Kidney Volume as a Predictor and Modifier of Acute Kidney Injury with Renin-Angiotensin System Inhibitors

We speculate that RAS activation might maintain eGFR by glomerular hyperfiltration in patients with low htTKV. Observed higher incidence of postoperative AKI among RASi users with smaller htTKV for eGFR supports this hypothesis. Withholding RASi before CV surgery might prevent AKI among those with htTKV of 100 ml/m 2 or less.

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Publication Details

Journal
Clinical Journal of the American Society of Nephrology
Published
2025-11-26
DOI
https://doi.org/10.2215/cjn.0000000911
Primary Topic
Acute Kidney Injury Research
Type
article
Field-Weighted Citation Impact
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article

Kidney Volume as a Predictor and Modifier of Acute Kidney Injury with Renin-Angiotensin System Inhibitors

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Kidney Volume as a Predictor and Modifier of Acute Kidney Injury with Renin-Angiotensin System Inhibitors

Takayuki Hamano, Takahisa Kasugai, Yosuke Nakai, Tatsuya Tomonari, Kodai Suzuki, Masashi Mizuno, Yuki Miyaguchi, Miho Murashima, Maki Hiratsuka, Hisao Suda
article en

Abstract

We speculate that RAS activation might maintain eGFR by glomerular hyperfiltration in patients with low htTKV. Observed higher incidence of postoperative AKI among RASi users with smaller htTKV for eGFR supports this hypothesis. Withholding RASi before CV surgery might prevent AKI among those with htTKV of 100 ml/m 2 or less.

Clinical Journal of the American Society of NephrologyVol. 21(3)
Nagoya City University (JP), Nagoya Medical Center (JP), Kindai University (JP), The University of Osaka (JP)
Openalex Percentile: Top 49%
Acute Kidney Injury Research
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