Contrast-Induced Acute Kidney Injury in Patients Undergoing Carotid Artery Stenting: An Underestimated Issue

Angiology. 2017 Oct;68(9):752-756. doi: 10.1177/0003319716668934. Epub 2016 Sep 19.

Abstract

Carotid artery stenting (CAS) is increasingly offered to patients with carotid artery stenosis. Although CAS is a less invasive (and thus more attractive) alternative compared with carotid endarterectomy, it requires the use of contrast material. A possible side effect from the use of contrast material during CAS is the development of contrast-induced acute kidney injury (CI-AKI). This review discusses the incidence/prevalence and clinical significance of CI-AKI developing after CAS. We also discuss possible measures to reduce the incidence of CI-AKI after CAS.

Keywords: acute kidney injury; carotid artery stenting; contrast material; contrast-induced acute kidney injury.

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Acute Kidney Injury / complications
  • Acute Kidney Injury / epidemiology*
  • Carotid Stenosis / complications*
  • Carotid Stenosis / epidemiology*
  • Contrast Media / adverse effects*
  • Endarterectomy, Carotid / adverse effects
  • Female
  • Humans
  • Male
  • Prevalence
  • Risk Assessment
  • Risk Factors
  • Stents / adverse effects
  • Time Factors
  • Treatment Outcome

Substances

  • Contrast Media