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Aprotinin combined with nitric oxide and prostaglandin E1 protects the canine kidney from cardiopulmonary bypass-induced injury☆☆☆
Author(s) -
Lei Du,
Jing Zhou,
Jiali Tang,
Qi An,
Ke Lin,
Xiaodong Wu,
Kaiyu Tao,
Jin Liu
Publication year - 2010
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2010.01.025
Subject(s) - aprotinin , cardiopulmonary bypass , medicine , creatinine , nitric oxide , renal function , platelet activation , anesthesia , platelet , renal blood flow , acute kidney injury , pharmacology
Aprotinin is frequently used to reduce blood loss during cardiac surgery; however, it also causes renal injury. Since aprotinin reduces nitric oxide (NO) and prostaglandin I(2) (PGI(2)), and both cause vasodilation and inhibit activation of neutrophils and platelets, their reduction may be responsible for the injury. This study was to determine whether the combination of aprotinin with NO and prostaglandin E(1) (PGE(1), an analogue of PGI(2)) can attenuate renal injury associated with aprotinin during cardiopulmonary bypass (CPB).

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