Beneficial effects of human atrial natriuretic peptide on renal function in a patient with repeated coronary interventions: a case report.
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.
Paredes
Oscar Luis
OL
Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe.
Shite
Junya
J
Shinke
Toshiro
T
Imuro
Yusuke
Y
Yoshikawa
Ryouhei
R
Watanabe
Satoshi
S
Ozawa
Torn
T
Otake
Hiromasa
H
Matsumoto
Daisuke
D
Ogasawara
Daisuke
D
Yokoyama
Mitsuhiro
M
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
D003287:Contrast Media; D012965:Sodium Chloride; D009320:Atrial Natriuretic Factor