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Contrast-Associated Acute Kidney Injury After Thrombectomy for Ischemic Stroke: Prognostic Impact and CAN-REST Predictive Score - PubMed

3 days ago
  • #endovascular thrombectomy
  • #acute kidney injury
  • #ischemic stroke
  • Contrast-associated acute kidney injury (CA-AKI) occurs in approximately 1 in 20 patients undergoing endovascular thrombectomy (EVT) for acute ischemic stroke (AIS).
  • CA-AKI is independently associated with higher in-hospital mortality, worse 90-day modified Rankin Scale (mRS) scores, and severe disability or death.
  • A preprocedural risk model (CAN-REST score) was developed using 12 clinical variables to predict CA-AKI risk with acceptable discrimination and calibration.
  • The study involved 6,638 patients across 73 centers in 16 countries, highlighting the global relevance of the findings.
  • Preventive strategies for high-risk patients may improve outcomes post-EVT.