Acute Hydrophilic-Polymer Nephropathy and Acute Renal Failure

This letter reports a case of acute kidney injury and hydrophilic polymer emboli to the kidneys after a vascular intervention, findings that suggest that iatrogenic embolization of coating from stents may occur. To the Editor: Hydrophilic coatings are used on intravascular devices to facilitate mani...

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Veröffentlicht in:The New England journal of medicine 2015-04, Vol.372 (18), p.1775-1776
Hauptverfasser: Chen, Chien-Liang, Chen, Nai-Ching, Wang, Jyh-Seng
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container_issue 18
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container_title The New England journal of medicine
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creator Chen, Chien-Liang
Chen, Nai-Ching
Wang, Jyh-Seng
description This letter reports a case of acute kidney injury and hydrophilic polymer emboli to the kidneys after a vascular intervention, findings that suggest that iatrogenic embolization of coating from stents may occur. To the Editor: Hydrophilic coatings are used on intravascular devices to facilitate manipulation and to minimize complications such as vasospasm during a procedure and thrombosis after a procedure. 1 , 2 We report a case of vascular intervention associated with acute renal failure in a 42-year-old woman. In 2009, the patient underwent renal transplantation in which the renal artery was implanted into right external iliac artery. Between January and June 2013, her serum creatinine level increased progressively over a 5-month period, from a baseline value of 1.0 mg per deciliter to 2.2 mg per deciliter (normal range, 0.5 to 1.2 mg per . . .
doi_str_mv 10.1056/NEJMc1414822
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subjects Acute Kidney Injury - etiology
Acute Kidney Injury - pathology
Adult
Embolism - etiology
Embolism - pathology
Embolization
Female
Humans
Iatrogenic Disease
Iliac Artery
Implants
Kidney - blood supply
Kidney - pathology
Kidney Transplantation
Kidneys
Nephropathy
Polymers
Polymers - adverse effects
Renal failure
Stents
Stents - adverse effects
title Acute Hydrophilic-Polymer Nephropathy and Acute Renal Failure
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