Comparison of serum iohexol clearance and plasma creatinine clearance in clinically normal horses

Katherine E. Wilson Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24060.

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Jeff R. Wilcke Department of Biomedical Sciences and Pathology, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24060.

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Mark V. Crisman Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24060.

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Daniel L. Ward Department of Biomedical Sciences and Pathology, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24060.

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Harold C. McKenzie Marion DuPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Leesburg, VA 20175.

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W. Kent Scarratt Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24060.

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Abstract

Objective—To determine whether a limited sampling time method based on serum iohexol clearance (Cliohexol) would yield estimates of glomerular filtration rate (GFR) in clinically normal horses similar to those for plasma creatinine clearance (Clcreatinine).

Animals—10 clinically normal adult horses.

Procedures—A bolus of iohexol (150 mg/kg) was administered IV, and serum samples were obtained 5, 20, 40, 60, 120, 240, and 360 minutes after injection. Urinary clearance of exogenous creatinine was measured during three 20-minute periods. The GFR determined by use of serum Cliohexol and plasma Clcreatinine was compared with limits of agreement plots.

Results—Values obtained for plasma Clcreatinine ranged from 1.68 to 2.69 mL/min/kg (mean, 2.11 mL/min/kg). Mean serum Cliohexol was 2.38 mL/min/kg (range, 1.95 to 3.33 mL/min/kg). Limits of agreement plots indicated good agreement between the methods.

Conclusions and Clinical Relevance—Use of serum Cliohexol yielded estimates of GFR in clinically normal adult horses similar to those for plasma Clcreatinine. This study was the first step in the evaluation of the use of serum Cliohexol for estimating GFR in adult horses.

Abstract

Objective—To determine whether a limited sampling time method based on serum iohexol clearance (Cliohexol) would yield estimates of glomerular filtration rate (GFR) in clinically normal horses similar to those for plasma creatinine clearance (Clcreatinine).

Animals—10 clinically normal adult horses.

Procedures—A bolus of iohexol (150 mg/kg) was administered IV, and serum samples were obtained 5, 20, 40, 60, 120, 240, and 360 minutes after injection. Urinary clearance of exogenous creatinine was measured during three 20-minute periods. The GFR determined by use of serum Cliohexol and plasma Clcreatinine was compared with limits of agreement plots.

Results—Values obtained for plasma Clcreatinine ranged from 1.68 to 2.69 mL/min/kg (mean, 2.11 mL/min/kg). Mean serum Cliohexol was 2.38 mL/min/kg (range, 1.95 to 3.33 mL/min/kg). Limits of agreement plots indicated good agreement between the methods.

Conclusions and Clinical Relevance—Use of serum Cliohexol yielded estimates of GFR in clinically normal adult horses similar to those for plasma Clcreatinine. This study was the first step in the evaluation of the use of serum Cliohexol for estimating GFR in adult horses.

Contributor Notes

Dr. Wilson's present address is Mountain View Equine Hospital, 309 Old B & O Rd, Steele's Tavern, VA 24476.

Dr. Ward's present address is Department of Plant Biology and Pathology, School of Environmental and Biological Sciences, Rutgers University, New Brunswick, NJ 08901.

Address correspondence to Dr. Wilson (kew0105@yahoo.com).
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