Katarzyna Sawczyńska, Paweł Wrona, Dominik Wróbel, Kaja Zdrojewska, Paulina Sarba, Mateusz Giełczyński, Ewa Włodarczyk, Tadeusz Popiela, Agnieszka Słowik, Marcin Krzanowski
{"title":"Short- and long- term outcomes of mechanical thrombectomy in acute ischemic stroke patients with chronic kidney disease.","authors":"Katarzyna Sawczyńska, Paweł Wrona, Dominik Wróbel, Kaja Zdrojewska, Paulina Sarba, Mateusz Giełczyński, Ewa Włodarczyk, Tadeusz Popiela, Agnieszka Słowik, Marcin Krzanowski","doi":"10.20452/pamw.16800","DOIUrl":"10.20452/pamw.16800","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic kidney disease (CKD) is a risk factor of acute ischemic stroke (AIS). Outcomes of treatment with mechanical thrombectomy (MT) in patients with CKD seem to be poorer than in the general population. Long‑term follow‑up studies are lacking.</p><p><strong>Objectives: </strong>Our aim was to asses short- and long‑term outcomes (up to 365 days after stroke) in MT‑treated AIS patients with concomitant CKD.</p><p><strong>Patients and methods: </strong>The study included all AIS patients treated with MT at the Comprehensive Stroke Center in Kraków, Poland, from 2019 to 2021. The patients were divided into the CKD group (best glomerular filtration rate [GFR] during hospitalization <60 ml/min/1.73 m2 or diagnosed CKD) and the controls. In‑hospital, 90‑day, and 365‑day mortality and rate of good functional outcomes (defined as modified Rankin Scale ≤2) were compared between the CKD patients and controls as well as between patients with CKD stages 1-3 (GFR ≥30 ml/min/1.73 m2) and 4-5 (GFR <30 ml/min/1.73 m2). Factors associated with the abovementioned outcomes were identified using univariable logistic regression analyses and then added to multivariable analyses.</p><p><strong>Results: </strong>The CKD patients had higher 90- and 365‑day mortality and lower 90- and 365‑day good functional outcome rates than the controls. The patients with CKD stage 4-5 had significantly higher in‑hospital, 90‑day, and 365‑day mortality than the patients with CKD stage 1-3. Neither CKD nor its late stages (4-5) were independently associated with short- and long‑term mortality and functional outcomes of MT.</p><p><strong>Conclusions: </strong>MT outcomes in CKD patients are worse, especially in advanced stages of the disease, but CKD is not independently associated with poor prognosis. CKD alone should not be a contraindication for MT in otherwise eligible patients, although patients with impaired kidney function require more careful postprocedural monitoring.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jan Musiałkiewicz, Paweł Komarnicki, Paulina Ziółkowska, Rafał Czepczyński, Marek Ruchała, Paweł Gut
{"title":"Hyperthyroidism caused by massive toxic nodular goiter accompanied by primary hyperparathyroidism.","authors":"Jan Musiałkiewicz, Paweł Komarnicki, Paulina Ziółkowska, Rafał Czepczyński, Marek Ruchała, Paweł Gut","doi":"10.20452/pamw.16802","DOIUrl":"10.20452/pamw.16802","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maciej Szmygin, Krzysztof Pyra, Paweł Szmygin, Sławomir Woźniak, Anna Drelich-Zbroja, Tomasz Paszkowski
{"title":"Pelvic venous congestion syndrome resulting from postsurgical inferior vena cava occlusion.","authors":"Maciej Szmygin, Krzysztof Pyra, Paweł Szmygin, Sławomir Woźniak, Anna Drelich-Zbroja, Tomasz Paszkowski","doi":"10.20452/pamw.16801","DOIUrl":"10.20452/pamw.16801","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Dziugieł, Kamila Bołtuć-Dziugieł, Agnieszka Bociek, Ada Bielejewska, Wojciech Dąbrowski, Andrzej Jaroszyński
{"title":"Beyond freezing: unveiling physiological transformations triggered by a cryochamber exposure.","authors":"Robert Dziugieł, Kamila Bołtuć-Dziugieł, Agnieszka Bociek, Ada Bielejewska, Wojciech Dąbrowski, Andrzej Jaroszyński","doi":"10.20452/pamw.16817","DOIUrl":"10.20452/pamw.16817","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enrico Ammirati, Suzahn Erin Ebert, Francesco Moroni
{"title":"Cardiovascular and brain health determinants: the case of white matter hyperintensities.","authors":"Enrico Ammirati, Suzahn Erin Ebert, Francesco Moroni","doi":"10.20452/pamw.16844","DOIUrl":"10.20452/pamw.16844","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Romana Furtak, Piotr Olszówka, Wojciech Magoń, Grzegorz Kopeć
{"title":"Uncommon clinical manifestation of left atrial myxoma.","authors":"Romana Furtak, Piotr Olszówka, Wojciech Magoń, Grzegorz Kopeć","doi":"10.20452/pamw.16791","DOIUrl":"10.20452/pamw.16791","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jakub Stępniewski, Marcin Waligóra, Patrycja Kurczyna, Michał Karnaś, Weronika Chaba, Grzegorz Kopeć
{"title":"Percutaneous embolization of pulmonary arteriovenous malformation for the treatment of chronic hypoxemia in a patient with Osler-Weber-Rendu syndrome.","authors":"Jakub Stępniewski, Marcin Waligóra, Patrycja Kurczyna, Michał Karnaś, Weronika Chaba, Grzegorz Kopeć","doi":"10.20452/pamw.16795","DOIUrl":"10.20452/pamw.16795","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute ischemic stroke with large vessel occlusion for mechanical thrombectomy: personalization is highly desired.","authors":"Bartosz Karaszewski, Bartosz Jabłoński","doi":"10.20452/pamw.16845","DOIUrl":"10.20452/pamw.16845","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}