[The significance of use of anti-intrarenal artery spasm in renal allografts with HAR like manifestation].
In the past, severe ischemia of unknown cause in renal allografts after restoration of renal blood flow was regarded as a sign of hyperacute rejection (HAR) or other irreversible lesions, so that the grafts were usually excised during the operation. From January, 1994 to April, 1996, 8 cases of renal allografts with ischemia as described above were encountered in our hospital. Measures of anti-intrarenal artery spasm (IRAS) were taken to those grafts. Except that three grafts of HAR were excised, ischemia disappeared an renal functions recovered in 5 grafts. It suggested that ischemia of the five grafts was caused by IRAS. Thus, IRAS should be taken into account for renal allografts with severe ischemia of unknown cause and early anti-IRAS is essential for the diagnosis and treatment of IRAS.
Huang
C
C
Department of Urology, Xinqiao Hospital, Third Military Medical College, Chongqing.
Zhang
Y
Y
Zhang
Z
Z
D000328:Adult; D000368:Aged; D005260:Female; D006084:Graft Rejection; D006801:Humans; D007269:Injections, Intra-Arterial; D007511:Ischemia / Q000188:drug therapy*; D007668:Kidney / Q000098:blood supply*; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy*; D012077:Renal Artery; D012991:Solanaceous Alkaloids / Q000008:administration & dosage; D014665:Vasodilator Agents / Q000008:administration & dosage
D012991:Solanaceous Alkaloids; D014665:Vasodilator Agents; C003922:anisodamine