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

Authors
Yoo, J | Hong, JH | Lee, SJ  | Kim, YW | Hong, JM  | Kim, CH | Choi, JW  | Kang, DH | Kim, YS | Hwang, YH | Lee, JS  | Sohn, SI
Citation
Journal of clinical medicine, 9(5). : 1471-1471, 2020
Journal Title
Journal of clinical medicine
ISSN
2077-0383
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.
Keywords

DOI
10.3390/jcm9051471
PMID
32422921
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
Ajou Authors
이, 성준  |  이, 진수  |  최, 진욱  |  홍, 지만
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