Evidence map›Paper›PMID 28947366›Full record

ArticleJournal of vascular and interventional radiology : JVIR2017

Predictors and Outcomes of Postcontrast Acute Kidney Injury after Endovascular Renal Artery Intervention.

Edwin A Takahashi, David F Kallmes, Chad J Fleming, Robert J McDonald, Michael A McKusick, Haraldur Bjarnason, William S Harmsen, Sanjay Misra

Open access · bronzeAbstract read
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 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

8 authors at 1 institution in 1 country.

Edwin A TakahashiDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
David F KallmesDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Chad J FlemingDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Division of Vascular and Interventional Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Robert J McDonaldDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Michael A McKusickDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Division of Vascular and Interventional Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Haraldur BjarnasonDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Division of Vascular and Interventional Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
William S HarmsenDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Department of Clinical Statistics, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Sanjay MisraDepartment of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Division of Vascular and Interventional Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. Electronic address: misra.sanjay@mayo.edu.
Mayo Clinic · US

Funding

The Role of Hypoxia In Venous Neointimal Hyperplasia In Hemodialysis GraftsR01HL098967 · NHLBI · MAYO CLINIC ROCHESTER · PI Sanjay Misra · 2010 to 2026
$10.4M
NHLBI NIH HHS R01 HL098967
6 · The paper itself

Abstract

purposeTo determine incidence, predictors, and clinical outcomes of postcontrast acute kidney injury (PC-AKI) following renal artery stent placement for atherosclerotic renal artery stenosis. MATERIALS AND

methodsThis retrospective study reviewed 1,052 patients who underwent renal artery stent placement for atherosclerotic renal artery stenosis; 437 patients with follow-up data were included. Mean age was 73.6 years ± 8.3. PC-AKI was defined as absolute serum creatinine increase ≥ 0.3 mg/dL or percentage increase in serum creatinine ≥ 50% within 48 hours of intervention. Logistic regression analysis was performed to identify risk factors for PC-AKI. The cumulative proportion of patients who died or went on to hemodialysis was determined using Kaplan-Meier survival analysis.

resultsMean follow-up was 71.1 months ± 68.4. PC-AKI developed in 26 patients (5.9%). Patients with PC-AKI had significantly higher levels of baseline proteinuria compared with patients without PC-AKI (odds ratio = 1.38; 95% confidence interval, 1.11-1.72; P = .004). Hydration before intervention, chronic kidney disease stage, baseline glomerular filtration rate, statin medications, contrast volume, and iodine load were not associated with higher rates of PC-AKI. Dialysis-free survival and mortality rates were not significantly different between patients with and without PC-AKI (P = .50 and P = .17, respectively).

conclusionsElevated baseline proteinuria was the only predictor for PC-AKI in patients undergoing renal artery stent placement. Patients who developed PC-AKI were not at greater risk for hemodialysis or death.

Indexed as

Renal ArteryStentsAcute Kidney InjuryAgedComputed Tomography AngiographyContrast MediaFemaleFollow-Up StudiesGlomerular Filtration RateHumansIncidenceIohexolIopamidolKidney Function TestsLongitudinal StudiesMaleContrast MediaiodixanolIohexolIopamidolTriiodobenzoic Acids

Identifiers

PMID28947366
PMCPMC5698138
OpenAlexW2758052130

What OpenQuestion holds

Textmetadata
LicenceTDM
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.