Incidence and predictors of acute kidney injury in patients undergoing proximal protected carotid artery stenting

2018 ◽  
Vol 14 (3) ◽  
pp. e360-e366
Author(s):  
Armando Pucciarelli ◽  
Antonella Arcari ◽  
Grigore Popusoi ◽  
Angelo Cioppa ◽  
Luigi Salemme ◽  
...  
Vascular ◽  
2021 ◽  
pp. 170853812110125
Author(s):  
Altuğ Ösken ◽  
Ahmet Öz ◽  
Muhammed Keskin ◽  
Evliya Akdeniz ◽  
Hasan Şahan ◽  
...  

Objectives Contrast-induced acute kidney injury (CI-AKI) is a life-threatening complication that leads to comorbidities and prolonged hospital stay lengths in the setting of peripheral interventions. The presence of some CI-AKI risk factors has already been investigated. In this study, we evaluated the predictors of CI-AKI after carotid artery stenting. Methods A total of 389 patients with 50% to 99% carotid artery stenosis who underwent carotid artery stenting were included in this study. Patients were grouped according to CI-AKI status. Results CI-AKI developed in 26 (6.6%) patients. Age, baseline creatinine level, neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio were higher and estimated glomerular filtration rate, haemoglobin and lymphocyte count were lower in CI-AKI patients. In the multivariate regression analysis, the neutrophil-to-lymphocyte ratio triggered a 1.39- to 2.63-fold increase in the risk of CI-AKI onset ( p < 0.001). Conclusions The neutrophil-to-lymphocyte ratio may be a significant predictor of CI-AKI in patients with carotid artery stenting and higher neutrophil-to-lymphocyte ratio values may be independently associated with CI-AKI.


2015 ◽  
Vol 8 (11) ◽  
pp. 1515-1517 ◽  
Author(s):  
Peter A. McCullough ◽  
Allan Young ◽  
William P. Shutze

Angiology ◽  
2016 ◽  
Vol 68 (9) ◽  
pp. 752-756 ◽  
Author(s):  
Kosmas I. Paraskevas ◽  
Dimitri P. Mikhailidis

Carotid artery stenting (CAS) is increasingly offered to patients with carotid artery stenosis. Although CAS is a less invasive (and thus more attractive) alternative compared with carotid endarterectomy, it requires the use of contrast material. A possible side effect from the use of contrast material during CAS is the development of contrast-induced acute kidney injury (CI-AKI). This review discusses the incidence/prevalence and clinical significance of CI-AKI developing after CAS. We also discuss possible measures to reduce the incidence of CI-AKI after CAS.


2015 ◽  
Vol 8 (11) ◽  
pp. 1506-1514 ◽  
Author(s):  
Michael Donahue ◽  
Gabriella Visconti ◽  
Amelia Focaccio ◽  
Lucio Selvetella ◽  
Maria Baldassarre ◽  
...  

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