Flash Pulmonary Edema Manifesting for the First Time after Cardiac Surgery: Case Report

Vohra, Hunaid A.; Osman, Faizel; Singh, Harjot; Vohrah, Anil; Dimitri, Wade R.

doi:10.1532/hsf98.20041121

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Of these patients, 85% had bilateral RAS or a solitary (functioning) kidney. In two out of 12 patients with a unilateral RAS, significant RAS of the contralateral kidney occurred within 6 months ,. The effects of the intervention on the three main endpoints are described separately below.…”

Section: Resultsmentioning

confidence: 99%

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The efficacy of renal angioplasty in patients with renal artery stenosis and flash oedema or congestive heart failure: a systematic review

Berg¹,

Deinum²,

Postma³

et al. 2012

European J of Heart Fail

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AimsRecent randomized controlled trials have reported that angioplasty does not have a beneficial effect compared with pharmacological treatment on blood pressure and renal function in patients with atherosclerotic renal artery stenosis (RAS). We aimed to explore systematically the evidence that angioplasty is effective in subgroups of patients with RAS and either flash pulmonary oedema or congestive heart failure (CHF) and renal insufficiency. Methods and resultsWe searched online databases (PubMed and ClinicalTrials.gov) and references of included articles. We included 25 articles describing 79 patients with RAS and flash oedema and seven articles describing 94 patients with RAS, CHF, and renal insufficiency. According to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, the quality of the evidence was, at best, low. Seventy-six per cent of patients with flash oedema did not have any recurrence after angioplasty. Recurrence of symptoms was associated with either restenosis of the renal artery or cardiac arrhythmias in all patients. In the patients with CHF and renal insufficiency, the severity of heart failure symptoms, expressed as New York Heart Association (NYHA) functional class, improved after angioplasty in all included articles. ConclusionThe evidence included in this systematic review justifies a weak recommendation in favour of angioplasty in patients with atherosclerotic RAS and either flash pulmonary oedema or CHF and renal insufficiency.--

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Section: Resultsmentioning

confidence: 99%

“…The procedure was complicated by in‐stent thrombosis, which was resistant to thrombolysis. Two patients underwent haemodialysis, one after suspected in‐stent thrombosis and one after failure of surgical revascularization ,. In six patients, unsuccessful PTRA was followed by surgical reconstruction ,.…”

Section: Resultsmentioning

confidence: 99%

The efficacy of renal angioplasty in patients with renal artery stenosis and flash oedema or congestive heart failure: a systematic review

Berg¹,

Deinum²,

Postma³

et al. 2012

European J of Heart Fail

View full text Add to dashboard Cite

show abstract

“…Symptoms were improved after revascularization of the renal artery in these cases. (5)(6)(7) Naman Agrawal et al in 2016 described sympathetic crashing acute pulmonary edema as the most severe entity of acute pulmonary edema, which must be treated with noninvasive ventilation and intravenous nitrate started in minutes. (4) In a case report by Catrina Patrício et al in 2014, a 64-year-old woman was reported who was admitted to the emergency department with FPE due to acute severe aortic insufficiency.…”

Section: Discussionmentioning

confidence: 99%