Individual renal clearances determined at renal vein catheterization.

Abstract:

:Renal para-aminohippurate (PAH) clearances were predicted in 16 kidneys of eight hypertensive patients with renal artery stenosis, pyelonephritis, or obstructive nephropathy, without individual ureteral catheterization. Predictions of left or right kidney clearance (CL or CR) were based on roentgenographic renal frontal areas (A), on total PAH clearances (CT), and on individual PAH extractions (E) measured at renal vein catheterization according to the formula (formula: see text). When these patients underwent ureteral catheterization for diagnostic reasons, individual PAH clearances were measured and ranged from 22 to 286 cm3/min. After correction for differences in total PAH clearance on the two occasions, predicted and individually measured values corresponded closely along a line of identity. The 95% confidence limit (+/- 2 SEM) for predictions of individual PAH clearance was approximately +/- 38 cm3/min and for percet of total PAH clearance distributed to left or right kidney, +/- 6%. Individual renal PAH clearances can therefore be predicted at renal vein catheterization with acceptable error. Thus, the substantially invasive procedure of ureteral catheterization is not required to ascertain left and right kidney PAH clearance in patients already at risk from renal disease.

journal_name

Kidney Int

journal_title

Kidney international

authors

Gutkin M,Perl W,Das BN,Chin B,Modlinger RS

doi

10.1038/ki.1977.27

subject

Has Abstract

pub_date

1977-03-01 00:00:00

pages

190-6

issue

3

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)31719-1

journal_volume

11

pub_type

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