Time-course for recovery of renal function after unilateral (single-tract) percutaneous access in the pig

Rajash K. Handa, Lynn R. Willis, Bret A. Connors, Sujuan Gao, Andrew P. Evan, Samuel C. Kim, William W. Tinmouth, James E. Lingeman

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Introduction: The immediate (1-5 hours) response to percutaneous renal access (PERC) in pigs is vasoconstriction in the treated kidney. The present study determined the longer-term (72 hours) consequences of this surgical procedure. Materials and Methods: Adult female pigs were anesthetized, and bilateral glomerular filtration rate (GFR), effective renal plasma flow (ERPF), urine flow rate, and sodium excretion rate were measured before and 1 hour after sham PERC or unilateral, single-tract PERC using a balloon dilator system. Animals were allowed to regain consciousness and were then anesthetized 72 hours later for final measurements of bilateral renal hemodynamic and excretory function together with renal para-aminohippuric acid (PAH) extraction (a measure of tubular organic anion transport efficiency). Results: Bilateral renal hemodynamics were unchanged in the sham-PERC-treated pigs over the 72-hour observation period. In contrast, both GFR and ERPF were reduced by approximately 55% in the PERC-treated kidney within 1 hour of access, and returned to pre-PERC levels within 72 hours. Renal hemodynamics were not significantly altered in the opposite, untreated kidney of the PERC-treated pigs. Renal PAH extraction was decreased in PERC-treated kidneys at 72 hours post-PERC. Both sham-PERC-treated and PERC-treated animals showed similar falls in urine flow rate and sodium excretion rate immediately after treatment and at 72 hours after PERC. Conclusions: Renal vasoconstriction characterized the acute response of the treated kidney to unilateral PERC, whereas impaired tubular function (reduced PAH extraction) with near-normal GFR and ERPF characterizes the later (72 hours) response to PERC.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalJournal of Endourology
Volume24
Issue number2
DOIs
StatePublished - Feb 1 2010

ASJC Scopus subject areas

  • Urology

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