same-day coronary angiography in patients undergoing elective valvular heart surgery. Mayo Clin Proc. 2007;82:572–574

 Disclosures: None.

PII: S0022-5223(09)01138-6

doi: 10.1016/j.jtcvs.2009.08.042

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1539-1544 , June 2010

Article Tools

* Image Usage & Resolution