Short- and long-term outcomes of mechanical thrombectomy in acute ischemic stroke patients with chronic kidney disease

What's new?Mechanical thrombectomy (MT) is the golden standard of treatment of acute ischemic stroke (AIS) cause by large vessel occlusions.The procedure is associated with the use of iodinated contrast and therefore there is a risk of contrast-associated nephropathy.Chronic kidney disease (CKD) is a common comorbidity in stroke patients and is associated with worse prognosis.The number of studies analyzing the outcomes of MT in AIS patients with CKD is limited, especially concerning long-term follow-up.In our study we show that 90-and 365day outcomes of MT are worse in CKD patients, especially those with more severely impaired kidney function, but at the same time CKD was not found to be independently associated with poor prognosis in this group.Therefore, CKD alone should not be considered a contraindication for the procedure in otherwise eligible patients.