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J Thorac Cardiovasc Surg 2007;134:1560-1561
© 2007 The American Association for Thoracic Surgery

Surgery for Acquired Cardiovascular Disease

Discussion

Dr R. Scott Mitchell (Stanford, Calif). Dr Arnaoutakis, you and your colleagues are to be complimented for an excellent report.

Your study embracing the relatively new RIFLE classification introduces a very desirable standardization with three grades of renal injury—risk, injury, and failure—in increasing severity. These grades of severity are based exclusively on postoperative changes in plasma creatinine, GFR, or urinary output. Its strengths are the ability to compare apples with apples, which we desperately need as we manipulate postoperative variables. This is a much needed standardization.

Its weakness, to my eye, however, is that it really is predictive of only things after the surgical event, which is the one time where we may most capably modulate . . . [Full Text of this Article]

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RIFLE criteria for acute kidney injury in aortic arch surgery

George J. Arnaoutakis, Azra Bihorac, Tomas D. Martin, Philip J. Hess, Jr, Charles T. Klodell, A. Ahsan Ejaz, Cyndi Garvan, Curtis G. Tribble, and Thomas M. Beaver
J. Thorac. Cardiovasc. Surg. 2007 134: 1554-1561. [Abstract] [Full Text] [PDF]