Organ support & nutrition

Introducing the BARTAAAKI (Barts Thoracoabdominal Aortic Acute Kidney Injury) Bundle: Renal Recovery Following Thoracoabdominal Aortic Repair

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Severe AKI (KDIGO stage 2-3)Result — go to the resultAbsolute risk difference −25 percentage points 95% CI −44 to −5

Authors' conclusion

Implementation of the BARTAAAKI bundle was associated with greater renal recovery and less severe AKI after open TAAA repair.

Study context

Population
Consecutive patients undergoing open thoracoabdominal aortic aneurysm (TAAA) repair, tertiary cardiovascular referral centre, September 2017–August 2023; preoperative dialysis or death within 72 hours excludedconsecutive
Participants
113 patients
Exposure
BARTAAAKI renal protection bundle vs prebundle care
  • BARTAAAKIn = 27
  • Prebundlen = 86reference
Outcome
Severe acute kidney injury (AKI) (KDIGO stage 2-3)
Follow-up
72 hours
Methodological detailssingle-centre, unadjusted
  • Single-centre
  • Unadjusted

Main finding

As reported in the abstract

Absolute risk difference

−25 percentage points

95% CI −44 to −5

P = 0.02

By group

BARTAAAKI vs Prebundle
absolute risk difference −25 percentage points (95% CI −44 to −5); P = 0.02

Observational data: associations, not effects.

Further findings

OutcomeBARTAAAKIPrebundleAbsolute risk difference (percentage points) (95% CI)P value
RRT requiredUnadjusted41%52%−12 (−31 to +10)P = 0.38

Custodiol (histidine-tryptophan-ketoglutarate) use

Rate of Custodiol use in the 2 groups, 58% vs 89%
P = 0.02

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Introducing the BARTAAAKI (Barts Thoracoabdominal Aortic Acute Kidney Injury) Bundle: Renal Recovery Following Thoracoabdominal Aortic Repair. J Cardiothorac Vasc Anesth. Published 20 August 2026. doi:10.1053/j.jvca.2026.08.137

Composed by AI from the published abstract and checked against it. How Briefs are made →

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