Percutaneous recanalization of recent renal artery occlusions: Report of 10 cases

Boyer, L.; Ravel, A.; Boissier, A; Alexandre, M; Cluzel, P; Baguet, J. C.; Viallet, J. F.

doi:10.1007/bf00192448

Cited by 15 publications

(8 citation statements)

References 17 publications

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“…Some studies found better results in patients with oliguria [18] or with solitary or bilateral stenosis [12,19,20,21]. Recent occlusion of a renal artery also seems to be associated with a good prognosis after technically successful PTRA [22]. We believe that these results support ours since they were obtained in patients whose presentation was largely similar to that in our group B.…”

Section: Discussionsupporting

confidence: 90%

Percutaneous transluminal renal angioplasty in atheroma with renal failure: long-term outcomes in 99 patients

Cognet

Garcier²,

Dranssart

et al. 2001

Eur Radiol

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The aim of this study was to evaluate renal function changes after percutaneous transluminal renal artery angioplasty (PTRA) done to treat atheromatous renal artery stenosis with renal failure. Between 1990 and 1995, PTRA was performed in 99 renal failure patients (creatinine clearance less than 80 ml/min) with atheromatous stenosis of one or more native renal arteries. Indications for PTRA were chronic renal failure with poorly controlled hypertension (group A, 67 patients) or rapidly deteriorating renal function (group B, 32 patients). Renal function changes after PTRA were evaluated based on the percentages of patients with improved, stabilized, and worsened serum creatinine and creatinine clearance values, and on mean differences between final and baseline creatinine clearances. At the end of follow-up (19+/-10 months), group A had a significantly smaller creatinine clearance gain (42.9 ml/min before PTA to 44.5 ml/min after PTA, D=1.6 ml/min, in group A, vs 24.1-28.4 ml/min, D=4.3, in group B, p=0.03), and a significantly smaller percentage of improved patients (36 vs 62%) than group B. Most stenoses in group B either were bilateral or occurred on a solitary kidney ( p=0.001). Percutaneous transluminal renal artery angioplasty combined with aggressive medical treatment may be useful in maintaining or improving renal function, particularly in patients with a recent, sharp deterioration in renal function.

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Section: Discussionsupporting

confidence: 90%

Percutaneous transluminal renal angioplasty in atheroma with renal failure: long-term outcomes in 99 patients

Cognet

Garcier²,

Dranssart

et al. 2001

Eur Radiol

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“…In one of the larger series reviewing 10 patients, Boyer at al found a significant and durable improvement in serum creatinine in the six technically successful percutaneous cases. 11 As already noted, only one similar case of vascular stent placement for SRAD has been reported in the literature. 9 That patient was a 48-year-old healthy man who did have both kidneys present.…”

Section: Discussionmentioning

confidence: 95%

Utility of Percutaneous Treatment in Spontaneous Renal Artery Dissection: Case Report and Review of the Literature

Ullrick

Wojtowycz²

2007

Semin intervent Radiol

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Spontaneous renal artery dissection (SRAD) is a relatively rare entity that has been described in several case reports and small series in the medical literature. The condition is best diagnosed with angiography, with renal ischemia or infarction a common complication. Conservative medical management, surgical intervention, and percutaneous intervention are all discussed in the current literature. However, there is no consensus on which treatment option provides the best clinical outcome. Percutaneous stent placement has only recently been considered as an option for treatment of SRAD. This case report reviews the course of an otherwise healthy patient with a solitary right kidney who had SRAD complicated by renal infarction and was treated by percutaneous renal artery stent placement. Subsequently, we discuss and review the literature on SRAD treatment.

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“…Thrombolitic treatment is recommended to start within first 6 hours of the pain. In new treatment modalities, there are spesific treatment approaches like low dose of intraarterial streptokinase injection and percutane transluminale angioplasty [17,18]. If there is a delay on diagnosis and if thrombolitic/anticoagulant therapy is not started on time, there will be surgical options leading to nephrectomy [19].…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Severe Flank Pain : Renal Infarction

Ersoy¹

2015

J Hematol Thrombo Dis

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Renal infarction is a common clinical problem and often misdiagnosed because the symptoms are subtle. We are presented our patient who applicant with left flank pain and diagnosed renal infarction. 49-year-old male patient has come with 2 days of severe left flank. Pathologic were; left costovertebral angle tenderness, creatinine: 1.3 mg/dL, C reactive protein: 11.4 mg/dL. On Computed Tomography Angiography renal arteries there was no contrast matter transmission to left arcuat artery distale and there were ischemic regions. With renal infarction diagnose, patient was hospitalized. Organized thrombosis seen inside apical left ventricular aneurysm with transesophageal ecocardiography Patient was discharged from hospital with plannings of policlinic controls for INR follow-ups. We want to emphasize that it should be kept in mind that the diagnosis of renal infarction in the clinical management of patients with flank pain.

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Percutaneous recanalization of recent renal artery occlusions: Report of 10 cases

Abstract: Percutaneous recanalization should be proposed in cases of renal artery occlusion, especially to avoid terminal vascular azotemia and dialysis.

Cited by 15 publications

References 17 publications

Percutaneous transluminal renal angioplasty in atheroma with renal failure: long-term outcomes in 99 patients

Percutaneous transluminal renal angioplasty in atheroma with renal failure: long-term outcomes in 99 patients

Utility of Percutaneous Treatment in Spontaneous Renal Artery Dissection: Case Report and Review of the Literature

A Rare Cause of Severe Flank Pain : Renal Infarction

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