Protektion der ischämischen Niere durch pharmakologische Blockade des Renin-Angiotensin-Systems

Renovascular hypertension: the diagnosis and management of renal ischaemia

“…Additionally an ACE inhibitor (e.g. enalaprilate) can be administered intravenously to reduce the ischaemia‐induced vasoconstrictor effects of angiotensin II and to ameliorate post‐ischaemic reperfusion [ 57]. Shortly before clamping off the renal pedicle, 30 U/kg heparin should be injected intravenously as a bolus to prevent intravascular clotting.…”