Accès ouvert déclaré
2026
article
Contrast-Associated Acute Kidney Injury After Thrombectomy for Ischemic Stroke
Ghil Schwarz, Angelo Cascio Rizzo, Gareth Ambler, Pawel Wrona, Agnieszka Slowik, Szymonn Kotas, Mohamed F. Doheim, Al-Bayati Alhamza, R. G. Nogueira, Ana Paiva Nunes, Patrícia Ferreira, Matteo Paolucci, Andrea Zini, Luigi Simonetti, Norbert Leško, Jakub Fedorko, Zuzana Gdovinova, Luca Scarcia, Erwah Kalsoum, Firas Farhat, Morin Beyeler, Adnan Mujanović, Marcel Arnold, Torcato Meira, Marta Morais, Leonor Francisco, Marcin Wiącek, Paulina Pudło, Halina Bartosik-Psujek, Patricia Calleja, Fernando Sobrón Ostos, David Seoane, Anca Negrilă, Răzvan Alexandru Radu, Tiu C, Sami Al Kasab, Ahmad Abu Qdais, Imad Samman Tahhan, O. Ayo-Martín, Maria Paya, Juan David Molina‐Nuevo, Beata Łabuz-Roszak, Danilo Toni, Karolina Moszko, Mateusz Łukasz Roszak, Manuela De Michele, Elena Barrile, Prasanna Venkatesan Eswaradass, Margaret Houghton, Tiffany Barkley, Amir S. Ali, Jelle Demeestere, Wayne Martin Bauknight, Sunil Sheth, Louise Maes, Anke Wouters, João Pedro Marto, Josè Blazer Costa, Nicola Davide Loizzo, Andrea M. Romi, Carmelo Tiberio Currò, Piotr Luchowski, Maksymilian Seweryn, Konrad Rejdak, Piers Klein, Mohamad Abdalkader, Valentina Saia, Antioco Sanna, Tiziana Tassinari, Maurizio Acampa, Francesca Rosini, Rossana Tassi, Marta Bilik, Anna Maria Bandzarewicz-Samcik, Jiangyong Min, Naser HajAissa, Marilena Mangiardi, Sabrina Anticoli, E. Pampana, Carlos Hervás-Testal, Ricardo Rigual, Blanca Fuentes, Davide Strambo, Carl Manuata Tetaria, Guillaume Saliou, Andrea Caramma, Davide Maimone, Pier Andrea Rizzo, Marco Moci, Irene Scala, Antonio Cruz-Culebras, Rocío Vera Lechuga, Sebastian García-Madrona, Giovanni Merlino, Mariarosaria Valente, Arianna Cella, Manuel Bolognese, Lehel-Barna Lakatos, Grzegorz Marek Karwacki, Paolo Candelaresi, V. Andreone, Carlo Maurea, Roberto Tarletti, Angelica Mele, Antonio Ciacciarelli, Michele Alessiani, Gabriella Monteforte, David Pakizer, Martin Roubec, David Školoudík, Fenne Vandervorst, Sylvie De Raedt, Martijn Verdam, Josef Bartoš, Martin Sramek, Valentina Mazzoleni, Luca Quilici, Dario Alimonti, Jessica Moller, Ilaria Maestrini, Marina Diomedi, Giordano Lacidogna, Osama O. Zaidat, Eugene Lin, Mohammad AlMajali, Claudio Baracchini, Matteo Zaccagnino, Federica Viaro, Alessandro Pezzini, Giulia Avola, Chiara Ferraro, Milena Świtońska, Paulina Sobieszak-Skura, Grzegorz Meder, Lukas Mayer-Suess, Michael Knoflach, Elke R. Gizewski, Matthew R. Common, Patrick Nicholson, S Power, Marta Małgorzata Nowakowska-Kotas, Michal Puła, Maciej Guziński, Soledad Pérez-Sánchez, Joan Montaner, Alexandra Sevilla Bravo, Simona Marcheselli, Francesca Vodret, Costanza Maria Rapillo, Liliana Pereira, Miguel Tréfaut Rodrigues, Adam Jaroš, Martin Kovář, Jan Vojik, Gloria Valcamonica, Serena Gallo Cassarino, Alessandra Cardillo, Marco Petruzzellis, Silvia Antonia Grimaldi, Nicola Marrone, A Hassan, Samantha Miller, Mohammad W Khasawneh, Valentina Poretto, Simone Tonello, Saverio Tollot, Aleksander Dȩbiec, Jacek Staszewski, Adam Stępień, Francisco Bernardo, Jorge Ferrão, Marialuisa Zedde, Rosario Pascarella, Alessandra Sanna, Rossella Meloni, Şennur Delibaş, Simona Sacco, Maria Grazia Vittorini, Raffaele Ornello, Marina Mannino, Valeria Terruso, Marco Filizzolo, Emily Hall, Christine Roffe, Małgorzata Dorobek, Justyna Zielińska-Turek, Giuseppe Scopelliti, Leonardo Pantoni, G Pero, Antonio Macera, Amedeo Cervo, Simone Bellavia, Mine Sezgin, Yavuz Selim Dilmen, Esme Ekizoğlu, Georgios Tsivgoulis, Aikaterini Theodorou, Vlad Tiu, Cristina Panea, S. Petrescu, M Piano, Thanh N. Nguyen, Maria Sessa, as the CAN-REST Study Group
3Citations signalées, ce qui n’est pas une note de qualité
109Institutions déclarées
18Pays d’affiliation déclarés
Rattachement africain : it, ch, gb, pl, us, pt, sk, fr, es, ro, be, lb, cz, at, ie, tr, ag, gr.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND AND OBJECTIVES: Contrast-associated acute kidney injury (CA-AKI) is a potentially preventable complication after exposure to iodinated contrast media. In patients undergoing endovascular thrombectomy (EVT) for acute ischemic stroke (AIS), the incidence and clinical impact are poorly characterized, and no validated prediction tool is currently available. The aim of this study was to assess the incidence and prognostic significance of CA-AKI in EVT-treated patients with AIS and to develop and validate a predictive score. METHODS: < 0.05), and coefficient-based scoring after categorization of continuous predictors, with internal validation by bootstrap to obtain optimism-adjusted estimates. RESULTS: Among 6,638 patients (median age 74 years; 48.7% male), CA-AKI occurred in 326 (4.9%) and was independently associated with in-hospital mortality (adjusted odds ratio [aOR] 2.269; 95% CI 1.615-3.190), higher 90-day mRS scores (adjusted common odds ratio 1.584; 95% CI 1.110-2.258), and 90-day severe disability or death (aOR 1.530; 95% CI 1.057-2.216). A preprocedural risk model including 12 routine clinical variables-sex, ethnicity, arterial hypertension, dyslipidemia, chronic kidney disease, antiplatelet therapy, NIH Stroke Scale score at admission, serum glucose, estimated glomerular filtration rate, hemoglobin, mean arterial pressure, and IV thrombolysis-demonstrated acceptable discrimination (area under the receiver operating characteristic curve 0.710 [95% CI 0.682-0.738]; precision-recall area under the curve 0.13 [95% CI 0.10-0.16]), good calibration (slope 0.870 [95% CI 0.759-0.928]), good overall performance (Brier score 0.045 [95% CI 0.042-0.049]). A second model that included EVT-related variables (e.g., contrast volume) showed similar performances. DISCUSSION: In this large, international cohort, CA-AKI occurred in approximately 1 in 20 EVT-treated patients with AIS and was independently associated with poor outcomes. A simple preprocedural risk score enables early identification of high-risk individuals and may support preventive strategies.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Contrast-Associated Acute Kidney Injury After Thrombectomy for Ischemic Stroke
- Date Crossref
- 24/03/2026
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Acute Kidney Injury ResearchAcute Ischemic Stroke ManagementAtrial Fibrillation Management and Outcomes