Cirugía Vascular y Endovascular

Glomerular filtration rate is a predictor of mortality after endovascular abdominal aortic aneurysm repair

Ali Azizzadeh, MD:

Luis A. Sanchez, MD:

Charles C. Miller, III, PhD:

Leopoldo Marine, MD:

Brian G. Rubin, MD:

Hazim J. Safi, MD:

Tam T. Huynh, MD:

Juan C. Parodi, MD:

Gregorio A. Sicard, MD:

Volume 43

Clinically evident renal disease is a risk factor for mortality after aneurysm repair. Serum creatinine is widely used as a measure of renal function in the preoperative evaluation of patients. Unfortunately, serum creatinine concentration is influenced by muscle mass, hydration status, and glomerular filtration rate (GFR). Calculated GFR, which takes predictors of muscle mass such as age, gender, and weight into account, is a more sensitive determinant of renal function than serum creatinine. We hypothesized that GFR would more accurately predict mortality after EVAR than serum creatinine.