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碘化造影剂对不同兔动脉的体外可变效应。

Variable effects of iodinated contrast media on different rabbit arteries in vitro.

作者信息

Rauch D, Drescher P, Knes J M, Madsen P O

机构信息

Department of Surgery, University of Wisconsin, School of Medicine and VA Medical Center, Madison 53705, USA.

出版信息

Urol Res. 1997;25 Suppl 1:S21-3. doi: 10.1007/BF00942043.

DOI:10.1007/BF00942043
PMID:9079752
Abstract

Vasoconstriction caused by iodinated contrast media (CM) has been considered specific for the renal artery only. We examined the vascular effect of CM in rabbit carotid, aorta, renal, iliac, mesenteric and celiac arteries and found that other arteries also respond with a contraction to CM. Isolated arterial rings were exposed to diatrizoate (high osmolar CM), iohexol (low osmolar CM) or glucose solution, and the isometric contraction response was expressed as percentage of an initial KCl control contraction. Diatrizoate evoked contractions of 82% (carotid), 63% (aorta), 30% (renal), 24% (iliac), 28% (mesenteric) and 18% (celiac), respectively. Iohexol caused contractions of 31% (carotid), 24% (aorta), 15% (renal) and 14% (iliac), whereas the mesenteric and celiac arteries were relaxed by iohexol. A high osmolar glucose solution elicited contractions of 78%, 77%, 11%, 27%, 3% and 5%, respectively, in the arteries. CM have contraction potency in arterial vasculature other than the renal artery.

摘要

碘化造影剂(CM)引起的血管收缩一直被认为仅对肾动脉具有特异性。我们研究了CM对兔颈动脉、主动脉、肾动脉、髂动脉、肠系膜动脉和腹腔动脉的血管效应,发现其他动脉对CM也有收缩反应。将离体动脉环暴露于泛影酸盐(高渗CM)、碘海醇(低渗CM)或葡萄糖溶液中,等长收缩反应以初始氯化钾对照收缩的百分比表示。泛影酸盐分别引起颈动脉82%、主动脉63%、肾动脉30%、髂动脉24%、肠系膜动脉28%和腹腔动脉18%的收缩。碘海醇引起颈动脉31%、主动脉24%、肾动脉15%和髂动脉14%的收缩,而肠系膜动脉和腹腔动脉则被碘海醇舒张。高渗葡萄糖溶液分别在这些动脉中引起78%、77%、11%、27%、3%和5%的收缩。CM在肾动脉以外的动脉血管系统中具有收缩效力。

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本文引用的文献

1
Ca2+ and cyclic adenosine monophosphate involvement in radiographic contrast medium-induced renal vasoconstriction.钙离子和环磷酸腺苷参与造影剂诱导的肾血管收缩。
J Vasc Interv Radiol. 1995 Sep-Oct;6(5):813-8. doi: 10.1016/s1051-0443(95)71192-7.
2
Vasoconstriction of isolated arteries induced by angiographic contrast media. A comparison of ionic and non-ionic contrast media iso-osmolar with plasma.血管造影剂诱导的离体动脉血管收缩。与血浆等渗的离子型和非离子型造影剂的比较。
Acta Radiol. 1995 May;36(3):312-6.
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Nephrotoxicity of ionic and nonionic contrast media in 1196 patients: a randomized trial. The Iohexol Cooperative Study.
1196例患者中离子型和非离子型造影剂的肾毒性:一项随机试验。碘海醇合作研究。
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Regulation of prostatic smooth muscle contractility by intracellular second messengers: implications for the conservative treatment of benign prostatic hyperplasia.细胞内第二信使对前列腺平滑肌收缩性的调节:对良性前列腺增生保守治疗的意义。
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Mechanism of the renal response to contrast medium in dogs. Decrease in renal function due to hypertonicity.犬类肾脏对造影剂反应的机制。高渗性导致肾功能下降。
Invest Radiol. 1983 Jan-Feb;18(1):74-80. doi: 10.1097/00004424-198301000-00015.
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Effects of angiographic contrast medium on isolated canine coronary arteries.血管造影剂对离体犬冠状动脉的影响。
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Renal hemodynamic effects of contrast media.造影剂对肾脏血流动力学的影响。
Invest Radiol. 1968 Sep-Oct;3(5):310-7. doi: 10.1097/00004424-196809000-00002.
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Characteristics of response of renal vascular bed to contrast media. Evidence for vasoconstriction induced by renin-angiotensin system.
Invest Radiol. 1970 Nov-Dec;5(6):539-47. doi: 10.1097/00004424-197011000-00021.
10
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Invest Radiol. 1988 Sep;23 Suppl 1:S150-2. doi: 10.1097/00004424-198809001-00023.