Effect of iodinated contrast media on the oxygen tension in the renal cortico-medullary region of pigs

作者: P. Lamby , A. Krüger-Genge , R.P. Franke , C. Mrowietz , J. Falter

DOI: 10.3233/CH-199009

关键词:

摘要: Repeated injections of iodinated contrast media (CM) can lead to a deterioration the renal blood flow, redistribute from cortex other parts kidney and cause small decreases flow in cortical capillaries, significant reduction peritubular capillaries vasa recta. Therefore, study pigs was designed, show whether repeated injection CM boli, alone, oxygenation cortico-medullar tissue - region with highest oxygen demand pigs.While mean pO2-value had only decreased by 0.3 mmHg 29.9±4.3 29.6±4.3 (p = 0.8799) after tenth Iodixanol bolus, it 5.9 34.0±4.3 28.1±4.3 Iopromide bolus (p = 0.044). This revealed remarkable difference influence these on partial pressure kidney.Repeated applications pressure. In line earlier studies showing redistribution areas, this that induced no changes pO2 which confirms did not hinder through micro-vessels. These results are favor hypothesis Brezis microcirculatory disorder might be basis for development CI-AKI.

参考文章(41)
F. Jung, C. Mrowietz, B. Hiebl, R.P. Franke, G. Pindur, R. Sternitzky, Influence of rheological parameters on the velocity of erythrocytes passing nailfold capillaries in humans Clinical Hemorheology and Microcirculation. ,vol. 48, pp. 129- 139 ,(2011) , 10.3233/CH-2011-1392
K. Matschke, S.G. Spitzer, C. Mrowietz, S.M. Tugtekin, S. Keller, T. Geissler, F. Jung, Influence of radiographic contrast media on myocardial tissue oxygen tension: NaCl-controlled, randomised, comparative study of iohexol versus iopromide in an animal model. Clinical Hemorheology and Microcirculation. ,vol. 29, pp. 53- 61 ,(2003)
J. CONCHA, BERYL NORRIS, Studies on renal vasomotion British Journal of Pharmacology. ,vol. 34, pp. 277- 290 ,(1968) , 10.1111/J.1476-5381.1968.TB07051.X
G Mentaberre, JR López-Olvera, E Casas-Díaz, I Marco, S Lavín, None, Haloperidol and Azaperone in Drive-net Captured Southern Chamois (Rupicapra pyrenaica) Journal of Wildlife Diseases. ,vol. 46, pp. 923- 928 ,(2010) , 10.7589/0090-3558-46.3.923
M Brezis, S Rosen, P Silva, K Spokes, F. Epstein, Polyene toxicity in renal medulla: injury mediated by transport activity. Science. ,vol. 224, pp. 66- 68 ,(1984) , 10.1126/SCIENCE.6322305
B. Hiebl, C. Mrowietz, K. Ploetze, K. Matschke, F. Jung, Critical hematocrit and oxygen partial pressure in the beating heart of pigs. Microvascular Research. ,vol. 80, pp. 389- 393 ,(2010) , 10.1016/J.MVR.2010.06.002
J. M. Kerl, S. A. Nguyen, J. Lazarchick, J. W. Powell, M. W. Oswald, F. Alvi, P. Costello, T. J. Vogl, U. J. Schoepf, Iodinated contrast media: effect of osmolarity and injection temperature on erythrocyte morphology in vitro. Acta Radiologica. ,vol. 49, pp. 337- 343 ,(2008) , 10.1080/02841850801885978
Dietrich W. Lübbers, Horst Baumgärtl, Heterogeneities and profiles of oxygen pressure in brain and kidney as examples of the pO2 distribution in the living tissue Kidney International. ,vol. 51, pp. 372- 380 ,(1997) , 10.1038/KI.1997.49
H. Baumgärtl, H.-P. Leichtweiss, D.W. Lübbers, Ch. Weiss, H. Huland, The oxygen supply of the dog kidney: Measurements of intrarenal pO2 Microvascular Research. ,vol. 4, pp. 247- 257 ,(1972) , 10.1016/0026-2862(72)90036-2
Per Liss, Anders Nygren, Uno Erikson, Hans R. Ulfendahl, Injection of low and iso-osmolar contrast medium decreases oxygen tension in the renal medulla Kidney International. ,vol. 53, pp. 698- 702 ,(1998) , 10.1046/J.1523-1755.1998.00811.X