The Gender Gap in Aortic Dissection: A Prospective Analysis of Risk and Outcomes

Banceu, Cosmin; Harpa, Marius; Brinzaniuc, Klara; Tilea, Ioan; Varga, Andreea; Gliga, Mirela Liana; Voidazan, Septimiu; Neagu, Nicolae; Szabo, Dan Alexandru; Banceu, Diana; Cristutiu, Daiana; Balmos, Ionut Alexandru; Puscas, Alexandra; Oprean, Marvin; Suciu, Horatiu

doi:10.2478/jccm-2023-0024

References

Juraszek A, Czerny M, Rylski B. Update in aortic dissection. Trends Cardiovasc Med. 2022 Oct;32(7):456–461. doi: 10.1016/j.tcm.2021.08.008.
Open DOI Search in Google Scholar Back to article
Liu K, Hao GW, Zheng JL, et al. Effect of Sequential Noninvasive Ventilation on Early Extubation After Acute Type A Aortic Dissection. Respir Care. 2020 Aug;65(8):1160–1167. doi: 10.4187/respcare.07522.
Open DOI Search in Google Scholar Back to article
Du W, Glasgow N, Smith P, et al. A. Major inpatient surgeries and in-hospital mortality in New South Wales public hospitals in Australia: A state-wide retrospective cohort study. Int J Surg. 2018 Feb;50:126–132. doi: 10.1016/j.ijsu.2017.12.023.
Open DOI Search in Google Scholar Back to article
Nienaber CA, Fattori R, Mehta RH, et al. International Registry of Acute Aortic Dissection. Gender-related differences in acute aortic dissection. Circulation. 2004 Jun 22;109(24):3014–21. doi: 10.1161/01.CIR.0000130644.78677.2C.
Open DOI Search in Google Scholar Back to article
Huckaby LV, Sultan I, Trimarchi S, et al. Sex-Based Aortic Dissection Outcomes From the International Registry of Acute Aortic Dissection. Ann Thorac Surg. 2022 Feb;113(2):498–505. doi: 10.1016/j.athoracsur.2021.03.100.
Open DOI Search in Google Scholar Back to article
Gasser S, Stastny L, Kofler M, et al. Type A aortic dissection is more aggressive in women. Eur J Cardiothorac Surg. 2022 Jul 11;62(2):ezac040. doi: 10.1093/ejcts/ezac040.
Open DOI Search in Google Scholar Back to article
Kennedy JW, Kaiser GC, Fisher LD, et al. Clinical and angiographic predictors of operative mortality from the collaborative study in coronary artery surgery (CASS). Circulation. 1981 Apr;63(4):793–802. doi: 10.1161/01.cir.63.4.793.
Open DOI Search in Google Scholar Back to article
Chertow GM, Lazarus JM, Christiansen CL, et al. Preoperative renal risk stratification. Circulation. 1997 Feb 18;95(4):878–84. doi: 10.1161/01.cir.95.4.878.
Open DOI Search in Google Scholar Back to article
Chertow GM, Levy EM, Hammermeister KE, Grover F, Daley J. Independent association between acute renal failure and mortality following cardiac surgery. Am J Med. 1998 Apr;104(4):343–8. doi: 10.1016/s0002-9343(98)00058-8.
Open DOI Search in Google Scholar Back to article
Zilla P, Yacoub M, Zühlke L, et al. Global Unmet Needs in Cardiac Surgery. Glob Heart. 2018 Dec;13(4):293–303. doi: 10.1016/j.gheart.2018.08.002
Open DOI Search in Google Scholar Back to article
Ronco C, Bellomo R, Kellum JA. Acute kidney injury. Lancet. 2019 Nov 23;394(10212):1949–1964. doi: 10.1016/S0140-6736(19)32563-2.
Open DOI Search in Google Scholar Back to article
Husain-Syed F, Ferrari F, Sharma A, et al. Persistent decrease of renal functional reserve in patients after cardiac surgery-associated acute kidney injury despite clinical recovery. Nephrol Dial Transplant. 2019 Feb 1;34(2):308–317. doi: 10.1093/ndt/gfy227.
Open DOI Search in Google Scholar Back to article
O’Neal JB, Shaw AD, Billings FT 4th. Acute kidney injury following cardiac surgery: current understanding and future directions. Crit Care. 2016 Jul 4;20(1):187. doi: 10.1186/s13054-016-1352-z.
Open DOI Search in Google Scholar Back to article
Ortega-Loubon C, Fernández-Molina M, Carrascal-Hinojal Y, Fulquet-Carreras E. Cardiac surgery-associated acute kidney injury. Ann Card Anaesth. 2016 Oct–Dec;19(4):687–698. doi: 10.4103/0971-9784.191578.
Open DOI Search in Google Scholar Back to article
Meersch M, Schmidt C, Hoffmeier A, et al. Erratum to: Prevention of cardiac surgery-associated AKI by implementing the KDIGO guidelines in high risk patients identified by biomarkers: the PrevAKI randomized controlled trial. Intensive Care Med. 2017 Nov;43(11):1749. doi: 10.1007/s00134-017-4735-y.
Open DOI Search in Google Scholar Back to article
Wu HB, Ma WG, Zhao HL, et al. Risk factors for continuous renal replacement therapy after surgical repair of type A aortic dissection. J Thorac Dis. 2017 Apr;9(4):1126–1132. doi: 10.21037/jtd.2017.03.128.
Open DOI Search in Google Scholar Back to article
Hansen MK, Gammelager H, Jacobsen CJ, et al. Acute Kidney Injury and Long-term Risk of Cardiovascular Events After Cardiac Surgery: A Population-Based Cohort Study. J Cardiothorac Vasc Anesth. 2015;29(3):617–25. doi: 10.1053/j.jvca.2014.08.020.
Open DOI Search in Google Scholar Back to article
Inker LA, Astor BC, Fox CH, et al. KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD. Am J Kidney Dis. 2014 May;63(5):713–35. doi: 10.1053/j.ajkd.2014.01.416.
Open DOI Search in Google Scholar Back to article
Holzmann MJ, Ahnve S, Hammar N, et al. Creatinine clearance and risk of early mortality in patients undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2005 Sep;130(3):746–52. doi: 10.1016/j.jtcvs.2005.02.067.
Open DOI Search in Google Scholar Back to article
Saratzis A, Joshi S, Benson RA, et al. Acute Kidney Injury (AKI) in Aortic Intervention: Findings From the Midlands Aortic Renal Injury (MARI) Cohort Study. Eur J Vasc Endovasc Surg. 2020 Jun;59(6):899–909. doi: 10.1016/j.ejvs.2019.09.508.
Open DOI Search in Google Scholar Back to article
Wang Y, Bellomo R. Cardiac surgery-associated acute kidney injury: risk factors, pathophysiology and treatment. Nat Rev Nephrol. 2017 Nov;13(11):697–711. doi: 10.1038/nrneph.2017.119.
Open DOI Search in Google Scholar Back to article
Ko T, Higashitani M, Sato A, et al. Impact of Acute Kidney Injury on Early to Long-Term Outcomes in Patients Who Underwent Surgery for Type A Acute Aortic Dissection. Am J Cardiol. 2015 Aug 1;116(3):463–8. doi: 10.1016/j.amjcard.2015.04.043.
Open DOI Search in Google Scholar Back to article
Kao KD, Lee SKC, Liu CY, Chou NK. Risk factors associated with longer stays in cardiovascular surgical intensive care unit after CABG. J Formos Med Assoc. 2022 Jan;121(1 Pt 2):304–313. doi: 10.1016/j.jfma.2021.04.020.
Open DOI Search in Google Scholar Back to article
Maheshwari K, Turan A, Mao G, et al. The association of hypotension during non-cardiac surgery, before and after skin incision, with postoperative acute kidney injury: a retrospective cohort analysis. Anaesthesia. 2018 Oct;73(10):1223–1228. doi: 10.1111/anae.14416.
Open DOI Search in Google Scholar Back to article
Norton EL, Kim KM, Fukuhara S, et al. Differences among sexes in presentation and outcomes in acute type A aortic dissection repair. J Thorac Cardiovasc Surg. 2021 Mar 29:S0022-5223(21)00559-6. doi: 10.1016/j.jtcvs.2021.03.078.
Open DOI Search in Google Scholar Back to article
Chew STH, Hwang NC. Acute Kidney Injury After Cardiac Surgery: A Narrative Review of the Literature. J Cardiothorac Vasc Anesth. 2019 Apr;33(4):1122–1138. doi: 10.1053/j.jvca.2018.08.003.
Open DOI Search in Google Scholar Back to article
Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract. 2012;120(4):c179–84. doi: 10.1159/000339789.
Open DOI Search in Google Scholar Back to article
Parikh CR, Puthumana J, Shlipak MG, et al. Relationship of Kidney Injury Biomarkers with Long-Term Cardiovascular Outcomes after Cardiac Surgery. J Am Soc Nephrol. 2017 Dec;28(12):3699–3707. doi: 10.1681/ASN.2017010055.
Open DOI Search in Google Scholar Back to article
Conlon PJ, Stafford-Smith M, White WD, et al. Acute renal failure following cardiac surgery. Nephrol Dial Transplant. 1999 May;14(5):1158–62. doi: 10.1093/ndt/14.5.1158.
Open DOI Search in Google Scholar Back to article
Divchev D, Najjar T, Tillwich F, et al. Predicting long-term outcomes of acute aortic dissection: a focus on gender. Expert Rev Cardiovasc Ther. 2015 Mar;13(3):325–31. doi: 10.1586/14779072.2015.1004313.
Open DOI Search in Google Scholar Back to article
Schiffl H. Gender differences in the susceptibility of hospital-acquired acute kidney injury: more questions than answers. Int Urol Nephrol. 2020 Oct;52(10):1911–1914. doi: 10.1007/s11255-020-02526-7. Epub 2020 Jul 13.
Open DOI Search in Google Scholar Back to article
Carbone A, Ranieri B, Castaldo R, et al. Sex Differences in Type A Acute Aortic Dissection: A Systematic Review and Meta-Analysis. Eur J Prev Cardiol. 2023 Jan 11:zwad009. doi: 10.1093/eurjpc/zwad009.
Open DOI Search in Google Scholar Back to article
Nishigawa K, Fukui T, Uemura K, Takanashi S, Shimokawa T. Preoperative renal malperfusion is an independent predictor for acute kidney injury and operative death but not associated with late mortality after surgery for acute type A aortic dissection. Eur J Cardiothorac Surg. 2020 Aug 1;58(2):302–308. doi: 10.1093/ejcts/ezaa063.
Open DOI Search in Google Scholar Back to article
Wang L, Zhong G, Lv X, et al. Risk factors for acute kidney injury after Stanford type A aortic dissection repair surgery: a systematic review and meta-analysis. Ren Fail. 2022 Dec;44(1):1462–1476. doi: 10.1080/0886022X.2022.2113795.
Open DOI Search in Google Scholar Back to article
Brar A, Markell M. Impact of gender and gender disparities in patients with kidney disease. Curr Opin Nephrol Hypertens. 2019 Mar;28(2):178–182. doi: 10.1097/MNH.0000000000000482.
Open DOI Search in Google Scholar Back to article
Morjan M, Mestres CA, Lavanchy I, et al. The impact of age and sex on in-hospital outcomes in acute type A aortic dissection surgery. J Thorac Dis. 2022 Jun;14(6):2011–2021. doi: 10.21037/jtd-21-1863.
Open DOI Search in Google Scholar Back to article
Zhang K, Shang J, Chen Y, et al. The prognosis and risk factors for acute kidney injury in high-risk patients after surgery for type A aortic dissection in the ICU. J Thorac Dis. 2021 Jul;13(7):4427–4437. doi: 10.21037/jtd-21-823.
Open DOI Search in Google Scholar Back to article
Zhou Y, Peng W, Yang G, et al. Gender Difference is Associated with Short-Term Outcomes in Non-Surgically Managed Acute Aortic Dissection Patients with Hypertension: A Retrospective Cohort Study. Risk Manag Healthc Policy. 2021 Jan 27;14:323–330. doi: 10.2147/RMHP.S289943.
Open DOI Search in Google Scholar Back to article
Rodríguez-Lecoq R, Maeso J, Bellmunt S, et al. Changes in the diagnosis and management of acute aortic syndrome and associated mortality in the last 20 years. Rev Esp Cardiol (Engl Ed). 2021 Mar;74(3):257–262. English, Spanish. doi: 10.1016/j.rec.2020.02.015.
Open DOI Search in Google Scholar Back to article
Czerny M, Schoenhoff F, Etz C, et al. The Impact of Pre-Operative Malperfusion on Outcome in Acute Type A Aortic Dissection: Results From the GERAADA Registry. J Am Coll Cardiol. 2015 Jun 23;65(24):2628–2635. doi: 10.1016/j.jacc.2015.04.030.
Open DOI Search in Google Scholar Back to article
Wang X, Ren HM, Hu CY, et al. Predictors and in-hospital outcomes of preoperative acute kidney injury in patients with type A acute aortic dissection. J Geriatr Cardiol. 2016 Aug;13(8):679–684. doi: 10.11909/j.issn.1671-5411.2016.08.006.
Open DOI Search in Google Scholar Back to article
Suzuki T, Asai T, Kinoshita T. Clinical differences between men and women undergoing surgery for acute Type A aortic dissection. Interact Cardiovasc Thorac Surg. 2018 Jun 1;26(6):944–950. doi: 10.1093/icvts/ivy005.
Open DOI Search in Google Scholar Back to article
Chang CY, Wu CF, Muo CH, et al. Sex Differences in Temporal Trends and Risk Factors of Aortic Dissection in Taiwan. J Am Heart Assoc. 2023 Mar 7;12(5):e027833. doi: 10.1161/JAHA.122.027833.
Open DOI Search in Google Scholar Back to article

The Gender Gap in Aortic Dissection: A Prospective Analysis of Risk and Outcomes

References

Paradigm

My account