Trasylol Kidney Failure Study : Twofold Higher Risk for Heart Surgery Patients

The American Journal of Nephrology published a study on February 8, 2008 regarding Trasylol and kidney failure. Prior to being withdrawn from the marketplace Aprotinin was marketed as “Trasylol” by the drug company Bayer. This is the first Trasylol study to evaluate the effect of the drug on urinary NGAL (neutrophil gelatinase-associated lipocalin). Urinary NGAL increases significantly after kidney damage.

In this observational study involving 369 patients undergoing heart surgery, they were either given aprotinin or aminocraproic acid during surgery. 205 patients received aprotinin and 164 received aminocaproic acid. The study revealed that the patients who were given the medication aprotinin (Trasylol) during their surgery had a twofold higher risk of developing kidney failure compared to the patient group receiving aminocaproic acid. 25% of the patients receiving aprotinin (51 of the 205 patients) developed kidney failure. The outcome of this study confirm the results of Dr. Mangano’s earlier Trasylol study which revealed that patients who received the aprotinin had around a 50 percent increased risk of dying.

Study: Increased Incidence of Acute Kidney Injury with Aprotinin Use during Cardiac Surgery Detected with Urinary NGAL
Am J Nephrol 2008;28:576-582


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