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Purpose: Contrast-induced acute kidney injury (CI-AKI) is associated with poor outcomes after percutaneous coronary intervention. However, CI-AKI has rarely been evaluated within the neurovascular field. The aim of this study was to investigate the incidence and clinical implication of CI-AKI after coil embolization in patients with an aneurysmal subarachnoid hemorrhage (aSAH).

Materials and Methods: Between January 2005 and March 2016, 192 patients who underwent coil embolization were enrolled in this study. CI-AKI was defined as an increase from baseline serum creatinine concentration of >25% or >0.5 mg/dL within 72 hours after coil embolization. A poor clinical outcome was defined as a score of ≥3 on the modified Rankin Scale at one-year posttreatment.

Results: A total of 16 patients (8.3%) died as a result of medical problems within one year. CI-AKI was identified in 14 patients (7.3%). Prominent risk factors for one-year mortality included CI-AKI [odds ratio (OR): 16.856; 95% confidence interval (CI): 3.437−82.664] and an initial Glasgow Coma Scale (GCS) score ≤8 (OR: 5.565; 95% CI: 1.703−18.184). A poor clinical outcome was associated with old age (≥65 years) (OR: 7.921; 95% CI: 2.977−21.076), CI-AKI (OR: 11.281; 95% CI: 2.138−59.525), an initial GCS score ≤8 (OR 31.02; 95% CI, 10.669−90.187), and a ruptured aneurysm (p=0.016, OR: 4.278) in posterior circulation.

Conclusion: CI-AKI seems to be an independent predictor of the overall outcomes of aSAH after endovascular treatment.

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참고문헌 (32건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Predictors of Outcomes of Contrast-Induced Acute Kidney Injury After Percutaneous Coronary Intervention in Patients With Chronic Kidney Disease 네이버 미소장
2 Contrast-Induced Nephropathy in Patients Undergoing Primary Percutaneous Coronary Intervention Without Acute Left Ventricular Ejection Fraction Impairment 네이버 미소장
3 Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction. 네이버 미소장
4 Transient and persistent renal dysfunction are predictors of survival after percutaneous coronary intervention: Insights from the Dartmouth Dynamic Registry 네이버 미소장
5 Renal dysfunction after arteriography 네이버 미소장
6 Contrast-Induced Acute Kidney Injury 네이버 미소장
7 Cardiac Angiography in Renally Impaired Patients (CARE) Study: A Randomized Double-Blind Trial of Contrast-Induced Nephropathy in Patients With Chronic Kidney Disease 소장
8 Incidence of contrast material-induced nephropathy after neuroendovascular procedures. 네이버 미소장
9 Seeliger E, Sendeski M, Rihal CS, Persson PB. Contrast-induced kidney injury: mechanisms, risk factors, and prevention. Eur Heart J 2012;33:2007-15. 미소장
10 Brown JR, Robb JF, Block CA, Schoolwerth AC, Kaplan AV, O'Connor GT, et al. Does safe dosing of iodinated contrast prevent contrast-induced acute kidney injury? Circ Cardiovasc Interv 2010;3:346-50. 미소장
11 Contrast Volume During Primary Percutaneous Coronary Intervention and Subsequent Contrast-Induced Nephropathy and Mortality 네이버 미소장
12 ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS 네이버 미소장
13 Assessment and prognosis of coma after head injury. 네이버 미소장
14 Alessandri N, Lanzi L, Garante CM, Tersigni F, Sergiacomi R, Petrassi M, et al. Prevention of acute renal failure post-contrast imaging in cardiology: a randomized study. Eur Rev Med Pharmacol Sci 2013;17 Suppl 1:13-21. 미소장
15 A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: Development and initial validation 네이버 미소장
16 Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention. 네이버 미소장
17 European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage. 네이버 미소장
18 Risk Factors for Subarachnoid Hemorrhage 네이버 미소장
19 Updates and Current Recommendations for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes: What It Means for Clinical Practice 네이버 미소장
20 Contrast-Induced Nephropathy in Patients with Aneurysmal Subarachnoid Hemorrhage 네이버 미소장
21 Development of Contrast-Induced Nephropathy in Subarachnoid Hemorrhage: a Single Center Perspective 네이버 미소장
22 Contrast-Induced Acute Kidney Injury in Patients With Renal Dysfunction Undergoing a Coronary Procedure and Receiving Non-Ionic Low-Osmolar Versus Iso-Osmolar Contrast Media 네이버 미소장
23 Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage : A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association 네이버 미소장
24 CT Angiography for Intracerebral Hemorrhage Does Not Increase Risk of Acute Nephropathy 네이버 미소장
25 Renal Dysfunction as an Independent Predictor of Outcome After Aneurysmal Subarachnoid Hemorrhage: A Single-Center Cohort Study 네이버 미소장
26 The EUROpean and Chinese cardiac and renal Remote Ischemic Preconditioning Study (EURO-CRIPS): study design and methods. 네이버 미소장
27 Response to letter regarding article, "Ischemic preconditioning for prevention of contrast medium-induced nephropathy: randomized Pilot RenPro-Trial (Renal Protection Trial)". 네이버 미소장
28 Prevention and management of contrast-induced acute kidney injury. 네이버 미소장
29 Cigarette smoking and alcohol consumption as risk factors for aneurysmal subarachnoid hemorrhage. 네이버 미소장
30 Cigarette smoking, alcohol use, and subarachnoid hemorrhage. 네이버 미소장
31 Prognostic value of premorbid hypertension and neurological status in aneurysmal subarachnoid hemorrhage: pooled analyses of individual patient data in the SAHIT repository 네이버 미소장
32 Factors affecting formation and growth of intracranial aneurysms: a long-term follow-up study. 네이버 미소장

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