CYCLOSPORIN IN THERAPEUTIC DOSES INCREASES RENAL ALLOGRAFT VASCULAR RESISTANCE

作者: JohnJ Curtis , Eva Dubovsky , JohnD Whelchel , RobertG Luke , ArnoldG Diethelm

DOI: 10.1016/S0140-6736(86)90355-7

关键词: UrologyNephrotoxicityVascular resistanceCreatinineBlood vesselRenal blood flowTransplantationEndocrinologyMedicineInternal medicineVasoconstrictionKidney

摘要: In fourteen renal transplant patients converted from cyclosporin to azathioprine for financial reasons blood flow was greater and vascular resistance lower after conversion. These changes occurred without any change in serum creatinine. This finding suggests that the allograft vasoconstriction induced by occurs before evidence of nephrotoxicity is reversible. Renal recipients had cyclosporin-induced haemodynamic even early (2 weeks) transplantation, when still denervated. findings may explain increased sensitivity other nephrotoxic agents hypertension observed cyclosporin-treated patients.

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