Prospective Evaluation of Ipsilateral and Contralateral Renal Blood Flow During Retrograde Intrarenal Surgery

dc.authorscopusid8416588900
dc.authorscopusid36151868000
dc.authorscopusid56084894100
dc.authorscopusid55915823300
dc.authorscopusid55608201600
dc.authorscopusid57221234878
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorAkgül, Murat
dc.contributor.authorÖzçağlayan, Ömer
dc.contributor.authorDoğru, Mücahit
dc.contributor.authorDoğan, Çağrı
dc.contributor.authorAltın, Enes
dc.date.accessioned2022-05-11T14:13:56Z
dc.date.available2022-05-11T14:13:56Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractOBJECTIVES To evaluate the changes of peak systolic velocity(PSV), end-diastolic velocity(EDV), and resistive index(RI) of renal and arcuate arteries at the ipsilateral and contralateral kidneys during the retrograde intrarenal surgery. METHODS The patients who had RIRS for the treatment of renal stones were prospectively included in the study. An experienced radiologist performed doppler ultrasonography of the ipsilateral and contralateral kidney before the surgery just after the anesthesia and at the end of the surgery before stenting. The PSV, EDV, and RI of renal and arcuate arteries at the ipsilateral and contralateral kidneys were measured. RESULTS A total of 53 patients were included in the study. The postoperative mean PSV, EDV, and RI of renal arteries at the ipsilateral and contralateral arteries were similar to preoperative values. The mean PSV and RI of the arcuate arteries at the ipsilateral kidney significantly increased postoperatively (P = 0.032, P = 0.012) The postoperative mean PSV, EDV, and RI of arcuate arteries did not change significantly during the surgery. The age, gender, and flexible ureteroscopy time did not affect the change of renal and arcuate arterial PSV, EDV, and RI at the ipsilateral and contralateral kidneys. CONCLUSION The elevation of intrarenal pressure during RIRS did not change the blood flow at the major arteries of the ipsilateral and contralateral kidneys. On the other hand, there was a significant increase at the RI of the arcuate arteries in the ipsilateral kidney which was proposed to be related to the vasoconstriction of minor vasculature of the kidney. (C) 2021 Elsevier Inc.
dc.identifier.doi10.1016/j.urology.2021.05.015
dc.identifier.endpage82
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.pmid34033825
dc.identifier.scopus2-s2.0-85108319250
dc.identifier.scopusqualityQ2
dc.identifier.startpage77
dc.identifier.urihttps://doi.org/10.1016/j.urology.2021.05.015
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5706
dc.identifier.volume154
dc.identifier.wosWOS:000684934500014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYazıcı, Cenk Murat
dc.institutionauthorAkgül, Murat
dc.institutionauthorÖzçağlayan, Ömer
dc.institutionauthorDoğan, Çağrı
dc.institutionauthorAltın, Enes
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectGender
dc.titleProspective Evaluation of Ipsilateral and Contralateral Renal Blood Flow During Retrograde Intrarenal Surgery
dc.typeArticle

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