Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells
We report the case of a 65-year-old man with acute GFR decline to 37 mL/min and uncontrolled high blood pressure. He was suspected for renovascular hypertension and underwent a renal color Doppler ultrasound scan that detected a bilateral atherosclerotic renal artery stenosis. A digital selective an...
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doaj-f71c406c28034d54a0a1edb55c1c438b2021-09-26T00:39:35ZengMDPI AGMedicina1010-660X1648-91442021-09-015794494410.3390/medicina57090944Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem CellsRosario Cianci0Adolfo Marco Perrotta1Antonietta Gigante2Federica Errigo3Claudio Ferri4Eleonora Cianci5Mariadelina Simeoni6Sandro Mazzaferro7Silvia Lai8Nephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyInternal Medicine and Nephrology Unit—San Salvatore Hospital, Department of Clinical Medicine and Public Health, University of L’Aquila, 67100 L’Aquila, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyDepartment of Translational Medical Sciences, University of Campania ‘Luigi Vanvitelli’, 80138 Napoli, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyNephrologic Unit, Department of Translational and Precision Medicine, University of Rome ‘La Sapienza’, 00185 Rome, ItalyWe report the case of a 65-year-old man with acute GFR decline to 37 mL/min and uncontrolled high blood pressure. He was suspected for renovascular hypertension and underwent a renal color Doppler ultrasound scan that detected a bilateral atherosclerotic renal artery stenosis. A digital selective angiography by percutaneous transluminal angioplasty and stenting (PTRAs) was successfully performed. Blood pressure rapidly normalized, GFR increased within a few days, and proteinuria disappeared thereafter. These clinical goals were accompanied by a significant increase of circulating renal stem cells (RSC) and a slight increase of resistive index (RI) in both kidneys. This single observation suggests the need for extensive studies aimed at evaluating the predictive power of RI and RSC in detecting post-ischemic renal repair mechanisms.https://www.mdpi.com/1648-9144/57/9/944percutaneous transluminal renal angioplastyrenal artery stenosisrenovascular hypertensionstaminal renal cells |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rosario Cianci Adolfo Marco Perrotta Antonietta Gigante Federica Errigo Claudio Ferri Eleonora Cianci Mariadelina Simeoni Sandro Mazzaferro Silvia Lai |
spellingShingle |
Rosario Cianci Adolfo Marco Perrotta Antonietta Gigante Federica Errigo Claudio Ferri Eleonora Cianci Mariadelina Simeoni Sandro Mazzaferro Silvia Lai Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells Medicina percutaneous transluminal renal angioplasty renal artery stenosis renovascular hypertension staminal renal cells |
author_facet |
Rosario Cianci Adolfo Marco Perrotta Antonietta Gigante Federica Errigo Claudio Ferri Eleonora Cianci Mariadelina Simeoni Sandro Mazzaferro Silvia Lai |
author_sort |
Rosario Cianci |
title |
Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells |
title_short |
Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells |
title_full |
Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells |
title_fullStr |
Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells |
title_full_unstemmed |
Ischemic Nephropaty: The Role of the Renal Artery Stenosis Revascularization on Renal Stem Cells |
title_sort |
ischemic nephropaty: the role of the renal artery stenosis revascularization on renal stem cells |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X 1648-9144 |
publishDate |
2021-09-01 |
description |
We report the case of a 65-year-old man with acute GFR decline to 37 mL/min and uncontrolled high blood pressure. He was suspected for renovascular hypertension and underwent a renal color Doppler ultrasound scan that detected a bilateral atherosclerotic renal artery stenosis. A digital selective angiography by percutaneous transluminal angioplasty and stenting (PTRAs) was successfully performed. Blood pressure rapidly normalized, GFR increased within a few days, and proteinuria disappeared thereafter. These clinical goals were accompanied by a significant increase of circulating renal stem cells (RSC) and a slight increase of resistive index (RI) in both kidneys. This single observation suggests the need for extensive studies aimed at evaluating the predictive power of RI and RSC in detecting post-ischemic renal repair mechanisms. |
topic |
percutaneous transluminal renal angioplasty renal artery stenosis renovascular hypertension staminal renal cells |
url |
https://www.mdpi.com/1648-9144/57/9/944 |
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