Conservative Management of Renal Artery Embolus

Moyer, John D.; Rao, Chadalawada N.; Widrich, Warren C.; Olsson, Carl A.

doi:10.1016/s0022-5347(17)60373-2

Cited by 69 publications

(20 citation statements)

References 21 publications

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“…Treatment with anticoagulation alone has been recommended by some, particularly in those with unilateral embolisms with limited potential for renal salvage. 1,5,6 Open surgical revascularization has been described in patients with embolic occlusions. In a series of patients who underwent surgical embolectomies, embolectomy was successful in the relief of hypertension but was ineffective in the restoration of renal function.…”

Section: Discussionmentioning

confidence: 99%

Acute renal artery occlusion: Presentation, treatment, and outcome

Silverberg

Menes

Rimon

et al. 2016

Journal of Vascular Surgery

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Most patients presenting with acute kidney infarction are managed conservatively. A subset of patients with complete occlusion of the renal artery undergo CDT with good angiographic results. The treated kidney is expected to decrease in size over time, and overall kidney function is expected to decrease compared with baseline. Deterioration in renal function appears to stabilize and does not continue over time. CDT for acute renal artery occlusion is a safe modality of therapy and should be attempted for the purpose of kidney salvage, even in the setting of prolonged ischemia.

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Section: Discussionmentioning

confidence: 99%

Acute renal artery occlusion: Presentation, treatment, and outcome

Silverberg

Menes

Rimon

et al. 2016

Journal of Vascular Surgery

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“…But, this technique is hardly used nowadays because of the associated morbidity and mortality. 9,14 Instead, less-invasive endovascular treatments, such as thrombolysis and aspiration thrombectomy, have been introduced. 3e8…”

Section: Discussionmentioning

confidence: 99%

Long-Term Follow-Up Results of Acute Renal Embolism after Anticoagulation Therapy

Yun

2015

Annals of Vascular Surgery

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“…The former is generally favored as surgery has a higher mortality rate and does not result in better outcomes. 20 Both systemic and local intraarterial thrombolysis have been successful in producing clot lysis. Local infusion minimizes systemic bleeding and is the preferred approach.…”

Section: Discussionmentioning

confidence: 99%

Renal Artery Embolism

et al. 2008

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Renal artery embolism was first described in 1940, but it is only recently becoming recognized as a clinically significant entity. Although relatively uncommon, it is clearly responsible for considerable morbidity in patients who experience it. The pathogenesis is typically related to cardiac thrombus formation with subsequent embolization, although other etiologies have been described. The authors present a case report followed by a review of the literature to highlight the clinical characteristics of this phenomena. Presentation, diagnostics, and treatment options will be reviewed with the aim of increasing awareness of renal artery embolism. As clinicians become more familiar with this condition, they will be more likely to consider it as a possible diagnosis in patients with a typical presentation. This will hopefully lead to improved care through prompt diagnosis and treatment, particularly as one treatment option may be time sensitive.

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Conservative Management of Renal Artery Embolus

Cited by 69 publications

References 21 publications

Acute renal artery occlusion: Presentation, treatment, and outcome

Acute renal artery occlusion: Presentation, treatment, and outcome

Long-Term Follow-Up Results of Acute Renal Embolism after Anticoagulation Therapy

Renal Artery Embolism

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