Long-term control of hypertension and the predictive value of peripheral plasma renin activity after ablation of end stage kidneys with a new embolic agent
Jazyk angličtina Země Spojené státy americké Médium print
Typ dokumentu časopisecké články
PubMed
8131166
DOI
10.1007/bf02603140
Knihovny.cz E-zdroje
- MeSH
- arteria renalis * MeSH
- chronické selhání ledvin krev terapie MeSH
- dospělí MeSH
- krevní tlak MeSH
- lidé středního věku MeSH
- lidé MeSH
- polyvinyly * MeSH
- renální hypertenze patofyziologie terapie MeSH
- renin krev MeSH
- terapeutická embolizace * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- polyvinyly * MeSH
- renin MeSH
- Vilanol MeSH Prohlížeč
Embolization of end-stage kidneys using our own embolizing agent Vilanol (partially hydrolyzed polyvinyl acetate) was performed in 10 patients with hypertension refractory to conservative therapy. Native kidneys were embolized in 7 patients with chronic renal failure, nonfunctioning renal transplants in 2 patients, and a shrunken kidney in 1 patient. Five of the 10 patients had high (9.96-18.2 ng/ml/h) peripheral renin (PR) levels. The embolization was technically successful in 4 of these 5 patients and was immediately followed by a marked decrease in PR, and simultaneous improvement in blood pressure (BP). The other 5 patients had very low PR levels (0.07-0.65 ng/ml/h), and a reduction in BP was observed in 4 after embolization. One patient died following embolization from cardiac arrest due to hyperkalemia. Six patients (3 in each group) have been on follow-up for 2-5 years with sustained decrease in BP. We conclude that the new agent is effective for renal ablation and control of refractory hypertension.
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Am J Surg. 1975 Jun;129(6):616-20 PubMed
Cardiovasc Intervent Radiol. 1984;7(2):97-101 PubMed
Rozhl Chir. 1987 Dec;66(12):829-33 PubMed
Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove. 1982;25(3):257-380 PubMed
Br J Radiol. 1989 Jul;62(739):593-8 PubMed
Arch Surg. 1973 Aug;107(2):233-41 PubMed
Radiology. 1983 Jul;148(1):51-4 PubMed
Radiology. 1986 May;159(2):447-51 PubMed
Ann Radiol (Paris). 1981 Jun-Jul;24(5):353-4 PubMed
Klin Wochenschr. 1980 Jul 1;58(13):699-700 PubMed
Int Urol Nephrol. 1986;18(1):19-25 PubMed
Urol Clin North Am. 1976 Oct;3(3):527-51 PubMed
Postgrad Med J. 1989 Oct;65(768):729-34 PubMed
Kidney Int Suppl. 1987 May;20:S74-80 PubMed
Br J Radiol. 1984 Apr;57(676):279-84 PubMed
N Engl J Med. 1969 May 1;280(18):978-81 PubMed
Am J Surg. 1973 Nov;126(5):635-8 PubMed
Hypertension. 1988 Mar;11(3):223-9 PubMed
