Prolonged Carotid Sinus Reflex Is a Risk Factor for Contrast-Induced Nephropathy following Carotid Artery Stenting

Kato, Toru; Sakai, Hideki; Tsujimoto, Masanori; Nishimura, Yasuaki

doi:10.3174/ajnr.a2344

Cited by 15 publications

(14 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This rate is similar to previous reports on neurointerventions [9, 10]. CIN occurred in 7/80 (8.8%) patients after carotid-artery stenting [9], and in 16/192 (8.3%) patients after coil embolization with an aneurysmal subarachnoid hemorrhage [10]. Recently, CIN after mechanical thrombectomy occurred in 11/330 (3.3%) patients [11], a lower incidence than in our study, probably due to the younger study population (63.9 ± 15.8 vs. 74.5 ± 11.5 years).…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

High White Blood Cell Count Is a Risk Factor for Contrast-Induced Nephropathy following Mechanical Thrombectomy for Acute Ischemic Stroke

Yamamoto

Kanematsu

et al. 2020

Cerebrovasc Dis Extra

View full text Add to dashboard Cite

Background: Although mechanical thrombectomy is a standard endovascular therapy for patients with acute ischemic stroke (AIS), the incidence of and risk factors for contrast-induced nephropathy (CIN) following mechanical thrombectomy are infrequently reported. Objectives: The aim of this study was to investigate the incidence and risk factors for CIN following mechanical thrombectomy for AIS, and whether the incidence of CIN is related to a poor prognosis. Methods: We examined consecutive patients who underwent a mechanical thrombectomy in the period from January 2014 to March 2018. The patients' clinical backgrounds, treatments, and clinical prognoses were analyzed. CIN was defined as an increase in the serum creatinine level of ≥44.2 μmol/L (0.5 mg/dL) or 25% above baseline within 72 h after exposure to the contrast medium. Results: In total, 80 patients (46 men and 34 women aged 74.5 ± 11.5 years) who met our inclusion criteria were analyzed. CIN occurred in 8.8% (7/80) of the patients following mechanical thrombectomy. Although no patients needed permanent dialysis, 1 required temporary dialysis. The median amount of contrast medium was 109 mL. A comparison between the groups with and without CIN showed a significant difference in white blood cell (WBC) count at the time of admission (11.6 ± 2.7 × 10 3 /μL and 8.1 ± 2.7 × 10 3 /μL; p < 0.01) and

show abstract

Section: Discussionsupporting

confidence: 93%

“…This study shows that CIN following mechanical thrombectomy for AIS occurs at a rate of 8.8%. This rate is similar to previous reports on neurointerventions [9, 10]. CIN occurred in 7/80 (8.8%) patients after carotid-artery stenting [9], and in 16/192 (8.3%) patients after coil embolization with an aneurysmal subarachnoid hemorrhage [10].…”

Section: Discussionsupporting

confidence: 89%

High White Blood Cell Count Is a Risk Factor for Contrast-Induced Nephropathy following Mechanical Thrombectomy for Acute Ischemic Stroke

Yamamoto

Kanematsu

et al. 2020

Cerebrovasc Dis Extra

View full text Add to dashboard Cite

show abstract

“…[1][2][3] A potentially worrying complication (that is increasingly being reported after CAS) is the development of contrast-induced acute kidney injury (CI-AKI). [4][5][6][7][8][9] This review discusses CI-AKI as a complication of CAS.…”

Section: Introductionmentioning

confidence: 99%

Contrast-Induced Acute Kidney Injury in Patients Undergoing Carotid Artery Stenting: An Underestimated Issue

Paraskevas

Mikhailidis

2016

Angiology

View full text Add to dashboard Cite

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.

show abstract

“…This is possibly because all of our patients had bilateral high-grade CS, while patients in other investigations just had either unilateral CS or bilateral moderate- or middle-grade CS; therefore, the extent of stenosis in the present investigation was more severe than that in other investigations. As HD often lasts a long time and can result in renal failure, it usually requires careful observation and management [52], although usually the SBCAS-related HD is not very severe and commonly does not increase perioperative risk. Because we had no cases of HD developing secondary to cerebral ischemia or myocardial infarction, we believe that cautious perioperative management helps to effectively reduce the incidence of HD.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Carotid Stenting for Symptomatic Bilateral High-Grade Carotid Stenosis: A Retrospective Clinical Investigation

Liu

Deng

et al. 2016

Med Sci Monit

View full text Add to dashboard Cite

BackgroundThis retrospective clinical investigation aimed to evaluate the short-term effectiveness and safety of SBCAS for symptomatic bilateral high-grade CS.Material/MethodsFrom 2009 to 2014, 145 patients were recruited. Among them, 70 underwent SBCAS, and other 75 patients underwent SAMM and served as controls. The immediate postprocedural complications and postprocedural neurological evaluation, as well as restenosis at 6-month and 1-year follow-ups in the SBCAS group are reported. Additionally, baseline risk factors for ischemic stroke, adverse effects of drugs, and outcomes at 30-day, 6-month, and 1-year follow-ups were compared between the 2 groups.ResultsOur data did not reveal significant differences between the 2 groups in baseline risk factors for ischemic stroke. In the SBCAS group, both HPS (5.7%) and HD (40%) occurred, but they were not very severe, and no patients had postprocedural neurological deficit. Moreover, restenosis only occurred in 3 patients at 3 stent placement sites (4.3%) at 1-year follow-up. Adverse effects of drugs did not occur in SBCAS group, but adverse effects of Bayer aspirin and Lipitor occurred in 4 patients (5.4%) and 18 patients (24.3%), respectively, at 6-month follow-up in the control group. Furthermore, there were significant differences in outcomes between the 2 groups at 30-day, 6-month, and 1-year follow-ups, in that NIHSS, CS ratio, and incidence of endpoint events, as well as 1-year cumulative probability of endpoint events, were all lower in the SBCAS group than in the control group (p<0.05).ConclusionsCompared to SAMM, we found that SBCAS was more effective and safer for symptomatic bilateral high-grade CS.

show abstract

Prolonged Carotid Sinus Reflex Is a Risk Factor for Contrast-Induced Nephropathy following Carotid Artery Stenting

Cited by 15 publications

References 44 publications

High White Blood Cell Count Is a Risk Factor for Contrast-Induced Nephropathy following Mechanical Thrombectomy for Acute Ischemic Stroke

High White Blood Cell Count Is a Risk Factor for Contrast-Induced Nephropathy following Mechanical Thrombectomy for Acute Ischemic Stroke

Contrast-Induced Acute Kidney Injury in Patients Undergoing Carotid Artery Stenting: An Underestimated Issue

Simultaneous Bilateral Carotid Stenting for Symptomatic Bilateral High-Grade Carotid Stenosis: A Retrospective Clinical Investigation

Contact Info

Product

Resources

About