title: Beneficial effects of human atrial natriuretic peptide on renal function in a patient with repeated coronary interventions: a case report.
abstract: Among percutaneous coronary intervention post procedural complications, renal acute dysfunction due to administration of contrast agent is commonly seen in patients with pre-existing renal impairment, especially with co-existent diabetes mellitus and/or congestive heart failure. Although several strategies have been proposed to ameliorate this condition, their effects are inconsistent. A 66-year-old diabetic man at high risk for this complication underwent three distinct percutaneous coronary intervention procedures. Different strategies were used during each intervention to prevent the development of contrast medium-induced nephropathy. Dramatic renal protection was observed with human atrial natriuretic peptide administration or hemofiltration, whereas saline hydration had no apparent effect.
authors.affiliation: Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe.
authors.forename: Oscar Luis
authors.initials: OL
authors.lastname: Paredes
authors.forename: Junya
authors.initials: J
authors.lastname: Shite
authors.forename: Toshiro
authors.initials: T
authors.lastname: Shinke
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Imuro
authors.forename: Ryouhei
authors.initials: R
authors.lastname: Yoshikawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Watanabe
authors.forename: Torn
authors.initials: T
authors.lastname: Ozawa
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Otake
authors.forename: Daisuke
authors.initials: D
authors.lastname: Matsumoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ogasawara
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yokoyama
mesh_terms: D058186:Acute Kidney Injury / Q000517:prevention & control / Q000628:therapy*; D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D009320:Atrial Natriuretic Factor / Q000627:therapeutic use*; D003287:Contrast Media / Q000009:adverse effects*; D003928:Diabetic Nephropathies / Q000150:complications; D006440:Hemofiltration; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008297:Male; D012965:Sodium Chloride
chemical_list: D003287:Contrast Media; D012965:Sodium Chloride; D009320:Atrial Natriuretic Factor