Effect of Unilateral Ureteral Occlusion on Fibrin Deposition in the Kidney and Renal Blood Flow During Intravascular Coagulation in Rat

Abstract

The effect of unilateral ureteral occlusion on fibrin deposition in the kidney and the interrelation of the fibrin deposition and the renal blood flow was studied in rat. Intravascular coagulation in the kidney was induced by infusion of thrombin and inhibition of fibrinolysis with tranexamic acid. The effects unilateral occlusion of the ureter for 1 and 24 h on fibrin deposition and renal blood flow were studied. Fibrin in the kidneys was quantitated by intravenous injection of ¹²⁵I-labelled fibrinogen 24 h before the experiment. The renal blood flow was measured before and after infusion of thrombin by injection of ⁸⁵Sr- and ¹⁴¹Ce-labelled microspheres into the left ventricle. After ureteral occlusion for 1 h the deposition of fibrin in the kidneys was unaffected. After 24 h substantially less fibrin deposition was found in the occluded than in the unoccluded kidney (0.3±0.2 and 5.7±1.6 mg, respectively; p<0.05). Before thrombin infusion the blood flow to the occluded kidney was less than that in the unoccluded kidney (2.1±0.8 and 3.7±1.2 ml/min, 100 g body weight, respectively; p<0.05). The blood flow after infusion of thrombin was equally reduced in both kidneys. The results contradict the hypothesis that vasoconstriction increases the amount of fibrin in the kidneys in thrombin-induced intravascular coagulation.