Comparison of the renal hyperemic effects of papaverine and dopamine in patients with renal artery stenosis

Protasiewicz, Marcin; Początek, Karol; Poręba, Rafał; Derkacz, Arkadiusz; Podgórski, Maciej; Gosławska, Katarzyna; Szymańska–Chabowska, Anna; Mazur, Grzegorz; Mysiak, Andrzej; Witkowski, Adam

doi:10.1016/j.jash.2014.10.004

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…This study also stated that the use of low dose dopamine in AKI patients seems to be helpful. The study of Sulikowska et al (7) regarding the effectiveness of low dose dopamine to increase the creatinine clearance and the results of the investigation of Protasiewicz et al (8) which indicated that internal bolus of dopamine is more effective than papaverine to increase the renal blood supply, 2…”

Section: Discussionmentioning

confidence: 99%

Study the Effects of Dopamine on Oliguric Patients Referred to Amir Kabir Pediatrics Hospital of Arak University of Medical Sciences, Iran 2017 - 2018

et al. 2018

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Acute kidney injury (AKI) or acute renal failure is a clinical manifestation in which the kidneys are unable to preserve the normal homeostasis of water and electrolytes. To evaluate the effects of low dose dopamine to improve the renal functions in children, 3 µg/kg/min, IV infusion of dopamine was prescribed. The results of this study showed that low dose dopamine improved the serum creatinine concentration and corrected the time of appropriate urine volume, however, it was not effective on the serum electrolytes (Na, K, Bicarbonates, BUN) and the glomerular filtration rate (GFR).

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Section: Discussionmentioning

confidence: 99%

Study the Effects of Dopamine on Oliguric Patients Referred to Amir Kabir Pediatrics Hospital of Arak University of Medical Sciences, Iran 2017 - 2018

et al. 2018

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“…A hyperemic translesional systolic gradient of >20 mmHg following intrarenal papaverine or intravenous dopamine considered as a strong predictor of a positive response to PTRA in patients with unilateral RAS. [4] Those who have higher renal frame count and renal blush have good clinical response following vascularization. [5] The response to PTRA is good, whenever the ipsilateral kidney size is > than 7 cm.…”

Section: Respondersmentioning

confidence: 99%

Renovascular Hypertension

Sathyamurthy¹,

Srinivasan²

2018

johtn

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PrevalenceThe prevalence of RAS increases with the age and in patients with known cardiovascular risk factors such as diabetes, hypertension, and dyslipidemia. The prevalence of RAS of >70% was 7.3% in patient who has undergone cardiac catheterization with resistant hypertension, renal impairment, flash pulmonary edema, or atherosclerosis in other vascular territories. [1] In our study, [2] the incidence of RAS was 7.7% by the routine drive-by angiogram, during coronary angiography for suspected CAD. In the general population, 2-5% of secondary hypertension is due to ARAS. In autopsy series, 27% had RAS of >50% in the group aged >50 years. AbstractRenovascular Hypertension (RVH) is the most common cause of secondary hypertension. High index of suspicion is needed to diagnose this condition. Two major causes for RVH are renal artery stenosis (RAS) secondary to atherosclerosis (~90%) and fibromuscular dysplasia (~10%). Certain clinical clues for RVH are unprovoked hypokalemia, abdominal bruit, age of the onset of hypertension (<30 years or >55 years), the absence of the family history of hypertension, recent onset of hypertension (duration <1 year), difference of kidney size >1 cm, unexplained azotemia, recurrent flash pulmonary oedema, new onset azotemia with initiation of ACEI, and resistant or refractory hypertension. Revascularization by Percutaneous transluminal renal angioplasty (PTRA)/surgery as indicated should be instituted whenever there is medical failure or worsening of azotemia with maximal medical therapy for RVH.

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“…There were trials, which try to find the best pharmacological agent to produce vasodilatation when measuring the translesional gradient of RAS. Protasiewicz et al [ 33 ] compared the effect of dopamine and papaverine in a cohort of 14 patients with moderate RAS. The result was that the postlesional systolic pressure (Pd) after papaverine was not changed significantly in comparison with dopamine.…”

Section: Functional Assessment Of Intermediate Renal Stenosismentioning

confidence: 99%

Functional Assessment of Intermediate Vascular Disease

Yaneva-Sirakova

Serbezova

Vassilev

2018

BioMed Research International

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Interventional treatment in various vascular beds has advanced tremendously. However, there are several problems to be considered. We searched the literature and tried to analyze major parts of it. One is safety and applicability of coronary proven methods in other vascular beds. An unresolved problem is the functional assessment of intermediate lesions, as far as various target organs have quite different circulation from the coronary one and the functional tests should be modified in order to be applicable and meaningful. In the majority of the acute vascular syndromes, the culprit lesion is of intermediate size on visual assessment. On the other hand, a procedurally successfully managed high-degree stenosis is not always followed by clinical and prognostic benefit. In vascular beds, where collateral network naturally exists, the readings from the functional assessment are complicated and thus the decision for interventional treatment is even more difficult. Here come into help the functional assessment and imaging with IVUS, OCT, high-resolution MRI, and contrast enhanced CT or SPECT. The focus of the current review is on the functional assessment of intermediate stenosis in other vascular beds, unlike the coronary arteries.

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Comparison of the renal hyperemic effects of papaverine and dopamine in patients with renal artery stenosis

Cited by 6 publications

References 15 publications

Study the Effects of Dopamine on Oliguric Patients Referred to Amir Kabir Pediatrics Hospital of Arak University of Medical Sciences, Iran 2017 - 2018

Study the Effects of Dopamine on Oliguric Patients Referred to Amir Kabir Pediatrics Hospital of Arak University of Medical Sciences, Iran 2017 - 2018

Renovascular Hypertension

Functional Assessment of Intermediate Vascular Disease

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