Nonoperative Management of Acute Spontaneous Renal Artery Dissection

Spontaneous renal artery dissection: three cases and clinical algorithms

“…The rarity and nonspecific presentation of SRAD often lead to a delay in diagnosis. 12 This, in conjunction with frequently complex anatomic lesions secondary to dissection into renal artery branches, can make treatment very challenging. 12 The sequelae of RAD include renal infarction, uncontrolled hypertension Spontaneous renal artery dissection SP Stawicki et al and arterial rupture.…”

“…12 This, in conjunction with frequently complex anatomic lesions secondary to dissection into renal artery branches, can make treatment very challenging. 12 The sequelae of RAD include renal infarction, uncontrolled hypertension Spontaneous renal artery dissection SP Stawicki et al and arterial rupture. 12,23,24 SRAD is most often rightsided, observed in newly hypertensive, young and middle-aged men (mean age approximately 30 years), frequently with underlying atherosclerosis or FMD.…”

“…12 The sequelae of RAD include renal infarction, uncontrolled hypertension Spontaneous renal artery dissection SP Stawicki et al and arterial rupture. 12,23,24 SRAD is most often rightsided, observed in newly hypertensive, young and middle-aged men (mean age approximately 30 years), frequently with underlying atherosclerosis or FMD. 8,11,21,22,[25][26][27] As demonstrated in case no.…”

“…[7][8][9] Therapeutic options used in the treatment of SRAD include watchful waiting, medical treatment of hypertension, endovascular techniques, in vivo or extracorporeal renal artery bypass or repair and partial or complete nephrectomy. 1,[9][10][11][12][13][14] SRAD represents a distinct pathologic entity, different from traumatic and iatrogenic RAD. 15 We present three cases of SRAD as well as a review of the literature.…”

Renal Infarction Due to Spontaneous Renal Artery Dissection in Ehlers-Danlos Syndrome Type IV

“…Anticoagulation is indicated in cases resulting from cardioembolic sources 6 . Management of renal artery dissection resulting in renal infarction is controversial, with conservative management, anticoagulation, and surgical and endovascular revascularization, as described 7 . The use of both unfractionated and low molecular weight heparins is associated with an increased risk of hemorrhagic complications 8,9 .…”