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Postconditioning in major vascular surgery: prevention of renal failure

Overview of attention for article published in Journal of Translational Medicine, January 2015
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Title
Postconditioning in major vascular surgery: prevention of renal failure
Published in
Journal of Translational Medicine, January 2015
DOI 10.1186/s12967-014-0379-7
Pubmed ID
Authors

Peter Aranyi, Zsolt Turoczi, David Garbaisz, Gabor Lotz, Janos Geleji, Viktor Hegedus, Zoltan Rakonczay, Zsolt Balla, Laszlo Harsanyi, Attila Szijarto

Abstract

BackgroundPostconditioning is a novel reperfusion technique to reduce ischemia-reperfusion injuries. The aim of the study was to investigate this method in an animal model of lower limb revascularization for purpose of preventing postoperative renal failure.MethodsBilateral lower limb ischemia was induced in male Wistar rats for 3 hours by infrarenal aorta clamping under narcosis. Revascularization was allowed by declamping the aorta. Postconditioning (additional 10 sec reocclusion, 10 sec reperfusion in 6 cycles) was induced at the onset of revascularization. Myocyte injury and renal function changes were assessed 4, 24 and 72 hours postoperatively. Hemodynamic monitoring was performed by invasive arterial blood pressure registering and a kidney surface laser Doppler flowmeter.ResultsMuscle viability studies showed no significant improvement with the use of postconditioning in terms of ischemic rhabdomyolysis (4 h: ischemia-reperfusion (IR) group: 42.93¿±¿19.20% vs. postconditioned (PostC) group: 43.27¿±¿27.13%). At the same time, renal functional laboratory tests and kidney myoglobin immunohistochemistry demonstrated significantly less expressed kidney injury in postconditioned animals (renal failure index: 4 h: IR: 2.37¿±¿1.43 mM vs. PostC: 0.92¿±¿0.32 mM; 24 h: IR: 1.53¿±¿0.45 mM vs. PostC: 0.77¿±¿0.34 mM; 72 h: IR: 1.51¿±¿0.36 mM vs. PostC: 0.43¿±¿0.28 mM), while systemic hemodynamics and kidney microcirculation significantly improved (calculated reperfusion area: IR: 82.31¿±¿12.23% vs. PostC: 99.01¿±¿2.76%), and arterial blood gas analysis showed a lesser extent systemic acidic load after revascularization (a defined relative base excess parameter: 1st s: IR: 2.25¿±¿1.14 vs. PostC: 1.80¿±¿0.66; 2nd s: IR: 2.14¿±¿1.44 vs. PostC: 2.44¿±¿1.14, 3rd s: IR: 3.99¿±¿3.09 vs. PostC: 2.07¿±¿0.82; 4th s: IR: 3.28¿±¿0.32 vs. PostC: 2.05¿±¿0.56).ConclusionsThe results suggest a protective role for postconditioning in major vascular surgeries against renal complications through a possible alternative release of nephrotoxic agents and exerting a positive effect on hemodynamic stability.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 15 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 20%
Researcher 2 13%
Student > Master 2 13%
Student > Doctoral Student 1 7%
Other 1 7%
Other 1 7%
Unknown 5 33%
Readers by discipline Count As %
Medicine and Dentistry 4 27%
Nursing and Health Professions 2 13%
Biochemistry, Genetics and Molecular Biology 1 7%
Agricultural and Biological Sciences 1 7%
Pharmacology, Toxicology and Pharmaceutical Science 1 7%
Other 0 0%
Unknown 6 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2015.
All research outputs
#15,316,177
of 22,780,165 outputs
Outputs from Journal of Translational Medicine
#2,233
of 3,987 outputs
Outputs of similar age
#209,898
of 352,883 outputs
Outputs of similar age from Journal of Translational Medicine
#65
of 112 outputs
Altmetric has tracked 22,780,165 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,987 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.5. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 352,883 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 112 others from the same source and published within six weeks on either side of this one. This one is in the 20th percentile – i.e., 20% of its contemporaries scored the same or lower than it.