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Acute Kidney Injury after Endovascular Treatment in Patients with Acute Ischemic Stroke

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Author(s)
Joonsang YooJeong-Ho HongSeong-Joon LeeYong-Won KimJi Man HongChang-Hyun KimJin Wook ChoiDong-Hun KangYong-Sun KimYang-Ha HwangJin Soo LeeSung-Il Sohn
Keimyung Author(s)
Yoo, Joon SangHong, Jeong HoKim, Chang HyunSohn, Sung Il
Department
Dept. of Neurology (신경과학)
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of clinical medicine
Issued Date
2020
Volume
9
Issue
5
Keyword
ischemic strokeacute kidney injurycontrast mediaendovascular treatmentoutcome
Abstract
Acute kidney injury (AKI) is often associated with the use of contrast agents. We evaluated the frequency of AKI, factors associated with AKI after endovascular treatment (EVT), and associations with AKI and clinical outcomes. We retrospectively analyzed consecutively enrolled patients with acute ischemic stroke who underwent EVT at three stroke centers in Korea. We compared the characteristics of patients with and without AKI and independent factors associated with AKI after EVT. We also investigated the effects of AKI on functional outcomes and mortality at 3 months. Of the 601 patients analyzed, 59 patients (9.8%) developed AKI and five patients (0.8%) started renal replacement therapy after EVT. In the multivariate analysis, diabetes mellitus (odds ratio (OR), 2.341; 95% CI, 1.283-4.269; p = 0.005), the contrast agent dose (OR, 1.107 per 10 mL; 95% CI, 1.032-1.187; p = 0.004), and unsuccessful reperfusion (OR, 1.909; 95% CI, 1.019-3.520; p = 0.040) were independently associated with AKI. The presence of AKI was associated with a poor functional outcome (OR, 5.145; 95% CI, 2.177-13.850; p < 0.001) and mortality (OR, 8.164; 95% CI, 4.046-16.709; p < 0.001) at 3 months. AKI may also affect the outcomes of ischemic stroke patients undergoing EVT. When implementing EVT, practitioners should be aware of these risk factors.
Keimyung Author(s)(Kor)
유준상
홍정호
김창현
손성일
Publisher
School of Medicine (의과대학)
Citation
Joonsang Yoo et al. (2020). Acute Kidney Injury after Endovascular Treatment in Patients with Acute Ischemic Stroke. Journal of clinical medicine, 9(5), 1471–1481. doi: 10.3390/jcm9051471
Type
Article
ISSN
2077-0383
Source
https://www.mdpi.com/2077-0383/9/5/1471
DOI
10.3390/jcm9051471
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43144
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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