• Title/Summary/Keyword: renal artery

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Renal Action of TNPA, a Dopamine $D_2$Receptor Agonist, in Dog (Dopamine $D_2$Receptor 효능제인 TNPA의 신장작용)

  • 고석태;황명성
    • YAKHAK HOEJI
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    • v.45 no.2
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    • pp.205-213
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    • 2001
  • The dopaminergic receptors were consisted of two distinct subtypes, $D_1$and $D_2$, each having different function. The present study was attempted to investigate the effects of R(-)-2,10,11-trihydroxy-N-n-propylnoraporphine (TNPA), a dopamine $D_2$receptor agonist, on renal function in dog. TNPA (5.0~15.0 $\mu$g/kg), when given into the vein, produced a dose-dependently antidiuresis along with the decrease in osmolar clearance ( $C_{osm}$) and urinary excretion of sodium and potassium ( $E_{Na}$ , and $E_{K}$). It also increased reabsorption rates of sodium and potassium in renal tubules ( $R_{Na}$ , $R_{K}$) without any changes in glomerular filtration rate (GFR), renal plasma flow (RPF) and free water clearance ( $C_{H2o}$). TNPA (0.5~1.5 $\mu$g/kg/min) infused into a renal artery decreased urine flow both in the experimental and the control kidneys. TNPA (1.5~5.0 $\mu$g/kg) administered via the carotid artery also greatly exhibited antidiuresis even at intravenously ineffective doses. Changes of renal function by TNPA given into both the renal artery and the carotid artery were almost the same aspect to those induced by intravenous TNPA. These results obtained from the present study suggest that TNPA produces antidiuresis by increasing the reabsorption rates of electrolytes in renal tubules, mainly distal tubule, through changing of central function.unction.

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Distribution of Renal Artery in the Kidney of Korean Native Cattle (한우신동맥(韓牛腎動脈) 분포(分布)에 관하여)

  • Kim, Chong-Sup
    • Korean Journal of Veterinary Research
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    • v.23 no.2
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    • pp.129-135
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    • 1983
  • The distribution of renal artery of fifty Korean native cattles (100 kidneys) was observed. Vinylite solution was injected into renal artery of ninety specimens for cast preparation. The angiography was prepared in 10 specimens by injecting thirty percent of barium sulfate solution into renal arteries, and then radiographed on a soft X-ray apparatus (Shimadzu Waltes 60). 1. A. renalis arose from the each side of abdominal aorta in the Korean native cattles. 2. The renal arteries were bifurcated into Ramus cranialis and caudalis (91%), and Ramus cranialis, medius and caudalis(9%) which were ramified 1-4 segmental arteries, respectively. 3. The segmental arteries were originated from R. cranialis and R. caudalis (87%), R. medius (9%) and A. renalis (4%). 4. The kidney were divided separately into 5-7 arterial segments by running of the segmental artery into the parenchyma. Among them six segments were mostly frequent(53%). 5. The Arcus arteriosus renalis was observed at 44% of the left kidney and 14% of the right kidney.

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Surgical Treatment of Renovascular Hypertension Due to Primary Arteritis (원발성 동맥염에 의한 신혈관성 고혈압의 외과적 치료 :1례 보고)

  • 김주이
    • Journal of Chest Surgery
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    • v.14 no.2
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    • pp.175-178
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    • 1981
  • Since the first report by Freeman of renal artery repair for renovascular hypertension in 1954, there has been a gradual improvement in the results of renovascular reconstruction. This is case report of renovascular hypertension due to diffuse primary arteritis, which was performed aorto-bllateral renal bypass graft with using of Y -woven dacron graft. This 33 y-o male has complained intermittent headache, facial edema & malignent hypertension symptoms for 1.5 years. He had the history of Rt. B-K amputation due to unhealed wound after trauma of the Rt. great toe about 7 years ago. The abdominal aortography revealed nearly not visualized the Rt. renal artery & severe narrowing of the Lt. renal arterly. During postop. course, Blood pressure was well controlled. At postop. 3rd week, systolic pressure was down to 130-140mmHg But, diastolic pressure was remained to 100-110mmHg. At postop. 30th day, exploration was done due to intestinal obstruction signs. But severe ischemic enteritis was occured due to fibrotic obstruction of the superior mesenteric artery. The next day, he was dead. in spite of Rt. common iliac artery-sup. mesenteric artery bypass graft.

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A Case of Renovascular Hypertension Controlled by Percutaneous Transluminal Renal Angioplasty with Balloon Dilatation (경피적 신동맥 혈관 성형술로 치료한 신혈관 고혈압증 1례)

  • Park, Sung-Woo;Jeong, Su-Ho;Jeong, Young-Sun;Jun, Yong-Hoon;Hong, Young-Jin;Lee, Ji-Eun
    • Childhood Kidney Diseases
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    • v.12 no.1
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    • pp.105-110
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    • 2008
  • Renovascular hypertension results from a lesion that impairs blood flow to a part of or all, of one or both kidneys. Renal artery stenosis is the major cause of renovascular hypertension and the most common cause of treatable secondary hypertension. Recently, percutaneous transluminal renal angioplasty(PTRA) with or without stent placement, has become the preferred choice for correcting symptomatic renal artery stenosis since it is less invasive than surgical reconstruction. PTRA with balloons designed for the dilatation for the dilatation of the coronary artery can be tried in small sized renal artery stenosis. We report a case of renovascular hypertension in a 13-year-old male who had small sized renal artery stenosis. Hypertension was controlled by PTRA with balloon dilatation.

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Balloon Angioplasty in a Pediatric Renal Artery Occlusion (소아 신장 동맥 폐색에서의 풍선 혈관성형술)

  • Song, Hwayoung;Jung, Hye Doo;Kim, Jeong-Eun;Lee, Sang Min;Hong, Wonju;Lee, Kwanseop
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.332-336
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    • 2018
  • Renal artery injury is a rare complication in blunt trauma, but can cause devascularization of the kidney, leading to renal failure. It requires early diagnosis and management. The treatment of renal artery injury still remains controversial, but recent studies have reported the successful treatment outcome with endovascular stent placement. Nevertheless, there is no standard treatment strategy in cases of pediatric patients. We report a case of a 16-year-old girl with right renal artery occlusion associated with a grade IV liver laceration. She was treated with only balloon angioplasty, and the kidney showed marked improvement of parenchymal perfusion with normalized renal function. Treatment with only balloon angioplasty can be a treatment option in pediatric patients with renal artery injury.

Mechanisms of Contraction Induced by Sodium Depletion in the Rabbit Renal Artery

  • Kim, Se-Hoon;Chang, Seok-Jong
    • The Korean Journal of Physiology
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    • v.25 no.2
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    • pp.159-170
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    • 1991
  • In the rabbit renal artery, mechanisms of contraction by sodium depletion were investigated. The helical strips of isolated renal artery were immersed in the Tris-buffered salt solution. The contractions were recorded isometrically using a strain-gauge transducer. Na-free solution (Na was substituted by Li, choline or sucrose) produced contractions which were dependent on the nature of the Na substitutes. Na-free solution (choline) produced the contraction in ouabain-pretreated artery (Na loaded artery) even in the presence of verapamil. The amplitude of the contraction was dependent on the duration of the pretreatment with ouabain $(10\;^5M)$. Monensin potentiated the effect of ouabain on the contraction. Removal of Ca from bathing solution abolished the contraction and the substitution of Sr for Ca produced the contraction. Divalent cations such as Mg, Mn blocked the depolarization-induced contraction, while they had little effect on the Na-free contraction in Na loaded artery. These results suggest that the contraction induced by Na removal is dependent on the cellular Na content and may be caused by Ca influx via the Na-Ca exchange carrier.

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Studies on the Mechanism of Renal Action Induced by Idnzoxan, $\alpha$$_2$-Adrenergic Antagonist, in Dog ($\alpha$$_2$-교감신경 수용체 차단제인 Idazoxan의 신장작용의 기전에 관한 연구)

  • 고석태;강경원
    • Biomolecules & Therapeutics
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    • v.8 no.2
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    • pp.125-131
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    • 2000
  • Idazoxan, $\alpha$$_2$-adrenergic antagonist, produced antidiuretic action by administration into the vein and diuretic action only in ipsilateral kidney by injection into a renal artery in dog. These studies were performed for investigation of mechanism on the renal action induced by idazoxan. Antiduretic action by idazoxan given into vein and diuretic action only in ipsilateral kidney by idazoxan injected into a renal artery were blocked entirely by renal denervation. Antidiuretic action of idazoxan given into the vein was weakened by UK 14,304, $\alpha$$_2$-adrenergic agonist, pretreated into the vein. Above results suggest that antidiuretic action of idazoxan given into the vein is caused by blocking of $\alpha$$_2$-adrenergic receptor, diuretic action only in ipsilateral kidney of idazoxan injected into a renal artery by blocking of $\alpha$$_2$-adrenergic receptor in the kidney.

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Surgical Treatment of Renovascular Hypertension (신혈관성 고혈압의 외과적치료)

  • 박경신
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1487-1491
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    • 1992
  • The renovascular hypertension is a rare disease in which obstructive lesion of renal artery results in hypertension and it is the most common surgically curable form of hypertension. Recently, we experienced two cases of renovascular hypertension treated successfully with resection of the stenotic segment and end-to-side reanastomosis of the renal artery to the aorta in one case, and with resection of the stenotic segment and saphenous vein bypass graft in the other case at the Thoracic & Cardiovascular Surgery, Chungnam National University Hospital. Pathologic examinations revealed fibromuscular dysplasia of the medial layer of the renal artery in both cases

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Takayasu`s Arteritis: A case Report (Takayasu 씨 동맥염 - 치험 1례)

  • 송진천
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.402-406
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    • 1990
  • Recently we have experienced a case of Takayasu’s arteritis involving both common carotid artery, left subclavian artery, left renal artery, and the right pulmonary artery. The patients was 27 year-old female and she was admitted because of neck pain, dizziness and palpitation. Renal artery angioplasty with Griintzig balloon catheter was performed with successful result. And then bypass graft surgery using bifurcated Gore- Text graft was performed with satisfactory result.

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Effects of Renal Denervation and SCH 23390, Dopamine Dl Receptor Antagonist, on Diuretic Action of SKF 81297, Dopamine Dl Receptor Agonist, in Dog (Dopamine Dl Recptor 효능제인 SKF 81297의 이뇨작용에 대한 신장 신경 제거 및 Dopamine Dl Receptor차단제인 SCH 23390의 영향)

  • 고석태;정경희;임동윤
    • Biomolecules & Therapeutics
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    • v.10 no.1
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    • pp.50-58
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    • 2002
  • lt had been reproted previously that (${\pm}$)6-chloro-7,8-dihydroxy-1-phenyl 2,3,4,5-tetra-hydro -lH-3benzazepine (SKF 81297), dopamine $D_1$ receptor agonist, produced diuresis by both Indirect action through central function and direct action being induced in kidney. This study was attempted in order to examine the diuresis mechanism of such SKF 81297 Diuretic action of SKF 81297 given into the vein or the carotid artery was not affected by renal denervation, whereas diuretic action of SKF 81297 administered into a renal artery was blocked completely by renal denervation, and then diuretic action of SKF 81297 injected into carotid artery was inhibited by SCH 23390, dopamine $D_1$ receptor antagonist, given into carotid artery. Above results suggest that indirect diuretic action of SKF 81297 elicites through central dopamine $D_1$ receptor and direct diuresis in kidney by influence of renal nerves.