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The Effect of Parathyroidectomy on Renal Function, Endothelial Function, and Blood Pressure

Conditions
Hyperparathyroidism
Hypertension
Registration Number
NCT00452049
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Brief Summary

Secondary hyperparathyroidism (HPT) is a known complication of chronic renal failure. Elevated concentrations of parathyroid hormone (PTH) play a role not only in the pathogenesis of renal bone disease, but also in the development of cardiovascular risk factors such as disturbed lipid metabolism, glucose intolerance, and hypertension. HPT is also known to play an important role in the development of structural abnormalities of both large arteries and the heart (left ventricular hypertrophy, interstitial fibrosis). In the last couple of years there has been increasing evidence from animal studies that the endothelium is a target organ of PTH.

Hypothesis: PTH has clinically relevant effects on renal hemodynamics, renal function and endothelial function.

Aims:

1. To evaluate the effect of parathyroidectomy (PTX) on renal hemodynamics in stable renal transplant recipients

2. To evaluate the effect of PTX on endothelial function in stable renal transplant recipients/chronic kidney disease (CKD) stage 5 patients

3. To evaluate the effect of PTX on blood pressure in stable renal transplant recipients/CKD stage 5 patients

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Stable renal transplant recipients/CKD stage 5D patients.
  2. Age between 18 years and 85 years.
  3. Signed informed consent.
  4. PTX scheduled because of severe hyperparathyroidism (day 0)
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University Hopsital Leuven

🇧🇪

Leuven, Belgium

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