Prognostic value of the uric acid-to-albumin ratio for mid-term all-cause mortality after carotid artery stenting.

Introduction: Carotid artery stenting (CAS) is an established revascularization strategy, particularly in high-risk surgical patients. The uric acid-to-albumin ratio (UAR) has recently emerged as a novel composite biomarker reflecting oxidative stress, systemic inflammation, and nutritional status. Aim: This study evaluated the prognostic significance of UAR in predicting mid-term all-cause mortality following CAS. Material and methods: In this retrospective cohort study, 970 consecutive patients undergoing CAS at a tertiary cardiovascular center between 2015 and 2024 were analyzed. The primary endpoint was mid-term all-cause mortality. Patients were stratified into Low UAR (< 1.475) and High UAR (≥ 1.475) groups based on the median UAR. Survival analyses were performed using Cox proportional hazards models to identify independent predictors of all-cause mortality. Results: The median follow-up was 33.7 ±26.5 months. Overall, 154 (15.9%) patients died, with mortality significantly higher in the High UAR group compared with the Low UAR group (19.0% ( Conclusions: Elevated UAR was independently associated with increased all-cause mortality after carotid artery stenting. UAR may serve as a simple and readily available marker reflecting overall systemic risk; however, further studies are needed to confirm its clinical utility.