Background: Acute kidney injury is a well-known complication
after surgical or percutaneous coronary revascularization, few
publications have directly compared its risk in both techniques.
Aim: to compare the incidence and predictors of acute kidney injury
after revascularization either by CABG or PCI.
Methods: This is a prospective, observational, non-controlled
study included 300 patients presented to National Heart Institute
from December 2014 to November 2015 with Multivessel CAD.
All patients were subjected to demographic data analysis, clinical
examination, echocardiography, baseline laboratory investigations
and syntax score calculation. Follow up of kidney function by serum
creatinine and eGFR within 48 hours.
Results: acute kidney injury occurred in 22% in CABG group,
versus 9.3% in PCI group (P=0.003). Hemodialysis was needed in
one patient in CABG group vs no patients in PCI Group (p=0.511).
Multivariate logistic regression analysis showed that Older age
(P=0.010), increased BMI (P=0.037), dilated LV (P=0.049), lower
Ejection Fraction (P=0.049) and blood transfusion (P |
