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In multivariate analysis, the R.E.N.A.L score (AO group p = 0.026, AV group p 0.001) and preoperative eGFR (AO group p 0.001, AV group p = 0.01 were strong predictors of the acute kidney injury in both groups. Older age (AO group p = 0.045, AV group p = 0.01 and preoperative eGFR (AO group p = 0.008, AV group p = 0.002) were significantly associated with CKD progression at 2-year follow-up in both groups. AV clamping does not adversely affect postoperative renal function compared to AO clamping. Preoperative patient- and