共查询到20条相似文献,搜索用时 15 毫秒
1.
《JACC: Cardiovascular Interventions》2015,8(12):1595-1604
ObjectivesThe purpose of this study was to investigate the effect of the RenalGuard System (PLC Medical Systems, Milford, Massachusetts) on prevention of acute kidney injury (AKI) in patients undergoing transcatheter aortic valve replacement (TAVR).BackgroundTAVR is associated with varying degrees of post-procedural AKI. The RenalGuard System is a dedicated device designed for contrast-induced AKI prevention. Whether this device is also effective in patients with severe aortic stenosis undergoing TAVR is unexplored.MethodsThe present is an investigator-driven, single-center, prospective, open-label, registry-based randomized study that used the TAVR institutional registry of the Ferrarotto Hospital in Catania, Italy, as the platform for randomization, data collection, and follow-up assessment. A total of 112 consecutive patients undergoing TAVR were randomly assigned to hydration with normal saline solution controlled by the RenalGuard system and furosemide (RenalGuard group) or normal saline solution (control group). The primary endpoint was the incidence of Valve Academic Research Consortium–defined AKI in the first 72 h after the procedure.ResultsThe AKI rate was lower in the RenalGuard group than in the control group (n = 3 [5.4%] vs. n =14 [25.0%], respectively, p = 0.014). The majority of patients (5.4% vs. 23.2%) developed a mild AKI (stage 1); severe damage (stage 3) occurred only in 1 patient in the control group (0.0% vs. 1.8%). No case of in-hospital renal failure requiring dialysis was reported. No significant differences in terms of mortality, cerebrovascular events, bleeding, and hospitalization for heart failure were noted in both groups at 30 days.ConclusionsFurosemide-induced diuresis with matched isotonic intravenous hydration using the RenalGuard system is an effective therapeutic tool to reduce the occurrence of AKI in patients undergoing TAVR. 相似文献
2.
3.
4.
5.
Michael Mok Luis Nombela-Franco Eric Dumont Marina Urena Robert DeLarochellière Daniel Doyle Jacques Villeneuve Mélanie Côté Henrique B. Ribeiro Ricardo Allende Jerôme Laflamme Hugo DeLarochellière Louis Laflamme Ignacio Amat-Santos Philippe Pibarot François Maltais Josep Rodés-Cabau 《JACC: Cardiovascular Interventions》2013,6(10):1072-1084
6.
7.
8.
9.
Flavio Ribichini Michele Romano Renato Rosiello Luigi La Vecchia Ester Cabianca Giuseppe Caramanno Diego Milazzo Paolo Loschiavo Stefano Rigattieri Salvatore Musarò Bruno Pironi Antonio Fiscella Francesco Amico Ciro Indolfi Carmen Spaccarotella Antonio Bartorelli Daniela Trabattoni Francesco Della Rovere Corrado Vassanelli 《JACC: Cardiovascular Interventions》2013,6(10):1012-1022
10.
11.
Jong-Young Lee Seung-Whan Lee Woo Seok Lee Seungbong Han Yong Kyu Park Chang Hee Kwon Jeong Yoon Jang Young-Rak Cho Gyung-Min Park Jung-Min Ahn Won-Jang Kim Duk-Woo Park Soo-Jin Kang Young-Hak Kim Cheol Whan Lee Seong-Wook Park Seung-Jung Park 《JACC: Cardiovascular Interventions》2013,6(12):1303-1313
12.
13.
14.
15.
16.
17.
18.
19.
《JACC: Cardiovascular Interventions》2014,7(1):20-28