Katayama Rieko, Saito Jun, Katayama Masaaki, Yamagishi Norio, Yamashita Tetsuro, Kato Masaki, Furuhama Kazuhisa
Department of Veterinary Basic Medicine, Iwate University, 3-18-8 Ueda, Morioka, Iwate 020-8550, Japan.
Am J Vet Res. 2012 Sep;73(9):1344-9. doi: 10.2460/ajvr.73.9.1344.
To compare the use of a single-sample method involving IV administration of iodixanol with a multisample method involving inulin for the estimation of glomerular filtration rate (GFR) in cats.
24 cats, including 15 healthy cats and 9 cats with naturally occurring renal diseases.
Each cat was coadministered iodixanol (a nonionic contrast medium; dose providing 40 mg of I/kg) and inulin (50 mg/kg), IV, and blood samples were collected 60, 90, and 120 minutes later. Serum iodixanol and inulin concentrations were determined by means of high-performance liquid chromatography and colorimetry, respectively. Serum urea nitrogen and creatinine concentrations were also measured.
Analysis of the data from healthy cats and cats with naturally occurring renal diseases revealed an excellent correlation between GFR values estimated by the multisample and single-sample methods with iodixanol. Likewise, GFR values estimated from the single-sample method with iodixanol were closely correlated with those calculated from the multisample method with inulin.
For estimation of GFR in cats, use of a single-sample method with iodixanol, instead of a multisample procedure, may be an expedient tool in both clinical and research settings because of its benefits to patient well-being as a result of reduced stress associated with blood sample collection.
比较静脉注射碘克沙醇的单样本法与菊粉多样本法用于估算猫肾小球滤过率(GFR)的情况。
24只猫,包括15只健康猫和9只患有自然发生的肾脏疾病的猫。
每只猫静脉联合注射碘克沙醇(一种非离子型造影剂;剂量为提供40mg碘/千克)和菊粉(50mg/千克),并在60、90和120分钟后采集血样。血清碘克沙醇和菊粉浓度分别通过高效液相色谱法和比色法测定。同时也测量血清尿素氮和肌酐浓度。
对健康猫和患有自然发生的肾脏疾病的猫的数据进行分析发现,碘克沙醇多样本法和单样本法估算的GFR值之间具有极好的相关性。同样,碘克沙醇单样本法估算的GFR值与菊粉多样本法计算的GFR值密切相关。
对于估算猫的GFR,使用碘克沙醇单样本法而非多样本法,在临床和研究环境中可能都是一种便捷的工具,因为它减少了与采血相关的应激,对动物健康有益。