ELIMINATION OF GADOLINIUM-DTPA BY PERITONEAL-DIALYSIS

被引:21
作者
DORSAM, J [1 ]
KNOPP, MV [1 ]
SCHAD, L [1 ]
PIESCHE, S [1 ]
CARL, S [1 ]
OESINGMANN, N [1 ]
机构
[1] GERMAN CANC RES CTR,W-6900 HEIDELBERG,GERMANY
关键词
GOADLINIUM-DTPA; MAGNETIC RESONANCE IMAGING; PERITONEAL DIALYSIS; PHARMACOKINETICS;
D O I
10.1093/ndt/10.7.1228
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Magnetic resonance urography (MRU) after i.v. injection of gadolinium-DTPA (0.1 mmol/kg bodyweight) was performed in a patient with transplant dysfunction after renal allograft transplantation. Renal replacement therapy was accomplished by means of peritoneal dialysis. Gadolinium-DTPA concentrations in urine and dialysate were measured repeatedly during a 48-h period with inductively coupled plasma atomic emission spectrometry. The total 24-h creatinine clearance was 10.8 ml/min on day 1 and 13.7 ml/min on day 2. The corresponding total gadolinium clearance was 12.8ml/min and 15.8ml/min respectively. Gadolinium-DTPA was removed from the body through peritoneal dialysis at a mean clearance rate of 5.13 ml/min. Plasma half-life of gadolinium-DTPA was prolonged to 9h. No side-effects due to gadolinium-DTPA were noted. MRU provided a better visualization of the morphology of the urinary tract than scintigraphic studies. By measuring the changes of signal intensity, the gadolinium excretion could be calculated.
引用
收藏
页码:1228 / 1230
页数:3
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