Acute Kidney Injury in Patients With Chronic Kidney Disease Undergoing Internal Carotid Artery Stent Implantation

Donahue, Michael
Visconti, Gabriella
Focaccio, Amelia
Selvetella, Lucio
Baldassarre, Maria
Viviani Anselmi, Chiara
Briguori, Carlo

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Publication date

September 2015

DOI

10.1016/j.jcin.2015.05.021

Publisher

American College of Cardiology Foundation. Published by Elsevier Inc.

Abstract

AbstractObjectivesThis study sought to investigate acute kidney injury (AKI) following carotid artery stenting (CAS).BackgroundFew data exist on AKI following CAS.MethodsThis study evaluated 126 chronic kidney disease (CKD) patients who underwent CAS. The risk for contrast-induced AKI was defined by the Mehran score. Hemodynamic depression (i.e., periprocedural systolic blood pressure <90 mm Hg or heart rate <60 beats/min), AKI (i.e., an increase of ≥0.3 mg/dl in the serum creatinine concentration at 48 h), and 30-day major adverse events (including death, stroke, and acute myocardial infarction) were assessed.ResultsAKI occurred in 26 patients (21%). Although baseline kidney function and contrast volume were similar in the AKI group and th...