Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27307070
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Endourol
2016 ; 30
(9
): 1004-8
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Using 300 Pretreatment Shock Waves in a Voltage Ramping Protocol Can
Significantly Reduce Tissue Injury During Extracorporeal Shock Wave Lithotripsy
#MMPMID27307070
Connors BA
; Evan AP
; Handa RK
; Blomgren PM
; Johnson CD
; Liu Z
; Lingeman JE
J Endourol
2016[Sep]; 30
(9
): 1004-8
PMID27307070
show ga
PURPOSE: Pretreating a pig kidney with 500 low-energy shock waves (SWs) before
delivering a clinical dose of SWs (2000 SWs, 24?kV, 120 SWs/min) has been shown
to significantly reduce the size of the hemorrhagic lesion produced in that
treated kidney, compared with a protocol without pretreatment. However, since the
time available for patient care is limited, we wanted to determine if fewer
pretreatment SWs could be used in this protocol. As such, we tested if
pretreating with 300 SWs can initiate the same reduction in renal lesion size as
has been observed with 500 SWs. MATERIALS AND METHODS: Fifteen female farm pigs
were placed in an unmodified Dornier HM-3 lithotripter, where the left kidney of
each animal was targeted for lithotripsy treatment. The kidneys received 300 SWs
at 12?kV (120 SWs/min) followed immediately by 2000 SWs at 24?kV (120 SWs/min)
focused on the lower pole. These kidneys were compared with kidneys given a
clinical dose of SWs with 500 SW pretreatment, and without pretreatment. Renal
function was measured both before and after SW exposure, and lesion size analysis
was performed to assess the volume of hemorrhagic tissue injury (% functional
renal volume, FRV) created by the 300 SW pretreatment regimen. RESULTS:
Glomerular filtration rate fell significantly in the 300 SW pretreatment group by
1 hour after lithotripsy treatment. For most animals, low-energy pretreatment
with 300 SWs significantly reduced the size of the hemorrhagic injury (to
0.8%?±?0.4%FRV) compared with the injury produced by a typical clinical dose of
SWs. CONCLUSIONS: The results suggest that 300 pretreatment SWs in a voltage
ramping treatment regimen can initiate a protective response in the majority of
treated kidneys and significantly reduce tissue injury in our model of
lithotripsy injury.
|Animals
[MESH]
|Disease Models, Animal
[MESH]
|Female
[MESH]
|Glomerular Filtration Rate/physiology
[MESH]
|Intraoperative Complications/*prevention & control
[MESH]