TY - JOUR
T1 - Diseases of the Aorta and Kidney Disease
T2 - conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference
AU - for Conference Participants
AU - Sarafidis, Pantelis
AU - Martens, Sven
AU - Saratzis, Athanasios
AU - Kadian-Dodov, Daniella
AU - Murray, Patrick T.
AU - Shanahan, Catherine M.
AU - Hamdan, Allen D.
AU - Engelman, Daniel T.
AU - Teichgräber, Ulf
AU - Herzog, Charles A.
AU - Cheung, Michael
AU - Jadoul, Michel
AU - Winkelmayer, Wolfgang C.
AU - Reinecke, Holger
AU - Johansen, Kirsten
N1 - Publisher Copyright:
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2022/9/20
Y1 - 2022/9/20
N2 - Chronic kidney disease (CKD) is an independent risk factor for the development of abdominal aortic aneurysm (AAA), as well as for cardiovascular and renal events and all-cause mortality following surgery for AAA or thoracic aortic dissection. In addition, the incidence of acute kidney injury (AKI) after any aortic surgery is particularly high, and this AKI per se is independently associated with future cardiovascular events and mortality. On the other hand, both development of AKI after surgery and the long-term evolution of kidney function differ significantly depending on the type of AAA intervention (open surgery vs. the various subtypes of endovascular repair). Current knowledge regarding AAA in the general population may not be always applicable to CKD patients, as they have a high prevalence of co-morbid conditions and an elevated risk for periprocedural complications. This summary of a Kidney Disease: Improving Global Outcomes Controversies Conference group discussion reviews the epidemiology, pathophysiology, diagnosis, and treatment of Diseases of the Aorta in CKD and identifies knowledge gaps, areas of controversy, and priorities for future research.
AB - Chronic kidney disease (CKD) is an independent risk factor for the development of abdominal aortic aneurysm (AAA), as well as for cardiovascular and renal events and all-cause mortality following surgery for AAA or thoracic aortic dissection. In addition, the incidence of acute kidney injury (AKI) after any aortic surgery is particularly high, and this AKI per se is independently associated with future cardiovascular events and mortality. On the other hand, both development of AKI after surgery and the long-term evolution of kidney function differ significantly depending on the type of AAA intervention (open surgery vs. the various subtypes of endovascular repair). Current knowledge regarding AAA in the general population may not be always applicable to CKD patients, as they have a high prevalence of co-morbid conditions and an elevated risk for periprocedural complications. This summary of a Kidney Disease: Improving Global Outcomes Controversies Conference group discussion reviews the epidemiology, pathophysiology, diagnosis, and treatment of Diseases of the Aorta in CKD and identifies knowledge gaps, areas of controversy, and priorities for future research.
KW - Abdominal aortic aneurysm
KW - Acute kidney injury
KW - Aortic diseases
KW - Aortic dissection
KW - Chronic kidney disease
UR - http://www.scopus.com/inward/record.url?scp=85130172087&partnerID=8YFLogxK
U2 - 10.1093/cvr/cvab287
DO - 10.1093/cvr/cvab287
M3 - Article
C2 - 34469520
AN - SCOPUS:85130172087
SN - 0008-6363
VL - 118
SP - 2582
EP - 2595
JO - Cardiovascular Research
JF - Cardiovascular Research
IS - 12
ER -
