Analysis of risk factors of contrast-induced acute kidney injury after cerebrovascular intervention
11.3969/j.issn.1672-5921.2014.12.002
- VernacularTitle:脑血管介入术后对比剂致急性肾损伤的危险因素分析
- Author:
Yiming TAO
;
Yuanhan CHEN
;
Jialun LUO
;
Zhilian LI
;
Jiaqi XU
;
Liyi MO
;
Wei DONG
;
Ruizhao LI
;
Wei SHI
;
Xinling LIANG
- Publication Type:Journal Article
- Keywords:
Cerebral angiography;
Contrast media;
Risk factors;
Acute kidney injury
- From:
Chinese Journal of Cerebrovascular Diseases
2014;(12):624-629,672
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related risk factors of contrast-induced acute kidney injury (CI-AKI)after cerebrovascular intervention. Methods The clinical data of 5423 patients performed cerebrovascular angiography and intervention at the Departments of Neurology and Neurosurgery,Guangdong People′s Hospital from January 2005 to December 2013 were analyzed retrospectively. The patients who underwent cerebrovascular angiography and intervention were evaluated and screened. A clinical history database was established. All the selected patients used iodixanol,an isotonic contrast agent. The occurrence of CI-AKI was used as an endpoint. The patients were divided into either a CI-AKI group or a non CI-AKI group. A multivariate Logistic regression model was used to analyze the risk factors associated with the occurrence of CI-AKI. Results A total of 4164 patients were finally enrolled,including 137 had CI-AKI. The incidence of CI-AKI was 3. 3%. The results of multivariate Logistic regression showed that age >60 years (OR,1. 965,95%CI 1. 244-3. 136),baseline estimated glomerular filtration rate (eGFR)<60mL/(min·1. 73 m2)(OR,4. 163,95%CI 2. 422-5. 873),diabetes (OR,3. 140,95%CI 1. 983-3. 902),and anemia (OR,1. 524,95%CI 1. 226 -3. 253)were the influencing factors for occurring CI-AKI after cerebrovascular angiography and intervention. Conclusion Chronic kidney disease (eGFR<60 mL/[min·1. 73 m2 ]),diabetes,anemia,and old age (age >60 years)are the independent risk factors for occurring CI-AKI after cerebrovascular angiography and intervention.
