Changes in blood and renal function in patients after cerebral digital subtraction angiography.
| Autor: | Marquez-Romero JM; Neurology. HGZ #2, IMSS, Aguascalientes Oriente SN, Aguascalientes 20190, Mexico., Zenteno M; Department of Neurological Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía 'MVS, Mexico City, Mexico., Arauz A; Stroke Clinic, Instituto Nacional de Neurología y Neurocirugía 'MVS', Mexico City, Mexico. |
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| Jazyk: | angličtina |
| Zdroj: | Research in diagnostic and interventional imaging [Res Diagn Interv Imaging] 2023 Sep 01; Vol. 7, pp. 100032. Date of Electronic Publication: 2023 Sep 01 (Print Publication: 2023). |
| DOI: | 10.1016/j.redii.2023.100032 |
| Abstrakt: | Objective: Describe the incidence of contrast-induced acute renal injury (CI-AKI) and the changes in hematocrit in a cohort of patients undergoing elective cerebral digital subtraction angiography (DSA). Methods: In this prospective study, patients undergoing cerebral DSA were assessed for hematocrit level and CI-AKI risk factors before the procedure and for developing CI-AKI 72 h after exposure to the contrast media. Results: Among 215 patients (109 men, mean age 36.6 years). The most frequently found CI-AKI risk factor was hypertension. There were no cases of permanent renal impairment after 14 days. Significant changes were observed in hematocrit (45.7 ± 4.9, vs. 44.5 ± 4.6, p = 0.001), estimated creatinine clearance (129.7 ± 48.3, vs. 123.1 ± 40.5, p = 0.002), and serum creatinine (0.72 ± 0.19, vs 0.74 ± 0.18, p = 0.031). The mean change in serum creatinine 72 h after contrast administration was +0.27 ± 0.10 mg/dL ( p < 0.05). Conclusions: The incidence of CI-AKI after elective cerebral DSA was 1.4%. A significant decrease in hematocrit was observed up to 72 h after the procedure. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.) |
| Databáze: | MEDLINE |
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