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https://www.readbyqxmd.com/read/27170344/clinical-scenarios-in-chronic-kidney-disease-vascular-chronic-diseases
#1
Mario Meola, Sara Samoni, Ilaria Petrucci
Vascular chronic diseases represent one of the leading causes of end-stage renal disease in incident dialysis patients. B-Mode ultrasound (US) and color Doppler (CD) have a high sensitivity and specificity in the diagnosis of vascular chronic diseases. US and CD should be used to identify subjects in the high risk population who are affected by main renal artery stenosis (RAS) and to identify and characterize patients without RAS who have chronic ischemic nephropathy caused by nephroangiosclerosis and/or atheroembolic disease...
2016: Contributions to Nephrology
https://www.readbyqxmd.com/read/27100956/atheroembolization-and-potential-air-embolization-during-aortic-declamping-in-open-repair-of-a-pararenal-aortic-aneurysm-a-case-report
#2
Einar Børre Dregelid, Peer Kåre Lilleng
INTRODUCTION: When ischemic events ascribable to microembolization occur during open repair of proximal abdominal aortic aneurysms, a likely origin of atheroembolism is not always found. PRESENTATION OF CASE: A 78-year old man with enlargement of the entire aorta underwent open repair for a pararenal abdominal aortic aneurysm using supraceliac aortic clamping for 20min. Then the graft was clamped, the supraceliac clamp was removed, and the distal and right renal anastomoses were also completed...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25819195/atherosclerosis-burden-of-the-aortic-valve-and-aorta-and-risk-of-acute-kidney-injury-after-transcatheter-aortic-valve-implantation
#3
COMPARATIVE STUDY
Philippe J van Rosendael, Vasileios Kamperidis, Frank van der Kley, Spyridon Katsanos, Ibtihal Al Amri, Madelien V Regeer, Martin J Schalij, Arend de Weger, Nina Ajmone Marsan, Jeroen J Bax, Victoria Delgado
BACKGROUND: Atheroembolic renal disease, due to dislodgement of cholesterol crystals during maneuvering of a large catheter across the aorta and deployment of the transcatheter prosthesis within a calcified aortic valve, may be one of the pathophysiological mechanisms of acute kidney injury (AKI) complicating transcatheter aortic valve implantation (TAVI). OBJECTIVE: To investigate the association between the atherosclerotic burden and plaque characteristics of the aortic valve and thoracic aorta, evaluated with multidetector CT (MDCT), and the occurrence of AKI after TAVI...
March 2015: Journal of Cardiovascular Computed Tomography
https://www.readbyqxmd.com/read/25340143/contrast-induced-nephropathy-has-to-be-differentiated-from-kidney-injury-due-to-atheroembolic-disease
#4
Hamid Nasri, Muhammed Mubarak
No abstract text is available yet for this article.
2013: Journal of Renal Injury Prevention
https://www.readbyqxmd.com/read/25315722/-skin-and-chronic-kidney-disease
#5
Raffaella Rizzo, Elena Mancini, Antonio Santoro
Kidneys and skin are seldom considered associated, but their relationship is more closer than generally believed. In some immunological diseases (SLE...) and genetic syndromes (tuberous sclerosis, Fabrys disease...) the cutaneous manifestations are integral parts of the clinical picture. In advanced uremia, besides the well-known itching skin lesions, calciphylaxis may appear, a typical example of cutaneous involvement secondary to the metabolic complications (calcium-phosphate imbalance) of the renal disease...
September 2014: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/24734407/a-case-of-dabigatran-associated-acute-renal-failure
#6
Salman T Shafi, Hilmer Negrete, Prakash Roy, Carmen J Julius, Erdal Sarac
Dabigatran is a direct thrombin inhibitor that reduces the risk of systemic embolism in patients with nonvalvular atrial fibrillation. We report a case of an elderly man who developed unexplained rapid decline in renal function 6 weeks after starting dabigatran. A renal biopsy was planned to find out the etiology of acute renal failure, but the patient has significantly prolonged coagulation parameters despite holding medication for 5 days per manufacturer's recommendation. He was started on hemodialysis due to worsening renal function and to ensure dabigatran clearance before renal biopsy...
August 2013: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/24433783/endovascular-strategies-for-treatment-of-embolizing-thoracoabdominal-aortic-lesions
#7
Geetha Jeyabalan, Justin R Wallace, Rabih Antoine Chaer, Steven A Leers, Luke Keith Marone, Michel S Makaroun
OBJECTIVE: Aortic sources of peripheral and visceral embolization remain challenging to treat. The safety of stent graft coverage continues to be debated. This study reports the outcomes of stent coverage of these complex lesions. METHODS: Hospital records were retrospectively reviewed for patients undergoing aortic stenting between 2006 and 2013 for visceral and peripheral embolic disease. Renal function, method of coverage, and mortality after stent grafting were reviewed...
May 2014: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/23543480/effects-of-prednisone-on-biomarkers-of-tubular-damage-induced-by-radiocontrast-in-interventional-cardiology
#8
Flavio Ribichini, Alessia Gambaro, Michele Pighi, Gabriele Pesarini, Pietro Manuel Ferraro, Cecilia Zuppi, Silvia Baroni, Romina Penitente, Valeria Ferrero, Corrado Vassanelli
BACKGROUND: Contrast-induced nephropathy (CI-AKI) is a complication of diagnostic/therapeutic hemodynamic procedures in cardiology, which may also cause renal cholesterolinic atheroembolism. Despite the 
severe clinical impact of these complications, there is no optimal therapy for preventing and treating them. We suggest a short course of high-dose steroids as an effective preventive measure. METHODS: Patients at risk of CI-AKI (n = 38) undergoing cardiovascular procedures were assigned 1:1 to 1 of 2 experimental arms (prednisone+hydration vs...
May 2013: Journal of Nephrology
https://www.readbyqxmd.com/read/23473081/percutaneous-transluminal-renal-angioplasty-remarkably-improved-severe-hypertension-and-renal-function-in-a-patient-with-renal-artery-stenosis-and-postrenal-kidney-failure
#9
Ryo Ishida, Kazumi Komaki, Mayuka Nakayama, Kazuhiro Sonomura, Tsuneyuki Nakanouchi, Yoshio Naya, Yasukiyo Mori, Tetsuro Kusaba
A 69-year-old man was admitted to our hospital with severe hypertension and rapidly worsening renal function. He presented with a 10-year history of chronic renal failure caused by bilateral ureteral obstruction due to retroperitoneal fibrosis. Magnetic resonance angiography and Doppler ultrasonography suggested severe right renal artery stenosis (RAS). Renal angiography revealed 99% stenosis at the ostium of the right renal artery. We performed percutaneous transluminal renal angioplasty (PTRA) with the support of intravascular ultrasound to decrease the amount of contrast agent needed...
2013: Renal Failure
https://www.readbyqxmd.com/read/23396958/color-doppler-sonography-in-the-study-of-chronic-ischemic-nephropathy
#10
M Meola, I Petrucci
In western countries, the risk of cardiovascular disease has increased considerably in recent decades. This trend has been paralleled by an increase in cases of atherosclerotic renal disease, which is related to the improved prognosis of cardiovascular diseases, aging, and the increasing mean age of the general population. It is reasonable to expect that in the near future, there will be a sharp increase in the number of elderly patients with atherosclerotic vascular disease in chronic dialysis programs. The result will be a dramatic rise in the social and economic costs of dialysis that could constitute a true clinical emergency...
June 2008: Journal of Ultrasound
https://www.readbyqxmd.com/read/23169366/cholesterol-atheroembolism-and-combined-treatment-with-steroids-and-iloprost
#11
Ángel M Sevillano-Prieto, Eduardo Hernández-Martínez, Jara Caro-Espada, María Molina-Gómez, Eduardo Gutiérrez-Martínez, Enrique Morales-Ruiz, Ester González-Monte, Manuel Praga-Terente
Cholesterol atheroembolism (CAE) is a systemic disorder whose incidence has increased in recent decades and that presents high morbidity and mortality. Although several therapeutic alternatives have been reported, there is no consensus about the best treatment for this disease. In this paper we report the case of a patient with CAE with skin, bowel and kidney involvement who presented a good response to combined therapy with steroids and prostaglandin analogues. Although there are no conclusive studies, we recommend this therapeutic alternative in the management of CAE with organic failure...
2012: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/23007816/-atheroembolism-renal-disease-diagnosis-and-etiologic-factors
#12
REVIEW
A Granata, M Insalaco, F Di Pietro, S Di Rosa, G Romano, R Scuderi
Atheromatous renal disease is the major cause of renal insufficiency in the elderly, and cholesterol embolism is a manifestation of this disease. Cholesterol embolism occurs in patients suffering from diffuse erosive atherosclerosis, usually after triggering causes, such as aortic surgery, arterial invasive procedures (angiography, left heart catheterization and coronary angioplasty) and anticoagulant or thrombolytic therapy. It is characterized by occlusion of small arteries with cholesterol emboli deriving from eroded atheromatous plaques of the aorta or large feeder arteries...
July 2012: La Clinica Terapeutica
https://www.readbyqxmd.com/read/22843159/-restrospective-analysis-of-the-renal-biopsy-activity-in-piedmont
#13
MULTICENTER STUDY
Cristiana Rollino, Franca Giacchino, Silvana Savoldi, Federico Marazzi, Michela Ferro, Alessandro Amore, Luca Besso, Marco Quaglia, Marco Manganaro, Pier Eugenio Nebiolo, Piero Stratta, Giuseppe Segoloni, Rosanna Coppo
The Piedmont Group of Clinical Nephrology has compared the activity of 18 nephrology centers in the region Piedmont/Valle d'Aosta with regard to renal biopsy (RB). Data on the RBs performed in every nephrology unit, taking into account their entire experience (in some cases spanning more than 30 years), were analyzed. 3396 RBs were performed between 1996 and 2011. Thirty to forty percent were done in patients aged >-65 years (1568 in patients >-65 years, 29 in patients >-85 years). 598 BRs were performed in children over the last 20 years...
July 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/22419233/pitfall-in-nephrology-contrast-nephropathy-has-to-be-differentiated-from-renal-damage-due-to-atheroembolic-disease
#14
REVIEW
Piero Stratta, Cristina Bozzola, Marco Quaglia
INTRODUCTION: The topic of contrast-induced nephropathy (CIN) has been receiving an enormous amount of interest in recent times; however, this review is not a review of what CIN is, but what it is not. METHODS: We will review the main topics demonstrating that the post hoc ergo propter hoc assumption that renal impairment occurring after contrast medium (CM) infusion is necessarily because of it, is wrong, as we are dealing with different diseases, depending on the way the CM is administered and on the type of patient...
May 2012: Journal of Nephrology
https://www.readbyqxmd.com/read/22407515/renal-embolic-protection-devices-improve-blood-flow-after-stenting-for-atherosclerotic-renal-artery-stenosis
#15
Timir K Paul, John H Lee, Christopher J White
OBJECTIVES: We sought to measure angiographic renal frame counts (RFC), as a quantitative angiographic assessment of renal blood flow, to evaluate microvascular compromise due to atheroembolism associated with RAS. BACKGROUND: Atheroembolism associated with renal artery stenting (RAS) has been implicated as a cause for worsening renal function following successful intervention. Use of a distal embolic protection device (EPD) during RAS has been shown to be safe with debris capture in a high percentage of cases...
November 15, 2012: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/21993354/cholesterol-embolization-syndrome
#16
REVIEW
Muhamed Saric, Itzhak Kronzon
PURPOSE OF REVIEW: To describe cholesterol embolization syndrome (CES) and its risk factors, pathophysiology, clinical presentation, diagnosis and treatment. RECENT FINDINGS: To date, no specific diagnostic test (other than biopsy) for CES has been developed. Effective treatments for CES are yet to be developed. SUMMARY: CES (also referred to as cholesterol crystal embolization, atheromatous embolization or atheroembolism) occurs when cholesterol crystals and other contents of an atherosclerotic plaque embolize from a large proximal artery to smaller distal arteries, causing ischemic end-organ damage...
November 2011: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/21805607/feasibility-of-fibernet%C3%A2-embolic-protection-system-in-patients-undergoing-angioplasty-for-atherosclerotic-renal-artery-stenosis
#17
MULTICENTER STUDY
John R Laird, Faramarz Tehrani, Peter Soukas, James D Joye, Gary M Ansel, Krishna Rocha-Singh
OBJECTIVE: To evaluate the procedural safety and filter efficiency of Lumen Biomedical FiberNet® embolic protection system in conjunction with primary stenting of ostial atherosclerotic renal artery lesions. BACKGROUND: There is limited data regarding the utility of distal embolic protection devices in renal artery angioplasty and stenting. METHODS: Patients with angiographically severe (≥70%) renal artery stenosis were prospectively enrolled if one or more inclusion criteria met: resistant hypertension, progressive chronic kidney disease, unexplained heart failure, or flash pulmonary edema...
February 15, 2012: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/21686929/progressive-acute-kidney-injury-following-myocardial-infarction-cholesterol-embolisation
#18
Malvinder S Parmar
Acute kidney injury following acute coronary event can occur from multiple factors, including secondary to volume depletion, poor perfusion because of cardiac dysfunction, secondary to medications such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers or because of aggressive diuretics or use of contrast agents. Atheroembolism (cholesterol embolisation) often occurs following an intervention, such as angiography or revascularisation procedure. An uncommon presentation of atheroembolic renal disease that likely was precipitated by the use of thrombolytics and/or anticoagulation is discussed...
2009: BMJ Case Reports
https://www.readbyqxmd.com/read/21460707/occult-rhabdomyolysis-after-acute-type-a-aortic-dissection
#19
David G Anthony, James Diaz, C Allen Bashour, Doksu Moon, Edward Soltesz
OBJECTIVES: We report a case of a patient presenting with an acute type A aortic dissection who presented with bilateral lower extremity paraplegia and development of rhabdomyolysis of the paraspinal muscles during the postoperative period. This discussion includes presentation, clinical course, diagnosis, and management of this rare complication. DATA SOURCES: Data were collected from the patient's electronic medical record and the hospital radiology database. CONCLUSIONS: Our case describes rhabdomyolysis of the paraspinal muscles occurring after acute type A aortic dissection...
August 2011: Critical Care Medicine
https://www.readbyqxmd.com/read/21166875/renal-function-recovery-in-chronic-dialysis-patients
#20
REVIEW
Jay K Chu, Vaughn W Folkert
Renal function recovery (RFR) from acute kidney injury requiring dialysis occurs at a high frequency. RFR from chronic dialysis, on the other hand, is an uncommon but well-recognized phenomenon, occurring at a rate of 1.0-2.4% according to data from large observational studies. The underlying etiology of renal failure is the single most important predicting factor of RFR in chronic dialysis patients. The disease types with the highest RFR rates are atheroembolic renal disease, systemic autoimmune disease, renovascular diseases, and scleroderma...
November 2010: Seminars in Dialysis
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