Evidence map›Paper›PMID 29497786›Full record

ArticleNeuroradiology2018

Safety of cerebral angiography and neuroendovascular therapy in patients with chronic kidney disease.

Jae Kim, Shailesh Male, Bharathi D Jagadeesan, Christopher Streib, Ramachandra P Tummala

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Contrast-induced nephropathy: A dilemma between loss of neurons or nephrons in the setting of endovascular treatment of acute ischemic stroke.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
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

5 authors at 2 institutions in 1 country.

Jae KimDepartment of Neurology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA.
Shailesh MaleDepartment of Neurology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA.
Bharathi D JagadeesanDepartment of Neurology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA.
Christopher StreibDepartment of Neurology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA.
Ramachandra P TummalaDepartment of Neurology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis, MN, USA. tumm0011@umn.edu.
University of Minnesota · USHennepin County Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContrast-induced nephropathy is a common clinical concern in patients undergoing neuroendovascular procedures, especially in those with pre-existent kidney disease. We aimed to define the incidence of contrast-induced nephropathy in these high-risk patients in our practice.

methodsWe analyzed data retrospectively from patients undergoing neuroendovascular procedures at two academic medical centers over a 4-year period. Contrast-induced nephropathy was determined by an absolute increase in serum creatinine of 0.5 mg/dL or a rise from its baseline value by ≥ 25%, at 48-72 h after exposure to contrast agent after excluding other causes of renal impairment. High-risk patients were identified as those with pre-procedural estimated glomerular filtration rate < 60 mL/min irrespective of creatinine level, corresponding to stages 3-5 of chronic kidney disease.

resultsOne hundred eighty-five high-risk patients undergoing conventional cerebral angiography and neuroendovascular interventions were identified. Only 1 out of 184 (0.54%) high-risk patients developed contrast-induced nephropathy. That one patient had stage 5 chronic kidney disease and multiple other risk factors.

conclusionWe have observed a very low rate of renal injury in patients with chronic kidney disease, traditionally considered high risk for neuroendovascular procedures. Multiple factors may be responsible in the risk reduction of contrast-induced nephropathy in this patient population.

Indexed as

Cerebral AngiographyEndovascular ProceduresPatient SafetyAgedContrast MediaFemaleGlomerular Filtration RateHumansMaleMiddle AgedRenal Insufficiency, ChronicRetrospective StudiesTriiodobenzoic AcidsContrast MediaiodixanolTriiodobenzoic AcidsAngiographyChronic kidney diseaseContrast-induced nephropathyNeuroendovascular

Identifiers

PMID29497786
OpenAlexW2790970690

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.