Factors Affecting the Development of Renal Failure after Abdominal Vascular Surgery

Abstract

We congulatulate the authors for the study about the predisposing rick factors of renal disfunction following elective abdominal aortic aneurysm repair.1Grant S.W. Grayson A.D. Grant M.J. Purkayastha D. McCollum C.N. What are the risk factors for renal failure following Open elective abdominal aortic aneurysm Repair?.Eur J Vasc Endovasc Surg. 2012 Feb; 43: 182-187Google Scholar We believe that the effect of perioperative blood transfusion on postoperative renal failure should be evaluated in this large study group as well, regarding many papers suggesting this result for either cardiac or noncardiac surgery.2Whitson B.A. Huddleston S.J. Savik K. Shumway S.J. Risk of adverse outcomes associated with blood transfusion after cardiac surgery depends on the amount of transfusion.J Surg Res. 2010; 158: 20-27Google Scholar, 3Gokalp O. Kestelli M. Yurekli I. Besir Y. Yılık L. Yasa H. et al.Effect of the use of fresh frozen plasma in cardiac surgery on the postoperative serum creatinine values.Turkish J Thorac Cardiovasc Surg. 2011; 19: 490-494Google Scholar, 4Causey M.W. Maykel J.A. Hatch Q. Miller S. Steele S.R. Identifying risk factors for renal failure and myocardial infarction following colorectal surgery.J Surg Res. 2011 Sep; 170: 32-37Google Scholar If the relation between blood transfusion and postoperative renal failure can be shown especially for major abdominal vascular surgery, methods like autotransfusion should be considered carefully and at length. Response to Letter to the Editor Re “What are the Risk Factors for Renal Failure Following Open Elective Abdominal Aortic Aneurysm Repair?”European Journal of Vascular and Endovascular SurgeryVol. 43Issue 5PreviewWe would like to thank the authors of the letter for their comments regarding our manuscript.1 We agree that intraoperative blood loss and subsequent transfusion are likely to be important risk factors for the development of post-operative renal failure following major surgery of all types. The aim of this study was however to identify the pre-operative risk factors associated with post-operative renal failure following open elective abdominal aortic aneurysm (AAA) repair. The ability to identify high-risk patients pre-operatviely is important as renal optimisation strategies, including the avoidance of nephrotoxic agents in the peri-operative period and the use of autotransfusion, can be decided on prior to surgery. Full-Text PDF Open Archive