Post-Contrast Acute Kidney Injury after Acute Stroke-Insights from a German Tertiary Care Center.
acute kidney injury
computed tomography angiography
computed tomography perfusion
contrast agent
ischemic stroke
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
02 Dec 2021
02 Dec 2021
Historique:
received:
29
10
2021
revised:
26
11
2021
accepted:
28
11
2021
entrez:
10
12
2021
pubmed:
11
12
2021
medline:
11
12
2021
Statut:
epublish
Résumé
Our aim was to investigate the relationship between additional iodinated contrast medium (CM) application for acute stroke imaging and Post-Contrast Acute Kidney Injury (PC-AKI). We performed a retrospective analysis of consecutive patients with acute stroke who received a CT angiogram (CTA) with or without additional CT perfusion (CTP) at admission between 2017 and 2020. The primary endpoint was the incidence of PC-AKI. Potential causes of renal function impairment were recorded and logistic regression was performed to determine predictors of PC-AKI. Of 3134 cases screened, Additional administration of CM for perfusion imaging in acute stroke did not show a relevant influence on the occurrence of PC-AKI. Patients with intracranial hemorrhage and/or prior kidney disease are at particular risk of developing AKI.
Sections du résumé
BACKGROUND
BACKGROUND
Our aim was to investigate the relationship between additional iodinated contrast medium (CM) application for acute stroke imaging and Post-Contrast Acute Kidney Injury (PC-AKI).
METHODS
METHODS
We performed a retrospective analysis of consecutive patients with acute stroke who received a CT angiogram (CTA) with or without additional CT perfusion (CTP) at admission between 2017 and 2020. The primary endpoint was the incidence of PC-AKI. Potential causes of renal function impairment were recorded and logistic regression was performed to determine predictors of PC-AKI.
RESULTS
RESULTS
Of 3134 cases screened,
CONCLUSIONS
CONCLUSIONS
Additional administration of CM for perfusion imaging in acute stroke did not show a relevant influence on the occurrence of PC-AKI. Patients with intracranial hemorrhage and/or prior kidney disease are at particular risk of developing AKI.
Identifiants
pubmed: 34884386
pii: jcm10235684
doi: 10.3390/jcm10235684
pmc: PMC8658258
pii:
doi:
Types de publication
Journal Article
Langues
eng
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