Evidence map›Paper›PMID 32867158›Full record

ArticleLife (Basel, Switzerland)2020

Histological and SEM Assessment of Blood Stasis in Kidney Blood Vessels after Repeated Intra-Arterial Application of Radiographic Contrast Media.

Philipp Lamby, Alexander Minkow, Stefan Handt, Johannes Falter, Eva-Lotte Schellenberg, Stefanie Graf, Bernhard Hiebl, Silke Haerteis, Ole Gemeinhardt, Anne Krüger-Genge and 6 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 3 countries.

Philipp LambyDepartment of Plastic and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Alexander MinkowInstitute of Micro and Nanomaterials, University of Ulm, 89081 Ulm, Germany.
Stefan HandtInstitute for Pathology, 52146 Bardenberg, Germany.
Johannes FalterDepartment of Plastic and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Eva-Lotte SchellenbergDepartment of Anesthesiology, University of Regensburg, 93053 Regensburg, Germany.
Stefanie GrafDepartment of Plastic and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Bernhard HieblInstitute for Animal Hygiene, Animal Welfare and Farm Animal Behaviour, Virtual Center for Replacement-Complementary Methods to Animal Testing, University of Veterinary Medicine Hannover, 30173 Hannover, Germany.
Silke HaerteisInstitute for Molecular and Cellular Anatomy, University of Regensburg, 93053 Regensburg, Germany.
Ole GemeinhardtCharité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Department of Radiology, Berlin Institute of Health, 10117 Berlin, Germany.
Anne Krüger-GengeDepartment of Immunology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Bernd KlosterhalfenInstitute of Pathology, 52351 Düren, Germany.
Ernst-Michael JungDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Ralf-Peter FrankeCentral Institute for Biomedical Engineering, Department of Biomaterials, University of Ulm, 89069 Ulm, Germany.
Arash MomeniDivision of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA 94304, USA.
Lukas PrantlDepartment of Plastic and Reconstructive Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Friedrich JungInstitute of Biotechnology, Brandenburgische Technische Universität Cottbus-Senftenberg, 01968 Cottbus, Germany.
University Hospital Regensburg · DEUniversität Ulm · DEUniversity of Regensburg · DEBrandenburg University of Technology Cottbus-Senftenberg · DEDalhousie University · CAHumboldt-Universität zu Berlin · DEKrankenhaus Düren · DEStanford Medicine · USUniversity of Veterinary Medicine Hannover, Foundation · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter application of iodinated contrast media (CM), a pronounced deterioration of the microcirculation in skin and myocardium was reported. Clinically, the repeated application of CM, especially, led to an increase of the renal resistance index (RRI). With respect to the transiency of the RRI increase, it is reasonable to assume that the deterioration of blood flow could be due to transient blood stasis caused by reversible morphologic cell alterations due to osmotic discrepancies between CM and human blood. Therefore, the hypothesis was investigated whether CM are able to induce in vivo such blood stasis and cell deformations in the renal vasculature of well-hydrated pigs.

methodsThe in vivo study was performed as a prospective randomized examination to compare the effects of two different CM in 16 pigs (German Landrace). Pigs were randomized to receive either Iodixanol (

resultsIn each of the predefined four categories of vascular diameters, blood stasis were found, but clearly more often after application of Iopromide than after application of Iodixanol (

conclusionsAccording to previous in vitro studies, pathological erythrocyte deformations, such as echinocyte and box-like formation of erythrocytes, were observed also in vivo. In addition, blood stasis and/or thrombi could be detected in histological samples from explanted kidneys from young pigs after repeated in vivo administration of CM. In only a few cases, mural platelet aggregates within minimal fibrin meshes occurred only after the application of Iopromide.

Indexed as

acute kidney injuryelectron microscopyhistopathologyiodinated contrast medianephropathynephrotoxicityrenal pathology

Identifiers

PMID32867158
PMCPMC7554859
OpenAlexW3080282703

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.