Corticomedullary shunting after ischaemia and reperfusion in the porcine kidney?

Autor: Michael Rehling, Stine Gram Skjøth, Jørgen Frøkiær, Lene Elsebeth Nielsen, Christian Flø, Bente Jespersen, Anna Krarup Keller
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Nephrology, Vol 23, Iss 1, Pp 1-5 (2022)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-022-02780-0
Popis: Abstract Background Renal perfusion may redistribute from cortex to medulla during systemic hypovolaemia and after renal ischaemia for other reasons, but there is no consensus on this matter. We studied renal perfusion after renal ischaemia and reperfusion. Methods Renal perfusion distribution was examined by use of 153Gadolinium-labeled microspheres (MS) after 2 h (hrs) and 4 h ischaemia of the pig kidney followed by 4 h of reperfusion. Intra-arterial injected MS are trapped in the glomeruli in renal cortex, which means that MS are not present in the medulla under normal physiological conditions. Results Visual evaluation after reperfusion demonstrated that MS redistributed from the renal cortex to the medulla in 6 out of 16 pigs (38%) subjected to 4 h ischaemia and in one out of 18 pigs subjected to 2 h ischaemia. Central renal uptake of MS covering the medullary/total renal uptake was significantly higher in kidneys subjected to 4 h ischaemia compared with pigs subjected to 2 h ischaemia (69 ± 5% vs. 63 ± 1%, p
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