Effect of Hydroxyethyl Starch Solution on Incidence of Acute Kidney Injury in Patients Suffering from Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage

Kieninger, Martin; Unbekannt, Daniel; Schneiker, André; Sinner, Barbara; Bele, Sylvia; Prasser, Christopher

doi:10.1007/s12028-016-0265-7

Cited by 4 publications

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“…Intracerebral hemorrhage, cerebral infarction, and SAH remain a dangerous causes of morbidity and mortality among dialysis patients. SAH increases the incidence of acute kidney injury 4 . Acute kidney injury is common in critically ill patients and may contribute to poor outcome and renal functions can be disordered in SAH.…”

Section: Discussionmentioning

confidence: 99%

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New determinants for casual peripheral mechanism of neurogenic lung edema in subarachnoid hemorrhage due to ischemic degeneration of vagal nerve, kidney and lung circuitry. Experimental study

et al. 2019

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Purpose To evaluate whether there is a relationship between renal artery vasospasm related low glomerular density or degeneration and neurogenic lung edema (NLE) following subarachnoid hemorrhage. Methods This study was conducted on 26 rabbits. A control group was formed of five animals, a SHAM group of 5 to which saline and a study group (n=16) injected with homologous blood into the sylvian cisterna. Numbers of degenerated axons of renal branches of vagal nerves, atrophic glomerulus numbers and NLE scores were recorded. Results Important vagal degeneration, severe renal artery vasospasm, intrarenal hemorrhage and glomerular atrophy observed in high score NLE detected animals. The mean degenerated axon density of vagal nerves (n/mm 2 ), atrophic glomerulus density (n/mm 3 ) and NLE scores of control, SHAM and study groups were estimated as 2.40±1.82, 2.20±1.30, 1.80±1.10, 8.00±2.24, 8.80±2.39, 4.40±1.14 and 154.38±13.61, 34.69±2.68 and 12.19±1.97 consecutively. Degenerated vagal axon, atrophic glomerulus and NLE scores are higher in study group than other groups and the differences are statistically meaningful (p<0.001). Conclusion Vagal complex degeneration based glomerular atrophy have important roles on NLE following SAH which has not been extensively mentioned in the literature.

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Section: Discussionmentioning

confidence: 99%

“…Cerebral fat embolism induced by SAH 3 could cause worsened prognosis of NLE because NLE has an important roles on systemic chylomicron embolism. SAH induced vagal lesions cause acute kidney injury 4 . SAH is prevalent causes of morbidity and mortality among dialysis patients.…”

Section: Introductionmentioning

confidence: 99%