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10.4103/0366-6999.152483 http://scihub22266oqcxt.onion/10.4103/0366-6999.152483 C4833977!4833977!25758267     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25758267&cmd=llinks): Failed to open stream: HTTP request failed! 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Decrease of Glomerular Filtration Rate may be Attributed to the Microcirculation Damage in Renal Artery Stenosis |pdf=|usr=}}{{25758267}} gab.com Text Decrease of Glomerular Filtration Rate may be Attributed to the Microcirculation Damage in Renal Artery Stenosis JO: Chin Med J (Engl) http://www.kidney.de/pget.php?&tw=1&pmid=25758267 #FOAvip Background:: The decrease of glomerular filtration rate has been theoretically supposed to be the result of low perfusion in renal artery stenosis (RAS). But the gap between artery stenosis and the glomerular filtration ability is still unclear. Methods:: Patients with selective renal artery angiogram were divided by the degree of renal artery narrowing, level of estimated glomerular filtration rate (eGFR), respectively. The different levels of eGFR, renal microcirculation markers, and RAS severity were compared with each other, to determine the relationships among them. Results:: A total of 215 consecutive patients were enrolled in the prospective cohort study. Concentrations of microcirculation markers had no significant difference between RAS group (RAS ? 50%) and no RAS group (RAS < 50%) or did not change correspondingly to RAS severity. The value of eGFR in RAS group was lower than that in the no RAS group, but it did not decline parallel to the progressive severity of RAS. The microcirculation markers presented integral difference if grouped by different eGFR level with negative tendency, especially that plasma cystatin C (cysC) and urinary microalbumin to creatinine ratio (mACR) increased with the deterioration of eGFR, with strong (r = ?0.713, P < 0.001) and moderate (r = ?0.580, P < 0.001) correlations. In the subgroup analysis of severe RAS (RAS ? 80%), the levels of plasma cysC and urinary mACR demonstrated stronger negative associations with eGFR, (r = ?0.827, P < 0.001) and (r = ?0.672, P < 0.001) correlations, respectively. Conclusions:: Severity of RAS could not accurately predict the value of eGFR, whereas microcirculation impairment may substantially contribute to the glomerular filtration loss in patients with RAS. Twit Text FOAVip Decrease of Glomerular Filtration Rate may be Attributed to the Microcirculation Damage in Renal Artery Stenosis ????Chin Med J (Engl) http://www.kidney.de/pget.php?&tw=1&pmid=25758267 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25758267 #FOAvip English Wikipedia <ref>{{Cite pmid|25758267}}</ref> Decrease of Glomerular Filtration Rate may be Attributed to the Microcirculation Damage in Renal Artery Stenosis #MMPMID25758267 Dong YJ; Huang C; Luo DM; Ye JG; Yang JQ; Li G; Luo JF; Zhou YL Chin Med J (Engl) 2015[Mar]; 128 (6): 750-4 PMID25758267show ga Background:: The decrease of glomerular filtration rate has been theoretically supposed to be the result of low perfusion in renal artery stenosis (RAS). But the gap between artery stenosis and the glomerular filtration ability is still unclear. Methods:: Patients with selective renal artery angiogram were divided by the degree of renal artery narrowing, level of estimated glomerular filtration rate (eGFR), respectively. The different levels of eGFR, renal microcirculation markers, and RAS severity were compared with each other, to determine the relationships among them. Results:: A total of 215 consecutive patients were enrolled in the prospective cohort study. Concentrations of microcirculation markers had no significant difference between RAS group (RAS ? 50%) and no RAS group (RAS < 50%) or did not change correspondingly to RAS severity. The value of eGFR in RAS group was lower than that in the no RAS group, but it did not decline parallel to the progressive severity of RAS. The microcirculation markers presented integral difference if grouped by different eGFR level with negative tendency, especially that plasma cystatin C (cysC) and urinary microalbumin to creatinine ratio (mACR) increased with the deterioration of eGFR, with strong (r = ?0.713, P < 0.001) and moderate (r = ?0.580, P < 0.001) correlations. In the subgroup analysis of severe RAS (RAS ? 80%), the levels of plasma cysC and urinary mACR demonstrated stronger negative associations with eGFR, (r = ?0.827, P < 0.001) and (r = ?0.672, P < 0.001) correlations, respectively. Conclusions:: Severity of RAS could not accurately predict the value of eGFR, whereas microcirculation impairment may substantially contribute to the glomerular filtration loss in patients with RAS. äDecrease of Glomerular Filtration Rate may be Attributed to the Microc(epmc).pdf DeepDyve Pubget Overpricing