Systemic thrombolysis for bilateral atherosclerotic renal artery occlusion resulting in prolonged recovery of renal function

Combined Endovascular and Open Approach in Renal Salvage for Acute Renal Artery In-stent Thrombosis: The Danger of Undiagnosed Takayasu's Disease

“…Surgical bypass or renal vessel reimplantation are traditional approaches that have been used, based upon a few reports in the literature, to salvage a threatened kidney. 13,14 In recent years, however, thrombolysis has gained significant favor. A few reports relay the success of thrombolytic therapy in cases of acute renal artery occlusion following failed endovascular intervention.…”

“…A few reports relay the success of thrombolytic therapy in cases of acute renal artery occlusion following failed endovascular intervention. 9,14 Of note, complete occlusion of the renal artery does not necessarily imply irreversible renal ischemia for patients with chronic conditions that lead to occlusion as they often generate sufficient collaterals; however, in this case, abrupt occlusion requires emergent intervention to salvage a kidney. 7,15 Currently, there is no preferred invasive intervention for the treatment of renal artery stenosis due to Takayasu's disease.…”