Isolated spontaneous renal artery dissection: diagnosis and endovascular management

Peynircioğlu, Bora; Piskinkaya, Serhan; Özer, Çiğdem; Çil, Barbaros; Yorgancioglu, Cem; Arıcı, Mustafa

doi:10.4261/1305-3825.dir.2786-09.1

Cited by 18 publications

(20 citation statements)

References 14 publications

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“…Endovascular procedures are described in several reports and series [40,[45][46][47][48]. In a small series of only three patients with RAD and obstruction of the artery in the setting of trauma, a self-expanding stent was deployed through a guide wire with immediate restoration of blood flow and stable kidney function at 23-30 months of follow-up [45].…”

Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

Evaluation of characteristics, associations and clinical course of isolated spontaneous renal artery dissection

Afshinnia

Sundaram

Rao

et al. 2013

Nephrology Dialysis Transplantation

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Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

Evaluation of characteristics, associations and clinical course of isolated spontaneous renal artery dissection

Afshinnia

Sundaram

Rao

et al. 2013

Nephrology Dialysis Transplantation

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“…Conventional angiography has been known as a definitive diagnostic modality of SRAD, because it can precisely demonstrate the extent and nature of the vascular involvement while identifying potential treatment options [12]. However currently, CTA or magnetic resonance angiography (MRA) has substituted conventional angiography because of their noninvasiveness and accuracy [4]. In this series, we had no problems with the diagnosis and follow up of SRAD using CT.…”

Section: Discussionmentioning

confidence: 86%

“…Endovascular intervention includes placement of self-expanding stents, stents with coiling, and thrombolysis followed by stenting. Good short and long term outcomes of intervention have been reported in few selected cases [1,4,16]. …”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports

Park

Kim

et al. 2016

VSI

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Spontaneous renal artery dissection (SRAD) is a rare disease entity. The diagnosis is usually delayed because clinical presentation is non-specific. We report three cases of symptomatic SRAD complicated by renal infarction which occurred in previously healthy middle-aged male patients. They visited the hospital due to acute abdominal or flank pain. They had no specific underlying disease or trauma history. The laboratory tests and physical examination were normal. They were not suspected of having SRAD initially, but computed tomography (CT) revealed dissection of the renal artery with distal hypoperfusion leading to renal infarction. They were treated conservatively with anticoagulation and/or antiplatelets for 6 months. They had a 6-month regular follow-up with CT, where resolution was confirmed in one patient and all patients remained asymptomatic. These cases emphasize the importance of clinical suspicion of SRAD in previously healthy patients who complain of abdominal pain without specific findings on initial investigation.

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“…In cases of drug-resistant hypertension or progressive renal dysfunction,5 6 percutaneous intervention7 8 has recently emerged as an alternative to surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Renal infarction due to spontaneous dissection of the renal artery: an unusual cause of non-visceral type abdominal pain

Kang

Morgan

2013

BMJ Case Reports

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SUMMARYA 44-year-old man presented with very severe right upper quadrant pain of sudden onset. This was exacerbated by movement but unaffected by food or defaecation. It was continuous-day and night -but resolved over a 1-week period. The physical examination was normal at presentation, by which time the pain had resolved. His white cell count, alanine transaminase and C reactive protein were elevated but normalised after 10 days. An abdominal CT showed low density lesions in the right kidney consistent with segmental infarcts. CT angiogram showed a dissection of the right renal artery. The patient remained asymptomatic and normotensive when reviewed 1 month later. BACKGROUND

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Isolated spontaneous renal artery dissection: diagnosis and endovascular management

Cited by 18 publications

References 14 publications

Evaluation of characteristics, associations and clinical course of isolated spontaneous renal artery dissection

Evaluation of characteristics, associations and clinical course of isolated spontaneous renal artery dissection

Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports

Renal infarction due to spontaneous dissection of the renal artery: an unusual cause of non-visceral type abdominal pain

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