Table 1.
Baseline characteristics
Factor | No acute kidney injury | Persistent acute kidney injury | p Value |
N | 1446 | 94 | |
Age (years) | 82 (7) | 80 (7) | 0.051 |
Gender | 733 (50.7%) | 27 (28.7%) | <0.001 |
Baseline creatinine (mmol/L) | 100 (35) | 117 (50) | <0.001 |
eGFR at baseline (mL/min/1.73 m2) | 59 (21) | 56 (23) | 0.18 |
VARC-2 criteria | |||
Stage 1: 1.5–1.99× increase or 26 mmol/L in creatinine | 78 (83%) | ||
Stage 2: 2–2.9× increase in creatinine | 4 (4%) | ||
Stage 3: ≥3× increase in creatinine or initiation of renal replacement therapy | 12 (13%) | ||
4 CKD groups at baseline | 652 (45.1%) | 37 (39.4%) | 0.084 |
>60 | |||
45–59 | 414 (28.6%) | 22 (23.4%) | |
30–44 | 298 (20.6%) | 25 (26.6%) | |
15–29 | 82 (5.7%) | 10 (10.6%) | |
Weight (kg) | 74 (15) | 78 (16) | 0.011 |
Height (cm) | 168 (9) | 170 (10) | 0.011 |
Body surface area | 1.8 (0.2) | 1.9 (0.2) | 0.003 |
Diabetes mellitus | 315 (21.8%) | 25 (26.6%) | 0.28 |
Known hypertension | 1045 (72.3%) | 67 (71.3%) | 0.84 |
Chronic obstructive pulmonary disease | 282 (19.5%) | 29 (30.9%) | 0.008 |
Prior cardiac surgery | 418 (28.9%) | 35 (37.2%) | 0.086 |
Prior PCI | 419 (29.0%) | 27 (28.7%) | 0.96 |
Prior PCI/CABG | 701 (48.5%) | 51 (54.3%) | 0.28 |
Prior stroke | 204 (14.1%) | 18 (19.1%) | 0.18 |
Known peripheral arterial disease | 290 (20.1%) | 24 (25.5%) | 0.20 |
Atrial fibrillation | 514 (35.5%) | 32 (34.0%) | 0.77 |
NYHA class | |||
1 | 6 (0.4%) | 0 (0.0%) | 0.64 |
2 | 99 (6.9%) | 7 (7.4%) | |
3 | 1096 (75.9%) | 67 (71.3%) | |
4 | 243 (16.8%) | 20 (21.3%) | |
Logistic EuroSCORE I | 22%(14)14 | 23%(17)17 | 0.41 |
LVEF % | |||
≥50% | 874 (60.5%) | 50 (53.8%) | 0.40 |
40%–49% | 251 (17.4%) | 18 (19.4%) | |
30%–39% | 198 (13.7%) | 18 (19.4%) | |
≤30 | 121 (8.4%) | 7 (7.5%) | |
Aortic valve area (cm2) | 0.64 (0.2) | 0.67 (0.17) | 0.28 |
Mean aortic valve gradient (mm Hg) | 49 (16) | 46 (17) | 0.091 |
Annulus diameter (mm) | 23 (2.7) | 24 (2.5) | 0.009 |
Systolic pulmonary artery pressure (mm Hg) | 44 (15) | 45 (15) | 0.64 |
Aortic regurgitation (0–3) | |||
0 | 508 (35.5%) | 35 (38.0%) | 0.27 |
1 | 757 (52.8%) | 52 (56.5%) | |
2 | 137 (9.6%) | 5 (5.4%) | |
3 | 31 (2.2%) | 0 (0.0%) | |
Mitral regurgitation (0–3) | |||
0 | 350 (24.6%) | 30 (32.3%) | 0.28 |
1 | 821 (57.7%) | 52 (55.9%) | |
2 | 223 (15.7%) | 10 (10.8%) | |
3 | 29 (2.0%) | 1 (1.1%) | |
Urgent TAVI | 17 (1.2%) | 0 (0.0%) | 0.29 |
Make of prosthesis | |||
Medtronic CoreValve/Evolut R | 771 (53.4%) | 53 (56.4%) | 0.23 |
Edwards SAPIEN | 604 (41.8%) | 40 (42.6%) | |
Other | 70 (4.8%) | 1 (1.1%) | |
Contrast volume (mL) | 110 (78) | 129 (89) | 0.027 |
Contrast volume to creatinine clearance ratio | 2.4 (1.9) | 2.73 (2.3) | 0.069 |
Contrast volume (mL)/CrCl | |||
<3 mL/CrCl | 1070 (74.2%) | 67 (71.3%) | 0.75 |
3–3.9 mL/CrCl | 167 (11.6%) | 11 (11.7%) | |
≥4 mL/CrCl | 205 (14.2%) | 16 (17.0%) | |
Fluoroscopy time (min) | 1429 (1098) | 1391 (779) | 0.74 |
Periprocedural/Postprocedural bleeding | 113 (7.8%) | 10 (10.6%) | 0.33 |
Length of in-hospital stay (days) | 6.7 (8.8) | 14.0 (28.9) | <0.001 |
Data are presented as mean±SD or n (%) as appropriate.
CABG, coronary artery bypass graft; CKD, chronic kidney disease; CrCl, creatinine clearance; eGFR, estimated glomerular filtration rate; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association functional classification; PCI, percutaneous coronary intervention; TAVI, transcatheter aortic valve implantation; VARC-2, Valve Academic Research Consortium-2.