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  • 1
    ISSN: 1432-1912
    Keywords: Key words SHR ; Endothelium-dependent relaxation ; Rat mesenteric vascular bed ; Rat thoracic aorta ; Bradykinin Acetylcholine ; Age dependency
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The present study examined whether alterations of endothelium-dependent vasorelaxation in spontaneously hypertensive rats (SHR) in response to the endothelium-dependent vasodilators acetylcholine and bradykinin ran parallel. We tried to find out the age at which endothelium-dependent vasorelaxation in response to each agonist became impaired and compared three different groups of SHR aged 7, 21 and 51 weeks. To be able to separate hypertension-induced alterations from age-dependent changes age-matched normotensive Wistar rats were included. Endothelium-dependent vasorelaxation was studied in the mesenteric vascular bed precontracted with noradrenaline, a typical resistance vessel, which showed relaxation to both acetylcholine and bradykinin, and the precontracted thoracic aorta, which only responded to acetylcholine. There were major differences in the agonist-dependent vasorelaxation between bradykinin and acetylcholine in SHR as a function of age. A surprising finding was that acetylcholine-induced relaxation was preserved, even slightly improved not only in young SHR (7 weeks) with developing hypertension but also in adult SHR (21 weeks) with established hypertension, which can be interpreted as a compensatory mechanism. As expected, in old SHR (51 weeks) acetylcholine-induced vasorelaxation was impaired as a consequence of the detrimental effects of long-term hypertension on endothelium. The parallel changes observed with acetylcholine in the mesenteric vascular bed and thoracic aorta provided mutual confirmation. In clear contrast to acetylcholine bradykinin-induced vasorelaxation was already impaired in young SHR with developing hypertension suggesting that bradykinin-induced vasorelaxation is either much more sensitive to detrimental effects of (even slightly) increased blood pressure or, more likely, that there is a basic deficiency in the action of bradykinin in SHR. Thus, our study allows to conclude that impairment of acetylcholine-induced endothelium-dependent vasorelaxation in the mesenteric vascular bed of SHR is a secondary phenomenon developing as a consequence of long-term hypertension while the impaired bradykinin-induced vasorelaxation seems to be a primary phenomenon that could be closely related to the development of hypertension.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1569-8041
    Keywords: malignant portal hypertension ; portal vein stent ; transjugular intrahepatic portosystemic stent-shunt procedure(TIPS)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The increase in portal vascular resistance is asignificant complication of metastatic disease to the liver or locallyadvanced cancer, e.g., biliary cancer. Patients and methods: This paper describes the successful palliativetreatment of two cancer patients with portal hypertension presenting with thesymptoms of tense ascites, mesenteric congestion, and severe varicealbleeding. By creating a stent-tract between a hepatic vein and a main branchof the portal vein and/or by placing an extendable stent into the portal vein,the transjugular intrahepatic portosystemic stent-shunt (TIPS) technique wasused to decompress the portovascular system. Results: The TIPS-technique offers a new, safe and effectivepalliation for malignant portal hypertension. In both patients, the symptomsof the portal hypertension disappeared after the procedure. This wasaccompanied by a significant improvement of the patients performance status,allowing an early ambulation. Conclusion: Our findings demonstrate the feasibility andeffectiveness of the TIPS procedure as a minimal invasive treatment for portalvein decompression in selected tumor patients.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Chemie Ingenieur Technik - CIT 67 (1995), S. 1092-1092 
    ISSN: 0009-286X
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Process Engineering, Biotechnology, Nutrition Technology
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Chemie Ingenieur Technik - CIT 69 (1997), S. 1257-1258 
    ISSN: 0009-286X
    Keywords: Chemistry ; Industrial Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Process Engineering, Biotechnology, Nutrition Technology
    Type of Medium: Electronic Resource
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