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 |
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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 |
format | Article |
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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 . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMc1414822</identifier><identifier>PMID: 25923573</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>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</subject><ispartof>The New England journal of medicine, 2015-04, Vol.372 (18), p.1775-1776</ispartof><rights>Copyright © 2015 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-e44802f08ea7459a38aead14d3e78b7a403b93e0d5d601e1edb3ea7ae54e427a3</citedby><cites>FETCH-LOGICAL-c419t-e44802f08ea7459a38aead14d3e78b7a403b93e0d5d601e1edb3ea7ae54e427a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMc1414822$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1677402454?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64385,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25923573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Chien-Liang</creatorcontrib><creatorcontrib>Chen, Nai-Ching</creatorcontrib><creatorcontrib>Wang, Jyh-Seng</creatorcontrib><title>Acute Hydrophilic-Polymer Nephropathy and Acute Renal Failure</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><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 . . .</description><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - pathology</subject><subject>Adult</subject><subject>Embolism - etiology</subject><subject>Embolism - pathology</subject><subject>Embolization</subject><subject>Female</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Iliac Artery</subject><subject>Implants</subject><subject>Kidney - blood supply</subject><subject>Kidney - pathology</subject><subject>Kidney Transplantation</subject><subject>Kidneys</subject><subject>Nephropathy</subject><subject>Polymers</subject><subject>Polymers - adverse effects</subject><subject>Renal failure</subject><subject>Stents</subject><subject>Stents - adverse effects</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0E1Lw0AQBuBFFK3Vm2cJ6NHofsxmk4OHUlqr1Cqi57DJTmlK0sTd5JB_70qqeHAuA8PDy_AScsHoLaMyulvNnp5zBgxizg_IiEkhQgAaHZIRpTwOQSXihJw6t6V-GCTH5ITLhAupxIjcT_KuxWDRG1s3m6Is8vC1LvsKbbDCZuOPut30gd6ZYJBvuNNlMNdF2Vk8I0drXTo83-8x-ZjP3qeLcPny8DidLMMcWNKGCBBTvqYxagUy0SLWqA0DI1DFmdJARZYIpEaaiDJkaDLhqUYJCFxpMSZXQ25j688OXZtu6876R1zKIqWAcpDg1c2gcls7Z3GdNraotO1TRtPvrtK_XXl-uQ_tsgrNL_4px4PrAVSVS3e4rf7P-QKv6m37</recordid><startdate>20150430</startdate><enddate>20150430</enddate><creator>Chen, Chien-Liang</creator><creator>Chen, Nai-Ching</creator><creator>Wang, Jyh-Seng</creator><general>Massachusetts Medical Society</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><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20150430</creationdate><title>Acute Hydrophilic-Polymer Nephropathy and Acute Renal Failure</title><author>Chen, Chien-Liang ; Chen, Nai-Ching ; Wang, Jyh-Seng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-e44802f08ea7459a38aead14d3e78b7a403b93e0d5d601e1edb3ea7ae54e427a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acute Kidney Injury - etiology</topic><topic>Acute Kidney Injury - pathology</topic><topic>Adult</topic><topic>Embolism - etiology</topic><topic>Embolism - pathology</topic><topic>Embolization</topic><topic>Female</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>Iliac Artery</topic><topic>Implants</topic><topic>Kidney - blood supply</topic><topic>Kidney - pathology</topic><topic>Kidney Transplantation</topic><topic>Kidneys</topic><topic>Nephropathy</topic><topic>Polymers</topic><topic>Polymers - adverse effects</topic><topic>Renal failure</topic><topic>Stents</topic><topic>Stents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Chien-Liang</creatorcontrib><creatorcontrib>Chen, Nai-Ching</creatorcontrib><creatorcontrib>Wang, Jyh-Seng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Chien-Liang</au><au>Chen, Nai-Ching</au><au>Wang, Jyh-Seng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Hydrophilic-Polymer Nephropathy and Acute Renal Failure</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2015-04-30</date><risdate>2015</risdate><volume>372</volume><issue>18</issue><spage>1775</spage><epage>1776</epage><pages>1775-1776</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>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 . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>25923573</pmid><doi>10.1056/NEJMc1414822</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
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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