LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 2 of total 2

Search options

  1. Article: Forty years on haemodialysis with the original arteriovenous fistula.

    Nicolai, Giulia Adriana / Ciavatti, Alessandro / Polverino, Biagio / Tadayyon, Niloufar / Calzavara, Piergianni

    Clinical kidney journal

    2012  Volume 5, Issue 4, Page(s) 377

    Language English
    Publishing date 2012-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2655800-2
    ISSN 2048-8513 ; 2048-8505
    ISSN (online) 2048-8513
    ISSN 2048-8505
    DOI 10.1093/ckj/sfs065
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 6587: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article: The role of color Doppler in acute kidney injury.

    Capotondo, Luigi / Nicolai, Giulia Adriana / Garosi, Guido

    Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica

    2010  Volume 82, Issue 4, Page(s) 275–279

    Abstract: In recent years, echographic studies of the kidney have improved radically due to new technologies which have recently become available. Among these, perhaps the most useful one is the ultrasonographic (US) procedure for the simultaneous laboratory and ... ...

    Abstract In recent years, echographic studies of the kidney have improved radically due to new technologies which have recently become available. Among these, perhaps the most useful one is the ultrasonographic (US) procedure for the simultaneous laboratory and clinical workup of patients affected with acute nephropathic syndromes. However, traditional B-mode ultrasonography lack of sensibility and specificity in identifying and evaluating Acute Kidney Injury (AKI) is well known. Although the most objective measure in the study of different nephropathies remains by far the biopsy, several studies have indicated the usefulness of combining the B-mode ultrasound (US) with echo-color Doppler as a tool in determining intrarenal parenchymal arteries in the for differential diagnosis and predicion of clinical outcomes. In fact, the resistivity index (RI), determined by the formula: IR = (peak systolic velocity)--(end-diastolic or telediastolic velocity)/(peak systolic velocity) can be, after proper technical correction, easily measured at the level of the arcuate arteries or at the interlobar arteries. The final value is the average of 3-5 peaks, consecutively determined for each kidney at the upper pole, in the mesorenal area and also at the lower pole. The variation in normal IR values is < or = 0.70 with the difference diminishing progressively from segmental to interlobar vessels. Acute Kidney Injury (AKI) is perhaps one of the most important areas for the application of the Resistivity Index (RI). The differential diagnosis between prerenal AKI (which is functional and reversible if the cause of hypoperfusion is corrected) and renal AKI (which is organic and mainly caused by tubular necrosis (ATN) or acute interstitial nephritis) is facilitated by measurements of the RI, in addition to the normal clinical laboratory and clinical data. In fact, most pre-renal AKI patients show normal parenchymal vascular flow, with RI < 0.70, whereas those with AKI due to NTA have a reduced parenchymal perfusion, accompanied by elevated RI values, prior to any evidence of abnormal values of creatinine or of oligoanuria. Follow-up of patients with both renal and prerenal AKI by serial monitoring of RI during medical treatment of AKI shows a progressive reduction and ultimately the normalization of RI values of renal parenchymal vessels and often precedes the return to normal kidney function. In post-renal obstructive AKI patients, absolute values of RI > 0.70 on the obstructed kidney and a RI difference (deltaRI) between the two kidneys of > 0.06-0.08 are considered diagnostic of an obstruction. Elevated values of RI are also considered useful in the diagnosis of hemolytic-uremic syndrome (HUS) and are a significant predictor of prognosis: the normalization of IR precedes the return of normal renal functionality. Similarly, measurement of RI in patients with liver disease and normal renal function may help in early detection of latent hepato-renal syndrome. Although the IR is not, strictly speaking, a measure of renal function it may nevertheless be correlated with it especially if elevated arterial resistivity is accompanied by a reduction in renal function itself. Thus, IR may be considered a useful predictive index in specific clinical settings.
    MeSH term(s) Acute Kidney Injury/diagnostic imaging ; Humans ; Ultrasonography, Doppler, Color
    Language English
    Publishing date 2010-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Ui VI Zs.182: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top