
What Causes Kidney Failure Post Cardiac Pacer Implant?

Question: What do you charge?
My 83 y.o. brother experienced " kidney failure" post cardiac pacer implant X2 ( needed another because surgeon said original was too powerful ?). Now telling him he has 25% kidney function but maybe it will get better. He has asked me what's up. I don't know. Can you lend some light ? I am an old dialysis R.N. What can I tell him about how and why and what happens now. ?
My 83 y.o. brother experienced " kidney failure" post cardiac pacer implant X2 ( needed another because surgeon said original was too powerful ?). Now telling him he has 25% kidney function but maybe it will get better. He has asked me what's up. I don't know. Can you lend some light ? I am an old dialysis R.N. What can I tell him about how and why and what happens now. ?
Brief Answer:
Potentially ATN
Detailed Answer:
Dear nurse,
Thanks for the query. Given his recent cardiac endovascular procedure, which may have had involved some contrast, a reasonable explanation for his acute kidney injury may be acute tubular necrosis (ATN), which has a variable course. Only time will tell as the tubules heal themselves; a vast majority of the time they do, but his advanced age puts him at higher risk of incomplete recovery.
Avoiding medications that can affect the kidney, good blood pressure control and time are the main approaches in theses cases.
Hope that helps, wish you the best,
Dr Brenes-Salazar MD
Mayo Clinic MN
Department of Medicine
Division of Cardiovascular Diseases
Potentially ATN
Detailed Answer:
Dear nurse,
Thanks for the query. Given his recent cardiac endovascular procedure, which may have had involved some contrast, a reasonable explanation for his acute kidney injury may be acute tubular necrosis (ATN), which has a variable course. Only time will tell as the tubules heal themselves; a vast majority of the time they do, but his advanced age puts him at higher risk of incomplete recovery.
Avoiding medications that can affect the kidney, good blood pressure control and time are the main approaches in theses cases.
Hope that helps, wish you the best,
Dr Brenes-Salazar MD
Mayo Clinic MN
Department of Medicine
Division of Cardiovascular Diseases
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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