Angioplasty of the renal artery: antihypertensive and renal effects.

Abstract:

:Percutaneous transluminal angioplasty of the renal artery (PTRA) has been increasingly used over the past 20 years for treating renovascular hypertension (RVH). From the experience gathered so far it is justified to state that this technique is the first choice for patients with fibromuscular renal artery stenosis (RAS) because their cure rate is 50% and 42% improve. In contrast in patients with atherosclerotic RAS the cure rate after PTRA is 8-10% although 40-50% still improve. Since PTRA is associated with a 23% rate of major/minor complications and 30% restenosis (23% requiring stent implantation), it is obvious that in patients with atherosclerotic RAS the decision to attempt this procedure must be taken after careful selection of those who may actually benefit from the dilation. PTRA can be used more extensively for salvaging the function of the ischemic kidney than for treating hypertension because of the progressive nature of the atherosclerotic RAS and the lack of effective agents against such progression. After PTRA 35% of patients have some improvement in renal function and another 35% are stabilized. Yet most studies addressing the renal effects of PTRA suffer the limitation of having used serum creatinine levels as an indicator of glomerular filtration rate (GFR). More recent studies which used radioisotopic techniques to evaluate the changes of GFR induced by PTRA in the stenotic kidney indicate that after a successful procedure the increase is, on average, 8-10 ml/min. Interestingly it appears that this improvement is slower in kidneys of patients with atherosclerotic RAS than in those with fibromuscular RAS.

journal_name

J Nephrol

journal_title

Journal of nephrology

authors

Morganti A

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

S28-33

eissn

1121-8428

issn

1724-6059

journal_volume

13 Suppl 3

pub_type

杂志文章,评审
  • Cross-sectional survey of the prevalence of reduced estimated glomerular filtration rate, albuminuria and cardiovascular risk in a native Spanish population.

    abstract:OBJECTIVES:HERMEX is a population-based study which tries to evaluate the relative weight of cardiovascular risk factors in inhabitants of Extremadura, Spain. This report presents the data about chronic kidney disease (CKD) in a Spanish population sample. METHODS:For an observational cross-sectional population-based s...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.5301/jn.5000221

    authors: Robles NR,Felix FJ,Fernandez-Berges D,Perez-Castán JF,Zaro MJ,Lozano L,Alvarez-Palacios P,Garcia-Trigo A,Tejero V,Morcillo Y,Hidalgo AB

    更新日期:2013-07-01 00:00:00

  • Effects of turmeric on uremic pruritus in end stage renal disease patients: a double-blind randomized clinical trial.

    abstract:BACKGROUND:Uremic pruritus as a symptom that affects hemodialysis (HD) patients can decrease the quality of life and increase morbidity in these patients. The aim of this study was to evaluate the effects of turmeric on uremic pruritus in HD patients. SUBJECTS AND METHODS:This was a double-blind placebo-controlled tri...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s40620-014-0039-2

    authors: Pakfetrat M,Basiri F,Malekmakan L,Roozbeh J

    更新日期:2014-04-01 00:00:00

  • Haemoglobinuria for the early identification of aHUS relapse: data from the ItalKId-HUS Network.

    abstract:BACKGROUND:Atypical haemolytic uremic syndrome (aHUS) is at high risk of relapse at any time, therefore patients require lifelong monitoring. The most appropriate way to monitor patients is not yet clear. Patients could be monitored for relapse by urine dipstick testing for haemoglobinuria based on the hypothesis that ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.1007/s40620-021-00965-8

    authors: Brambilla M,Ardissino G,Paglialonga F,Testa S,Capone V,Montini G

    更新日期:2021-01-18 00:00:00

  • HBV-related cutaneous periarteritis nodosa in a patient 16 years after renal transplantation: efficacy of lamivudine.

    abstract::Cutaneous periarteritis nodosa (PAN) is a clinical feature characterized by chronic, benign course; its pathogenesis is unknown. In patients submitted to renal transplantation cutaneous PAN is a rare complication. We report a case of cutaneous PAN associated with the reappearance of hepatitis B antigen 16 years after ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Bedani PL,Bergami M,Cavazzini PL,Strumia R,Morelli MC,Stabellini G,Gilli P

    更新日期:2001-09-01 00:00:00

  • Three-dimensional contrast-enhanced magnetic resonance angiography (3-D CE-MRA) in the evaluation of hemodialysis access complications, and the condition of central veins in patients who are candidates for hemodialysis access.

    abstract:BACKGROUND:Arteriovenous (AV) fistulas are crucial in patients requiring long-term hemodialysis (HD). Dysfunctions of these fistulas are the most common causes of recurrent hospitalizations. This study aimed to evaluate the feasibility, safety and usefulness of contrast-enhanced magnetic resonance angiography (CE-MRA) ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Paksoy Y,Gormus N,Tercan MA

    更新日期:2004-01-01 00:00:00

  • IgA nephropathy and infections.

    abstract::In this paper we concentrate on the role of infections in IgA nephropathy both from a pathogenetic and clinic point of view. The current hypotheses as regards the role of infections in the pathogenesis of IgA nephropathy are: (a) role of particular pathogens, (b) chronic exposure to mucosal infections, (c) abnormal ha...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-016-0265-x

    authors: Rollino C,Vischini G,Coppo R

    更新日期:2016-08-01 00:00:00

  • Towards precision nephrology: the opportunities and challenges of genomic medicine.

    abstract::The expansion of genomic medicine is furthering our understanding of many human diseases. This is well illustrated in the field of nephrology, through the characterization, discovery, and growing insight into various renal diseases through use of Next Generation Sequencing (NGS) technologies. This review will provide ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-017-0448-0

    authors: Nestor JG,Groopman EE,Gharavi AG

    更新日期:2018-02-01 00:00:00

  • Recurrent hemolytic uremic syndrome associated with intestinal lymphangiectasia.

    abstract::A 17-year-old boy was admitted to the hospital twice in a year for 2 episodes of hemolytic uremic syndrome (HUS). During these 2 HUS episodes he had diarrhea, decreased serum complement, decreased total protein and decreased serum albumin concentrations. We suggest that protein-losing enteropathy and hypocomplementemi...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Kalman S,Bakkaloğlu S,Dalgiç B,Ozkaya O,Söylemezoğlu O,Buyan N

    更新日期:2007-03-01 00:00:00

  • Changes of podocyte p130Cas in diabetic conditions.

    abstract:BACKGROUND:Proteinuria results from increased glomerular permeability and is associated with retraction and effacement of the highly specialized interdigitating podocyte foot processes. In podocytes (glomerular epithelial cells [GECs]), p130Cas localizes diffusely to the cytoplasm and connects focal adhesion proteins a...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.5301/jn.5000261

    authors: Ha TS,Choi JY,Park HY,Han GD

    更新日期:2013-09-01 00:00:00

  • The enzymatic machinery for ADMA synthesis and degradation is fully expressed in human adipocytes.

    abstract:BACKGROUND:The endogenous inhibitor of nitric oxide synthase (NOS), asymmetric dimethylarginine (ADMA), is implicated in endothelial dysfunction and is a marker of renal disease progression and cardiovascular (CV) complications. Various cell species exhibit the enzymatic system that generates and degrades this methylar...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Spoto B,Parlongo RM,Parlongo G,Sgro' E,Zoccali C

    更新日期:2007-09-01 00:00:00

  • A comparison of methods for the measurement of hemodialysis access recirculation.

    abstract:BACKGROUND:NKF K-DOQI clinical practice guidelines recommend a regular monitoring of vascular access (VA) through several methods, such as VA recirculation (AR). Assessment of AR is crucial to avoid inefficiency of hemodialysis (HD). A non-urea based method has been developed (ultrasound dilution Transonics Hemodialysi...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Basile C,Ruggieri G,Vernaglione L,Montanaro A,Giordano R

    更新日期:2003-11-01 00:00:00

  • Cyclosporine A causes maturation failure in embryonic-type glomeruli persisting after birth.

    abstract:INTRODUCTION:We analyzed renal histologic and immunohistologic findings in children with nephrotic syndrome (NS) who did (n=5) or did not (n=17) develop cyclosporine A (CyA) nephropathy despite appropriately low serum CyA concentrations being maintained over 2 years. METHODS:To discriminate embryonic-type from mature ...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.5301/JN.2010.5793

    authors: Fujita S,Sugimoto K,Miyazawa T,Miyazaki K,Takemura Y,Yanagida H,Sakata N,Wada N,Okada M,Takemura T

    更新日期:2011-07-01 00:00:00

  • Genomic damage in endothelial progenitor cells from uremic patients in hemodialysis.

    abstract:INTRODUCTION:End stage renal disease (ESRD) is associated with a high incidence of cardiovascular disease and cancer. Patients undergoing hemodialysis show a reduced number and an impaired function of endothelial progenitor cells (EPCs), which in physiological conditions contribute to repair the vascular damage. In pat...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Buemi M,Costa C,Floccari F,Coppolino G,Campo S,Bolignano D,Sturiale A,Lacquaniti A,Buemi A,Loddo S,Teti D

    更新日期:2010-05-01 00:00:00

  • Treatment of reduced bone density with ibandronate in dialysis patients.

    abstract::Bisphosphonates inhibit bone resorption and are widely used to treat osteolytic metastases and osteoporosis. Renal osteodystrophy patients have continuous bone loss due to chronically elevated parathyroid hormone (PTH). In this open-label study, ibandronate was evaluated for the treatment of reduced bone density in re...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Bergner R,Henrich D,Hoffmann M,Schmidt-Gayk H,Lenz T,Upperkamp M

    更新日期:2008-07-01 00:00:00

  • The effect of polymorphism of uric acid transporters on uric acid transport.

    abstract::The abnormal metabolism of uric acid results in many disease such as chronic kidney disease, hyperuricemia, nephrolithiasis, gout, hypertension, vascular disease and so on. Serum uric acid levels are maintained by the balance between production and elimination. There are many factors that maintain the balance of serum...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-018-0546-7

    authors: Wang Z,Cui T,Ci X,Zhao F,Sun Y,Li Y,Liu R,Wu W,Yi X,Liu C

    更新日期:2019-04-01 00:00:00

  • Early initiation of tacrolimus or cyclophosphamide therapy for idiopathic membranous nephropathy with severe proteinuria.

    abstract:BACKGROUND:Early initiation of therapy is warranted for patients with idiopathic membranous nephropathy (IMN) who have severe proteinuria. Therapy with tacrolimus (TAC) or intravenous cyclophosphamide (CYC) may be an option in treating such patients. METHODS:This prospective cohort study included patients with IMN who...

    journal_title:Journal of nephrology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Li X,Lv R,He Q,Li H,Du X,Lin W,Li Q,He X,Wang S,Chen J

    更新日期:2008-07-01 00:00:00

  • Role of tubulointerstitial plasmin in the progression of IgA nephropathy.

    abstract:BACKGROUND:Plasmin has recently been reported to be associated with renal fibrosis in experimental models, but its role in human renal diseases is unclear. METHODS:Fifty-seven patients with IgA nephropathy (IgAN) were evaluated retrospectively. Plasmin in their renal biopsy tissues was assessed by in situ zymography u...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.1007/s40620-015-0205-1

    authors: Uchida T,Oda T,Takechi H,Matsubara H,Watanabe A,Yamamoto K,Oshima N,Sakurai Y,Kono T,Shimazaki H,Tamai S,Kumagai H

    更新日期:2016-02-01 00:00:00

  • Italian randomized trial of hemoglobin maintenance to prevent or delay left ventricular hypertrophy in chronic kidney disease.

    abstract:BACKGROUND:This study is part of a 3-country study testing whether normal levels of hemoglobin (Hgb) delay the progression of left ventricular (LV) growth in chronic kidney disease (CKD) patients not on dialysis. METHODS:This was an open-label, randomized, multicenter, controlled trial conducted in 27 tertiary-care ho...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Cianciaruso B,Ravani P,Barrett BJ,Levin A,ITA-EPO-7 investigators.

    更新日期:2008-11-01 00:00:00

  • Financial implications of pediatric outpatient renal biopsies: a single-center experience.

    abstract:BACKGROUND:With improvements in technology, renal biopsies have become safer and could potentially be effectively carried out in the outpatient setting. The purpose of our study is to compare the safety and cost of performing outpatient versus inpatient renal biopsies at a single Northern California pediatric hospital....

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Lau KK,Berg GL,Butani L

    更新日期:2009-01-01 00:00:00

  • Urinary strips for protein assays: easy to do but difficult to interpret!

    abstract::Urine samples can be readily obtained from patients in everyday clinical practice. Therefore, the availability of urine allows physicians to obtain relevant clinical information in a timely manner. Since the measurement of urinary protein levels is essential in diagnosing and treating a host of diseases, the potential...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-020-00735-y

    authors: Résimont G,Piéroni L,Bigot-Corbel E,Cavalier E,Delanaye P

    更新日期:2020-04-23 00:00:00

  • Osteoporosis, bone mineral density and CKD-MBD: treatment considerations.

    abstract::Osteoporosis and chronic kidney disease (CKD) have both independently important potential impact on bone health. A significant number of patients with CKD stages 3a-5D have been shown to have low bone mineral density (BMD), leading to a strikingly elevated risk of fractures (mainly hip fractures) and higher associated...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-017-0404-z

    authors: Bover J,Bailone L,López-Báez V,Benito S,Ciceri P,Galassi A,Cozzolino M

    更新日期:2017-10-01 00:00:00

  • Hereditary systemic amyloidosis with renal involvement.

    abstract::Hereditary systemic amyloidosis is caused by deposition of genetically variant proteins as amyloid fibrils. The types that present with renal disease are usually associated with mutations in the genes for either apolipoprotein AI, apolipoprotein AII, lysozyme or fibrinogen A alpha-chain. These diseases are inherited i...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:

    authors: Hawkins PN

    更新日期:2003-05-01 00:00:00

  • AKI: an increasingly recognized risk factor for CKD development and progression.

    abstract::Acute kidney injury (AKI) is an increasing health burden with high morbidity and mortality rates worldwide. AKI is a risk factor for chronic kidney disease (CKD) development and progression to end stage renal disease (ESRD). Rapid action is required to find treatment options for AKI, plus to anticipate the development...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-020-00793-2

    authors: Kurzhagen JT,Dellepiane S,Cantaluppi V,Rabb H

    更新日期:2020-12-01 00:00:00

  • The peritoneal sieving of sodium: a simple and powerful test to rule out the onset of encapsulating peritoneal sclerosis in patients undergoing peritoneal dialysis.

    abstract:BACKGROUND AND AIMS:Encapsulating peritoneal sclerosis (EPS) is an uncommon but severe complication of peritoneal dialysis (PD). A reliable screening tool to identify patients at risk of developing or not EPS is currently not available. We aimed to evaluate whether the reduction in dialysate sodium concentration (sodiu...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.1007/s40620-016-0371-9

    authors: La Milia V,Longhi S,Sironi E,Pontoriero G

    更新日期:2018-02-01 00:00:00

  • Henoch-Schonlein nephritis.

    abstract::Henoch-Schonlein purpura is a clinical syndrome characterized by the association of skin, joint, and gastrointestinal symptoms. Henoch-Schonlein purpura is characterized by wide-spread vasculitis. Although the clinical symptoms of this disease are characteristic, the diagnosis is not always easy to establish because o...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Ferrario F,Rastaldi MP

    更新日期:2005-11-01 00:00:00

  • Proteinase 3/myeloblastin as a growth factor in human kidney cells.

    abstract:BACKGROUND:Numerous data support the possible role of myeloblastin/proteinase 3 (PR3) in growth and differentiation of neutrophil granulocytes and certain monocyte subtypes. However, whether PR3 is expressed in non-myeloid cells remains a matter of debate even though recent studies clearly demonstrated its expression i...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:

    authors: Relle M,Mayet WJ,Strand D,Brenner W,Galle PR,Schwarting A

    更新日期:2003-11-01 00:00:00

  • Inadvertent sodium loading with renal replacement therapy in critically ill patients.

    abstract:BACKGROUND:Inadvertent sodium (Na(+)) flux may occur during renal replacement therapy (RRT) in ICU. The objective of this study was to estimate sodium flux during RRT. METHODS:Between September 2011 to December 2012 we studied 60 ICU patients receiving extended daily dialysis (EDD, Fresenius 4008S) or continuous renal...

    journal_title:Journal of nephrology

    pub_type: 杂志文章

    doi:10.1007/s40620-014-0041-8

    authors: Bihari S,Taylor S,Bersten AD

    更新日期:2014-08-01 00:00:00

  • Renal structure in type 2 diabetes: facts and misconceptions.

    abstract::The clinical manifestations of diabetic nephropathy are similar in type 1 and type 2 diabetes, while the renal lesions may differ. Indeed, diabetic glomerulopathy is the predominant renal lesion in type 1 diabetes, although also tubular, interstitial and arteriolar lesions are present in the advanced stages of renal d...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-020-00797-y

    authors: Di Vincenzo A,Bettini S,Russo L,Mazzocut S,Mauer M,Fioretto P

    更新日期:2020-10-01 00:00:00

  • Klaus Hierholzer (1929-2007) and his impact on our understanding of the renal effects of steroid hormones.

    abstract::Klaus Hierholzer (1929-2007) dissected various functions influenced by steroids in the distal tubule and showed that aldosterone in low doses reversed the sodium and potassium transport defect in adrenalectomized rats, through a rapid activation of Na+,K+-ATPase. Subsequent studies addressed the role of 11-beta-hydrox...

    journal_title:Journal of nephrology

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: De Santo NG,Fromm M,Russo F,Wiederholt M

    更新日期:2009-11-01 00:00:00

  • Hyperuricosuric calcium urolithiasis.

    abstract::Hyperuricosuric calcium urolithiasis is a condition of mixed calcium oxalate stones characterized by hyperuricosuria either in isolation or in conjunction with other risk factors for calcium oxalate stones such as hypercalciuria, hyperoxaluria, and hypocitraturia. There are three proposed physicochemical models of pat...

    journal_title:Journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s40620-018-0469-3

    authors: Moe OW,Xu LHR

    更新日期:2018-04-01 00:00:00