Evidence map›Paper›PMID 20522566›Full record

ArticleAJNR. American journal of neuroradiology2010

The risk of acute radiocontrast-mediated kidney injury following endovascular therapy for acute ischemic stroke is low.

Y Loh, D L McArthur, P Vespa, Z-S Shi, D S Liebeskind, R Jahan, N R Gonzalez, S Starkman, J L Saver, S Tateshima and 2 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Y LohDivision of Neurosurgery, David Geffen School of Medicine at the University of California at Los Angeles, CA, USA. yincer@yahoo.com
D L McArthur
P Vespa
Z-S Shi
D S Liebeskind
R Jahan
N R Gonzalez
S Starkman
J L Saver
S Tateshima
G R Duckwiler
F Viñuela
Sun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CNUniversity of California, Los Angeles · USMadigan Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeEndovascular therapy is an alternative for the treatment of AIS resulting from large intracranial arterial occlusions that depends on the use of iodinated RCM. The risk of RCM-mediated AKI following endovascular therapy for AIS may be different from that following coronary interventions because patients may not have identical risk factors. MATERIALS AND

methodsAll consecutive patients with large-vessel AIS undergoing endovascular therapy were prospectively recorded. We recorded the baseline kidney function, and RCM-AKI was assessed according to the AKIN criteria at 48 hours after RCM administration. We compared the rate of RCM-AKI 48 hours after the procedure and sought to determine whether any preexisting factors increased the risk of RCM-AKI.

resultsWe identified 99 patients meeting inclusion criteria. The average volume of contrast was 189 ± 71 mL, and the average creatinine change was -4.6% at 48 hours postangiography. There were 3 patients with RCM-AKI. Although all 3 patients died as a result of their strokes, return to baseline creatinine levels occurred before death. There was a trend toward higher rates of premorbid diabetes mellitus, chronic renal insufficiency, preadmission statin and NSAID use, and a higher serum creatinine level on admission for the RCM-AKI group. The volume of procedural contrast was similar between groups (those with and those without RCM-AKI) (P = .5).

conclusionsIn this small study, the rate of RCM-AKI following endovascular intervention for AIS was very low. A much larger study is required to determine its true incidence.

Indexed as

Iodine RadioisotopesAcute Kidney InjuryBrain IschemiaComorbidityContrast MediaEmbolization, TherapeuticFemaleHumansIncidenceMaleMiddle AgedRadiographyRisk AssessmentRisk FactorsStrokeSurvival AnalysisContrast MediaIodine Radioisotopes

Identifiers

PMID20522566
PMCPMC7964982
OpenAlexW2122986526

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.