Percutaneous intervention of spontaneous renal artery dissection complicated with renal infarction: A case report and literature review

Lee, Sang Hak; Lee, Han Cheol; Oh, Sung Jin; Park, Min Chan; Park, Kyeong Jin; Moon, Yong; Min, Ja Won; Hwang, Eun Ju; Baek, Jeong Eun; Jo, Eun Sun; Jang, Gwang Cheon

doi:10.1002/ccd.10657

Cited by 27 publications

(16 citation statements)

References 13 publications

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“…Many reports have shown the successful use of self-expanding stents to immediately take down the dissecting flap and shorten the duration of ischemia (10,23,24). In situ transcatheter thrombolysis is beneficial in cases of thrombotic occlusion on top of dissection to reconstitute the flow.…”

Section: Discussionmentioning

confidence: 98%

Management of isolated non-traumatic renal artery dissection: report of four cases

et al. 2012

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Section: Discussionmentioning

confidence: 98%

Management of isolated non-traumatic renal artery dissection: report of four cases

et al. 2012

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“…SRAD can also occur in normotensive people, usually after vigorous exercise. This is attributed to the greater degree of stretch on the renal artery leading to intimal tear 10. Renal ultrasound and Doppler have a poor sensitivity for diagnosing SRAD.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous renal infarct heralding bowel ischaemia in an adult male: lessons to learn from a rare clinical association

Pandey¹,

Aggarwal

Kumar

et al. 2018

BMJ Case Reports

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Spontaneous renal artery dissection (SRAD) is a rare entity with less than 200 cases reported in literature. It usually affects middle-aged men and the clinical presentation is non-specific. Many times it is associated with conditions such as hypertension, fibromuscular dysplasia or vasculitides. We report the case of a patient who initially had renal infarct due to SRAD and then progressed to have bowel ischaemia. The renal infarct preceded bowel ischaemia in this patient and to the best of our knowledge this is the first such association reported in literature. Our report emphasises the point that whenever this condition is diagnosed in a patient one should be vigilant for other vascular disorders.

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“…These situations have resulted in a shift towards a more conservative approach to this kind of injury. Recently, there have been encouraging reports about percutaneous revascularization by endovascular stenting in stable patients with unilateral renal artery occlusion [25–28]. …”

Section: Discussionmentioning

confidence: 99%

Renal Artery Injury Secondary to Blunt Abdominal Trauma – Two Case Reports

et al. 2016

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SummaryBackgroundBlunt abdominal trauma is routinely encountered in the Emergency Department. It is one of the main causes of morbidity and mortality amongst the population below the age of 35 years worldwide. Renal artery injury secondary to blunt abdominal trauma however, is a rare occurrence. Here, we present two such cases, encountered in the emergency department sustaining polytrauma following motor vehicle accidents.Case ReportWe hereby report two interesting cases of renal artery injury sustained in polytrauma patients. In these two cases we revealed almost the entire spectrum of findings that one would expect in renal arterial injuries.ConclusionsTraumatic renal artery occlusion is a rare occurrence with devastating consequences if missed on imaging. Emergency radiologists need to be aware of the CT findings so as to accurately identify renal artery injury. This case report stresses the need for immediate CT assessment of polytrauma patients with suspected renal injury, leading to timely diagnosis and urgent surgical or endovascular intervention.

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Percutaneous intervention of spontaneous renal artery dissection complicated with renal infarction: A case report and literature review

Cited by 27 publications

References 13 publications

Management of isolated non-traumatic renal artery dissection: report of four cases

Management of isolated non-traumatic renal artery dissection: report of four cases

Spontaneous renal infarct heralding bowel ischaemia in an adult male: lessons to learn from a rare clinical association

Renal Artery Injury Secondary to Blunt Abdominal Trauma – Two Case Reports

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