Use of Intrarenal Needle Manometry in Acute Renal Dysfunction Following Renal Transplantation
Intrarenal manometry (IRM) using the Salaman fine-needle technique was routinely performed in 28 renal transplant patients in order to make the differential diagnosis of acute tubular necrosis, cyclosporin nephrotoxocity, and acute rejection. A total of 246 IRM determinations with simultaneous percu...
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| Veröffentlicht in: | Renal failure 1997-01, Vol.19 (2), p.227-230 |
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| container_title | Renal failure |
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| creator | Rodriguez, Candelaria Pinto, Atahualpa Milanes, Carmen Luisa Allende, Violeta Marquez, Carlos Stempel, Carlos Paz-Martinez, Virgilio Weisinger, José R. |
| description | Intrarenal manometry (IRM) using the Salaman fine-needle technique was routinely performed in 28 renal transplant patients in order to make the differential diagnosis of acute tubular necrosis, cyclosporin nephrotoxocity, and acute rejection. A total of 246 IRM determinations with simultaneous percutaneous renal biopsies were obtained in cases of acute renal failure following a renal transplant. Normal IRM values were 21.4 ± 1.3 mm Hg. After collecting the clinical data, cyclosporin levels, ultrasound information, response to therapy, and renal biopsy results, we retrospectively obtained 49 IRM measurements in acute rejection, 9 in cyclosporin nephrotoxicity, and 26 in acute tubular necrosis. The values in acute rejection (41.3 ± 9.5 mm Hg) were significantly different from the normally functioning kidneys, cyclosporin nephrotoxicity, or acute tubular necrosis. The values in cyclosporin nephrotoxicity were slightly elevated when compared to the normal or acute tubular necrosis determinations (p < 0.04) but were still significantly lower than the acute rejection. Our results suggest that IRM represents a useful technique in the approach to the acute renal dysfunction in renal transplant recipients. |
| doi_str_mv | 10.3109/08860229709026282 |
| format | Article |
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A total of 246 IRM determinations with simultaneous percutaneous renal biopsies were obtained in cases of acute renal failure following a renal transplant. Normal IRM values were 21.4 ± 1.3 mm Hg. After collecting the clinical data, cyclosporin levels, ultrasound information, response to therapy, and renal biopsy results, we retrospectively obtained 49 IRM measurements in acute rejection, 9 in cyclosporin nephrotoxicity, and 26 in acute tubular necrosis. The values in acute rejection (41.3 ± 9.5 mm Hg) were significantly different from the normally functioning kidneys, cyclosporin nephrotoxicity, or acute tubular necrosis. The values in cyclosporin nephrotoxicity were slightly elevated when compared to the normal or acute tubular necrosis determinations (p < 0.04) but were still significantly lower than the acute rejection. Our results suggest that IRM represents a useful technique in the approach to the acute renal dysfunction in renal transplant recipients.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.3109/08860229709026282</identifier><identifier>PMID: 9101597</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Cyclosporine - adverse effects ; Cyclosporine - therapeutic use ; Diagnosis, Differential ; Graft Rejection - diagnosis ; Graft Rejection - etiology ; Humans ; Kidney - drug effects ; Kidney Function Tests ; Kidney Transplantation - adverse effects ; Kidney Tubular Necrosis, Acute - diagnosis ; Kidney Tubular Necrosis, Acute - etiology ; Manometry - instrumentation ; Manometry - methods ; Needles ; Sensitivity and Specificity</subject><ispartof>Renal failure, 1997-01, Vol.19 (2), p.227-230</ispartof><rights>1997 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c396t-b4d9346fc97fd02e92ac762ca7d6bb61ecea9953c6c0454ff7a3c076bd2cd88c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/08860229709026282$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/08860229709026282$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,59645,60434,61219,61400</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9101597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodriguez, Candelaria</creatorcontrib><creatorcontrib>Pinto, Atahualpa</creatorcontrib><creatorcontrib>Milanes, Carmen Luisa</creatorcontrib><creatorcontrib>Allende, Violeta</creatorcontrib><creatorcontrib>Marquez, Carlos</creatorcontrib><creatorcontrib>Stempel, Carlos</creatorcontrib><creatorcontrib>Paz-Martinez, Virgilio</creatorcontrib><creatorcontrib>Weisinger, José R.</creatorcontrib><title>Use of Intrarenal Needle Manometry in Acute Renal Dysfunction Following Renal Transplantation</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>Intrarenal manometry (IRM) using the Salaman fine-needle technique was routinely performed in 28 renal transplant patients in order to make the differential diagnosis of acute tubular necrosis, cyclosporin nephrotoxocity, and acute rejection. A total of 246 IRM determinations with simultaneous percutaneous renal biopsies were obtained in cases of acute renal failure following a renal transplant. Normal IRM values were 21.4 ± 1.3 mm Hg. After collecting the clinical data, cyclosporin levels, ultrasound information, response to therapy, and renal biopsy results, we retrospectively obtained 49 IRM measurements in acute rejection, 9 in cyclosporin nephrotoxicity, and 26 in acute tubular necrosis. The values in acute rejection (41.3 ± 9.5 mm Hg) were significantly different from the normally functioning kidneys, cyclosporin nephrotoxicity, or acute tubular necrosis. The values in cyclosporin nephrotoxicity were slightly elevated when compared to the normal or acute tubular necrosis determinations (p < 0.04) but were still significantly lower than the acute rejection. Our results suggest that IRM represents a useful technique in the approach to the acute renal dysfunction in renal transplant recipients.</description><subject>Cyclosporine - adverse effects</subject><subject>Cyclosporine - therapeutic use</subject><subject>Diagnosis, Differential</subject><subject>Graft Rejection - diagnosis</subject><subject>Graft Rejection - etiology</subject><subject>Humans</subject><subject>Kidney - drug effects</subject><subject>Kidney Function Tests</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Kidney Tubular Necrosis, Acute - diagnosis</subject><subject>Kidney Tubular Necrosis, Acute - etiology</subject><subject>Manometry - instrumentation</subject><subject>Manometry - methods</subject><subject>Needles</subject><subject>Sensitivity and Specificity</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMoc05_gBdC_kA1TdukQW-GOh1MBdnAGylpPlxHloykZfTf27ohiOjVCTx5X855ADiP0WUSI3aF8pwgjBlFDGGCc3wAhnGGs4iglB2CYc-j7sPbMTgJYYVQnOUUD8CAxd2T0SF4XwQFnYZTW3vuleUGPisljYJP3Lq1qn0LKwvHoqkVfP3id23QjRV15SycOGPctrIfezb33IaN4bbmPT8FR5qboM72cwQWk_v57WM0e3mY3o5nkUgYqaMylSxJiRaMaomwYpgLSrDgVJKyJLESijOWJYIIlGap1pQnAlFSSixknotkBOJdr_AuBK90sfHVmvu2iFHRmyp-meoyF7vMpinXSn4n9mo6frPjldXOr_nWeSOLmrfGed2dKarQV_9df_0jvlTc1EvROS5WrvGdrPDPcp_wy4rK</recordid><startdate>19970101</startdate><enddate>19970101</enddate><creator>Rodriguez, Candelaria</creator><creator>Pinto, Atahualpa</creator><creator>Milanes, Carmen Luisa</creator><creator>Allende, Violeta</creator><creator>Marquez, Carlos</creator><creator>Stempel, Carlos</creator><creator>Paz-Martinez, Virgilio</creator><creator>Weisinger, José R.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>19970101</creationdate><title>Use of Intrarenal Needle Manometry in Acute Renal Dysfunction Following Renal Transplantation</title><author>Rodriguez, Candelaria ; Pinto, Atahualpa ; Milanes, Carmen Luisa ; Allende, Violeta ; Marquez, Carlos ; Stempel, Carlos ; Paz-Martinez, Virgilio ; Weisinger, José R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-b4d9346fc97fd02e92ac762ca7d6bb61ecea9953c6c0454ff7a3c076bd2cd88c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Cyclosporine - adverse effects</topic><topic>Cyclosporine - therapeutic use</topic><topic>Diagnosis, Differential</topic><topic>Graft Rejection - diagnosis</topic><topic>Graft Rejection - etiology</topic><topic>Humans</topic><topic>Kidney - drug effects</topic><topic>Kidney Function Tests</topic><topic>Kidney Transplantation - adverse effects</topic><topic>Kidney Tubular Necrosis, Acute - diagnosis</topic><topic>Kidney Tubular Necrosis, Acute - etiology</topic><topic>Manometry - instrumentation</topic><topic>Manometry - methods</topic><topic>Needles</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez, Candelaria</creatorcontrib><creatorcontrib>Pinto, Atahualpa</creatorcontrib><creatorcontrib>Milanes, Carmen Luisa</creatorcontrib><creatorcontrib>Allende, Violeta</creatorcontrib><creatorcontrib>Marquez, Carlos</creatorcontrib><creatorcontrib>Stempel, Carlos</creatorcontrib><creatorcontrib>Paz-Martinez, Virgilio</creatorcontrib><creatorcontrib>Weisinger, José R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez, Candelaria</au><au>Pinto, Atahualpa</au><au>Milanes, Carmen Luisa</au><au>Allende, Violeta</au><au>Marquez, Carlos</au><au>Stempel, Carlos</au><au>Paz-Martinez, Virgilio</au><au>Weisinger, José R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Intrarenal Needle Manometry in Acute Renal Dysfunction Following Renal Transplantation</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>1997-01-01</date><risdate>1997</risdate><volume>19</volume><issue>2</issue><spage>227</spage><epage>230</epage><pages>227-230</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><abstract>Intrarenal manometry (IRM) using the Salaman fine-needle technique was routinely performed in 28 renal transplant patients in order to make the differential diagnosis of acute tubular necrosis, cyclosporin nephrotoxocity, and acute rejection. A total of 246 IRM determinations with simultaneous percutaneous renal biopsies were obtained in cases of acute renal failure following a renal transplant. Normal IRM values were 21.4 ± 1.3 mm Hg. After collecting the clinical data, cyclosporin levels, ultrasound information, response to therapy, and renal biopsy results, we retrospectively obtained 49 IRM measurements in acute rejection, 9 in cyclosporin nephrotoxicity, and 26 in acute tubular necrosis. The values in acute rejection (41.3 ± 9.5 mm Hg) were significantly different from the normally functioning kidneys, cyclosporin nephrotoxicity, or acute tubular necrosis. The values in cyclosporin nephrotoxicity were slightly elevated when compared to the normal or acute tubular necrosis determinations (p < 0.04) but were still significantly lower than the acute rejection. Our results suggest that IRM represents a useful technique in the approach to the acute renal dysfunction in renal transplant recipients.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>9101597</pmid><doi>10.3109/08860229709026282</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Renal failure, 1997-01, Vol.19 (2), p.227-230 |
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| source | MEDLINE; Taylor & Francis Journals Complete; Alma/SFX Local Collection |
| subjects | Cyclosporine - adverse effects Cyclosporine - therapeutic use Diagnosis, Differential Graft Rejection - diagnosis Graft Rejection - etiology Humans Kidney - drug effects Kidney Function Tests Kidney Transplantation - adverse effects Kidney Tubular Necrosis, Acute - diagnosis Kidney Tubular Necrosis, Acute - etiology Manometry - instrumentation Manometry - methods Needles Sensitivity and Specificity |
| title | Use of Intrarenal Needle Manometry in Acute Renal Dysfunction Following Renal Transplantation |
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