Read by QxMD icon Read

renal resistive index obstruction

Faik Kose, Zafer Turkyilmaz, Kaan Sonmez, Ramazan Karabulut, Aylar Poyraz, Ozlem Gulbahar, Arzu Aral, Cagri Damar, Cem Kaya, Abdullah Can Basaklar
BACKGROUND: In this study, it was aimed to determine the effects of alfuzosin on experimentally generated unilateral partial ureteropelvic junction obstruction (UPO) in rats. MATERIALS AND METHODS: Thirty Long-Evans rats were randomly allocated into five groups. In control group (C), nothing was performed; in group Sham (S) only laparotomy was done; in Alfuzosin group (A) only alfuzosin was administered for two weeks (10 mg/kg/day p.o.) without any surgery; in UPO group, unilateral UP junction obstruction was produced; and in the Group UPT (ureteropelvic obstruction + treatment), alfuzosin was administered for two weeks (10 mg/kg/day p...
September 2016: Renal Failure
Mehmet Sait Menzilcioglu, Mahmut Duymus, Serdal Citil, Gulay Gungor, Mustafa Saglam, Ozkan Gungor, Serife Nur Boysan, Akif Sarıca, Serhat Avcu
OBJECTIVES: Chronic kidney disease (CKD) is a disorder progressing to end-stage kidney failure. Early diagnosis and treatment are important for medical care. The aim of this prospective study was to define the strain index (SI) and resistivity index (RI) values in the same CKD group for each kidney separately at the same time, and also to compare the efficacy of SI and RI in the differentiation of normal population and CKD patients. MATERIALS AND METHODS: Toshiba Aplio 500 USG device and 3...
September 2016: La Radiologia Medica
Mario Meola, Sara Samoni, Ilaria Petrucci, Claudio Ronco
The incidence of acute kidney injury related to urinary tract obstruction is low (1-10%). It occurs in bilateral renal or lower urinary tract obstruction or in ureter obstruction in patients with a single functioning kidney or with pre-existing chronic kidney disease. The etiology and the incidence of obstruction vary on the basis of age and gender. Conventional ultrasound has a high sensitivity (>95%), but low specificity (<70%) in the diagnosis of urinary tract obstruction. Nevertheless, color Doppler is used through the evaluation of renal resistive indexes, ureteral jet and twinkling artifact...
2016: Contributions to Nephrology
Mario Meola, Sara Samoni, Ilaria Petrucci
Chronic tubulointerstitial diseases are a common final pathway toward chronic renal failure regardless the primary damage (glomerular, vascular or directly the tubulointerstitium). Chronic tubulointerstitial nephritis (CTN) is characterized by interstitial scarring, fibrosis and tubule atrophy, resulting in progressive chronic kidney disease. Most frequent causes of CTN are drugs, heavy metals, obstructive uropathy, nephrolithiasis, reflux disease, immunologic diseases, neoplasia, ischemia, metabolic diseases, genetics and miscellaneous...
2016: Contributions to Nephrology
M Nadzri, E Y Hing, A H Hamzaini, M Z Faizah, A AbAziz, Y Kanaheswari, M A Zulfiqar
BACKGROUND: to determine the usefulness of Doppler ultrasound measurement of resistive index (RI) in differentiating obstructive from non-obstructive hydronephrosis in children. METHODS: From August 2011 to November 2012, renal Doppler assessments of the intra-renal renal arteries were performed on 16 children (19 kidneys) with congenital hydronephrosis. the independent t-test was used to assess for significant difference in RI values between those with obstructive hydronephrosis (6 kidneys) and those with non-obstructive hydronephrosis (13 kidneys) as determined by dynamic renal scintigraphy...
December 2015: Medical Journal of Malaysia
Makoto Mori, Camden Hebson, Kayoko Shioda, Robert W Elder, Brian E Kogon, Fred H Rodriguez, Maan Jokhadar, Wendy M Book
BACKGROUND: In heart failure, a high systemic vascular resistance index (SVRI), high central venous pressure (CVP), and low cardiac index (CI) predict poor outcomes. Conversely, late hemodynamic manifestations of failing Fontan circulation and associations with end-organ dysfunction are not well understood. METHODS: A retrospective review of right-heart catheterization data of adult Fontan patients between 2002 and 2014 was conducted. Relationships between hemodynamic variables and serious adverse events (death or heart transplant) were examined using the Cox proportional hazard analysis...
March 2, 2016: Congenital Heart Disease
Bojan Gavrilovic, Milos R Popovic, Azadeh Yadollahi
Obstructive sleep apnea (OSA) is a common disorder in adults characterized by repetitive collapse of the pharynx. OSA prevalence increases in fluid retaining patients such as those with heart or renal failure, and worsens with overnight fluid accumulation in the neck. The objective of this study was to develop a new method of measuring changes in intracellular water (ICW) in the neck, and investigate metrics that represent total neck impedance and their relationship to sleep apnea severity. In 18 non-obese men, neck fluid volume (NFV) was measured before and after sleep using bioelectrical impedance at 50 kHz...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Bala Murali Krishna Vadana, Ashirwad Pasumarthy, Neelima Penumalli, Narayan Chander Bellapa
INTRODUCTION: Obstructive uropathy is very common cause of pain abdomen. Recognition of the cause of the pain and level of obstruction is the goal. Ultrasound is the primary modality used for detection and characterization of obstructive uropathy along with conventional radiographs. Obstructive uropathy in early stages can be difficult to diagnose using standard B-mode USG or arterial sensitive index. AIM: The purpose of this study is to evaluate the diagnostic accuracy of renal venous doppler ultrasound in diagnosing acute obstructive uropathy either alone or in addition to arterial doppler study of inter lobar arteries...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
I N Apoku, O O Ayoola, A A Salako, B M Idowu
PURPOSE: To determine the renal arterial hemodynamic changes induced by obstructive uropathy using Doppler ultrasonography. MATERIALS AND METHODS: 60 adult subjects with suspected obstructive uropathy and 60 asymptomatic apparently healthy controls with normal renal ultrasound features were evaluated. B-mode sonography of the kidneys and spectral Doppler examination of the renal interlobar arteries of all the participants were performed. The mean resistive indices (mRI) of both interlobar arteries were obtained and compared to that of the controls...
May 2015: International Braz J Urol: Official Journal of the Brazilian Society of Urology
F Mahfoud, D Linz, G Mancia, K Narkiewicz, L M Ruilope, M P Schlaich, R E Schmieder, B Williams, M Böhm
OBJECTIVE: Obstructive sleep apnea (OSA) is associated with sympathetic nervous system activation and the development of hypertension. The Global SYMPLICITY Registry is prospectively enrolling real world patients with uncontrolled hypertension including patients with OSA. This analysis compares baseline characteristics and blood pressure (BP) lowering effects of renal denervation in patients with and without OSA. DESIGN AND METHOD: The Global SYMPL CITY Registry is a prospective, multicentre international registry designed to evaluate the safety and effectiveness of renal denervation in a broad population of patients with uncontrolled hypertension...
June 2015: Journal of Hypertension
Fatma Nur Soylu Boy, Arda Kayhan, Hakki Muammer Karakas, Turgut Alp, Ayhan Verit
OBJECTIVE: To compare the efficacy of diffusion-weighted (DW) magnetic resonance (MR) imaging and Doppler ultrasonography (US) by using quantitative markers in acute unilateral obstruction due to renal stones. METHODS: This prospective study included 28 patients with unilateral ureteral obstruction and 18 healthy control subjects. In Doppler US and DW MR imaging, resistive index (RI) and apparent diffusion coefficient (ADC) values were measured respectively. The results were compared in patients and in control subjects...
2015: International Journal of Clinical and Experimental Medicine
Sung Kyoung Moon, Sang Yoon Kim, Jeong Yeon Cho, Seung Hyup Kim
OBJECTIVES: The purpose of this study was to evaluate the feasibility of ultrasonic shear wave elastography for quantification of renal fibrosis in an experimental rabbit model. METHODS: Thirty-eight kidneys of 19 rabbits were studied and categorized into 3 groups: group I, ureter obstruction (n = 9); group II, renal vein occlusion (n = 10); and group III, normal control (n = 19). Before surgery, we measured stiffness at the renal cortex using shear wave elastography and evaluated the sonographic findings, including size, echogenicity, and resistive index...
May 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
L Sardo, P Palange, F Di Mario, B Barbano, A Gigante, M Mordenti, A Steffanina, M Bonini, A Amoroso, F Vaccaro, R Cianci
BACKGROUND: Oxygen desaturation and reoxygenation, related to intermittent hypoxia cycles due to upper airway obstruction, are major pathophysiologic features of obstructive sleep apnea syndrome (OSAS) and are thought to be responsible for an increased risk of cardiovascular diseases. Continuous positive airway pressure (CPAP) is therefore considered the gold standard in the management of OSAS. Further data demonstrated a high prevalence of OSAS in patients with altered renal function despite the underlying pathophysiological mechanisms that have not been clarified...
December 2015: Sleep & Breathing, Schlaf & Atmung
Umamageswari Amirthalingam
CONTEXT: Urolithiasis remains a major health problem despite advances in therapy. Obstruction results in an increase in pressure within the urinary tract, causing structural and physiologic changes. This study aimed to calculate the intra renal Resistivity Index (RI) of acutely obstructed kidney, to determine the significance of Resistivity Index Ratio (RIR) and difference in Resistivity Index of obstructed and contralateral non obstructed kidney. MATERIALS AND METHODS: Prospective study with renal Doppler for patients presenting with acute unilateral ureteric obstruction...
December 2014: Journal of Clinical and Diagnostic Research: JCDR
L H White, T D Bradley, A G Logan
Obstructive sleep apnoea (OSA) is highly prevalent in hypertensive patients, particularly those with drug resistance. Evidence from animal experiments, epidemiologic studies and clinical trials strongly suggest a causal link. Mechanistic studies argue for increased sympathetic neural activity and endothelial dysfunction. However, disturbances in fluid volume regulation and distribution may also be involved in the pathogenesis of these two conditions. Several studies have shown a high prevalence of OSA in fluid-retaining states including hypertension, a direct relationship between the severity of OSA and the volume of fluid displaced from the legs to the neck during sleep, and a decrease in upper airway cross-sectional area in response to graded lower body positive pressure...
June 2015: Journal of Human Hypertension
Victor Aboyans, Benedicte Tanguy, Ileana Desormais, Vincent Bonnet, Michel Chonchol, Marc Laskar, Dania Mohty, Philippe Lacroix
Several studies demonstrated the prognostic importance of renal failure and peripheral artery disease in patients undergoing coronary artery bypass grafting (CABG), but data regarding the prognostic value of renal artery disease in this context are scarce. We aimed to study the prevalence and prognostic value of renal artery disease in patients undergoing CABG. We assessed by duplex ultrasound the renal arteries of 429 consecutive patients who underwent CABG, of whom 401 had satisfactory imaging quality to detect >60% renal artery stenosis (RAS) and/or an elevated resistive index (ERI>0...
October 1, 2014: American Journal of Cardiology
Fang-Ming Wang, Yu-Jie Yang, Lu-Lin Ma, Xiao-Jun Tian, Ya-Qiang He
AIM: To investigate the potential effects of berberine on renal interstitial fibrosis (RIF) of obstructed kidneys in a unilateral ureteral obstruction (UUO) rat model. METHODS: Forty-eight rats were randomly divided into three groups: sham-operated, vehicle-treated UUO, and berberine-treated UUO. Rats were gavaged with berberine (200 mg/kg per day) or vehicle. Eight randomly chosen rats in each group were kiled and specimens were collected at day 14 after UUO...
September 2014: Nephrology
Aneela Azam, Arfan-ul-haq, Mirza Amanullah Beg
OBJECTIVE: To determine the diagnostic accuracy of renal arterial resistive index on doppler ultrasound in patients with acute renal colic to diagnose obstructive uropathy taking non-enhanced helical computed tomography as the gold standard. METHODS: The descriptive study, conducted at the Radiology Department of Pakistan Naval Ship Shifa Hospital, Karachi, from October 10, 2010 to July 17, 2011, comprised 160 patients referred from the Emergency Department with complaint of unilateral renal colic...
December 2013: JPMA. the Journal of the Pakistan Medical Association
Sarah Faubel, Nayana U Patel, Mark E Lockhart, Melissa A Cadnapaphornchai
As judged by the American College of Radiology Appropriateness Criteria, renal Doppler ultrasonography is the most appropriate imaging test in the evaluation of AKI and has the highest level of recommendation. Unfortunately, nephrologists are rarely specifically trained in ultrasonography technique and interpretation, and important clinical information obtained from renal ultrasonography may not be appreciated. In this review, the strengths and limitations of grayscale ultrasonography in the evaluation of patients with AKI will be discussed with attention to its use for (1) assessment of intrinsic causes of AKI, (2) distinguishing acute from chronic kidney diseases, and (3) detection of obstruction...
February 2014: Clinical Journal of the American Society of Nephrology: CJASN
Francesca Viazzi, Giovanna Leoncini, Lorenzo E Derchi, Roberto Pontremoli
The Doppler-derived renal resistive index has been used for years in a variety of clinical settings such as the assessment of chronic renal allograft rejection, detection and management of renal artery stenosis, evaluation of progression risk in chronic kidney disease, differential diagnosis in acute and chronic obstructive renal disease, and more recently as a predictor of renal and global outcome in the critically ill patient. More recently, evidence has been accumulating showing that an increased renal resistive index not only reflects changes in intrarenal perfusion but is also related to systemic hemodynamics and the presence of subclinical atherosclerosis, and may thus provide useful prognostic information in patients with primary hypertension...
January 2014: Journal of Hypertension
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"