• Zicheng Hu, Tingting Shang, Rongzhong Huang, Qi Li, Peng Zheng, Haiyang Wang, and Peng Xie.
• Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address: Huzi0329@foxmail.com.
• J Stroke Cerebrovasc Dis. 2019 Jul 1; 28 (7): 2031-2037.

BackgroundMultimodal computed tomography imaging is used to identify eligible patients for intra-arterial treatment. A concern with this method is the multiple use of iodinated contrast material which presents a possible risk of renal toxicity. We compared the safety of intra-arterial treatment versus intravenous treatment during acute ischemic stroke treatment with a focus on renal safety.MethodsAdult acute ischemic stroke patients who underwent a baseline Multimodal computed tomography, then intra-arterial treatment and/or intravenous treatment were identified. Primary outcomes were acute kidney injury and changes in serum creatinine at 24-72 hours (Δ serum creatinine).ResultsA total of 184 patients received intra-arterial treatment, while 68 received intravenous treatment. There were no differences in mean serum creatinine in the 24-72-hour time period, 24-hour urine volume, or rates of acute kidney injury, dialysis, or mortality. Univariate regression analysis identified diabetes mellitus, operation duration and times of embolectomy as predictors of creatinine increase while the multiple regression model identified diabetes mellitus as the only significant predictor.ConclusionsThere were no significant differences in renal safety between the intra-arterial treatment and intravenous treatment groups. Diabetes mellitus may be a predictor of acute kidney injury. The use of Multimodal computed tomography imaging in the selection of patients who could benefit from endovascular therapy is safe.Copyright © 2019 Elsevier Inc. All rights reserved.

53 keywords...

hide…