M.A.S Forum Senior
Topics: 28 Posts: 56
| | 05/30/04 - 06:53 AM  
 
   
 
|   #1 |
In patient who has stenosis in the renal artery of a transplated kidney, can ACEI cause ARF?
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| tess Forum Guru
Topics: 131 Posts: 368
| | 05/30/04 - 08:12 AM  
 
   
 
|   #2 |
bilateral renal stenosis is contraindicated for use of ACEI, this is what i remember. Correct me if not so, thanks.
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| xmihaela Forum Junior
Topics: 1 Posts: 51
| | 05/30/04 - 09:01 PM  
 
   
 
|   #3 |
You are right tess, but the issue here is "stenosis in the renal artery of a transplanted kidney" and YES ACEI cause ARF in a patient who has stenosis in the renal artery of a transplanted kidney.
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| Dot Forum Senior
Topics: 1 Posts: 168
| | 05/31/04 - 01:13 AM  
 
   
 
|   #4 |
Always bilatral stenosis results into ARF.Unilatral stenosis does not lads to ARf.I think u should look at the qus
___________________ have fun
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| xmihaela Forum Junior
Topics: 1 Posts: 51
| | 05/31/04 - 11:46 AM  
 
   
 
|   #5 |
Probably you are right, dut i think in transplant 1 kidney= 1 artery ( " Renal graft artery stenosis should be excuded before the initiation of ACEI or ARB therapy and careful monitoring of renal function in the first weeks following treatement should be performed" Transplat Trends Vol.6 No.2 2nd issue 2004 http://www.fujisawa.com/medinfo/ce/trans_trends/6...)
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| Idiopathic Forum Guru
Topics: 19 Posts: 641
| | 05/31/04 - 12:25 PM  
 
   
 
|   #6 |
If you have unilateral renal artery stenosis and you give an ACE-I, you can get kidney failure isolated to that kidney. Bilateral renal artery stenosis, combined with ACE-I, is life-threatening, as you will have complete kidney shutdown.
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