Brazilian Journal of Cardiovascular Surgery (Apr 2020)

Acute Kidney Injury Associated with Cardiac Surgery: a Comprehensive Literature Review

  • Amer Harky,
  • Mihika Joshi,
  • Shubhi Gupta,
  • Wan Yi Teoh,
  • Francesca Gatta,
  • Mostafa Snosi

DOI
https://doi.org/10.21470/1678-9741-2019-0122
Journal volume & issue
Vol. 35, no. 2
pp. 211 – 224

Abstract

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Abstract Objective: To comprehensively understand cardiac surgeryassociated acute kidney injury (CSA-AKI) and methods of prevention of such complication in cardiac surgery patients. Methods: A comprehensive literature search was performed using the electronic database to identify articles describing acute kidney injury (AKI) in patients that undergone cardiac surgery. There was neither time limit nor language limit on the search. The results were narratively summarized. Results: All the relevant articles have been extracted; results have been summarized in each related section. CSA-AKI is a serious postoperative complication and it can contribute to a significant increase in perioperative morbidity and mortality rates. Optimization of factors that can reduce CSA-AKI, therefore, contributes to a better postoperative outcome. Conclusion: Several factors can significantly increase the rate of AKI; identification and minimization of such factors can lead to lower rates of CSA-AKI and lower perioperative morbidity and mortality rates.

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