Reversal of acute renal failure by kidney revascularisation

Damme, Hendrik Van; Rorive, Georges; Limet, Raymond

doi:10.1016/s1078-5884(96)80041-4

Cited by 14 publications

(8 citation statements)

References 26 publications

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“…Treatment of RAS has shifted from surgical to endovascular procedures in recent years, with 95% of revascularized US Medicare patients undergoing angioplasty/stenting in 1999 [5]. These endovascular techniques have been used with success in acute RAO [2,7,8]. We have shown here that the management of anuric ARF in ARVD demands urgent intervention, but the value of renal revascularization in patients with more chronic presentations (e.g.…”

Section: Discussionmentioning

confidence: 85%

“…The limited literature suggests the more prompt the diagnosis and treatment initiated in anuric ARF, the better the renal outcome. Successful long-term preservation of renal function can be predicted by early intervention [8], absence of pre-existing renal impairment and by anatomic factors, in particular, when bilateral revascularization is necessary. While extreme renal dysfunction generally is predictive of poor long-term outcome in all patients with ARVD, a subset of patients will experience favourable results, even to the extent of rescue from dialysis as in this case.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anuric acute renal failure and pulmonary oedema: A case for urgent action

Chrysochou

Sinha

Chalmers

et al. 2009

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Anuric acute renal failure and pulmonary oedema: A case for urgent action

Chrysochou

Sinha

Chalmers

et al. 2009

International Journal of Cardiology

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“…13 Other studies have found that a significant proportion of patients requiring dialysis preoperatively were liberated following open revascularization (62.5-80%). 14,15 Although major trials have shown that renal artery stenting is not beneficial for RAS, 16,17 case reports demonstrate that angioplasty and stenting can successfully treat patients J o u r n a l P r e -p r o o f with RAO. [18][19][20] Catheter-directed thrombolysis is another alternative that has been shown to produce good angiographic results, but with decreased kidney function over time.…”

Section: Discussionmentioning

confidence: 99%

Hepatorenal bypass resulting in dialysis independence in case of acute renal failure

Zhang

Gaffey

Jackson

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…A second apparent paradox is that the occurrence of rapidly developing anuria can play a protective role, as demonstrated by some reports 54,55 showing a total success rate in recovering renal function in anuric patients, even after several months of dialysis treatment.…”

Section: Mechanism Of Chronic Structural Damagementioning

confidence: 99%

When stenting in renal artery stenosis? Update on pathophysiology of ischemic nephropathy and management strategies

Zuccalà¹,

Rapanà²,

Mandreoli³

2013

Ital J Med

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In recent years, decisions taken on the optimal management of patients with renal artery stenosis have triggered off controversy and debate among clinicians dealing with renovascular disease. The main reason underlying this ongoing controversy may be the heterogeneity of the clinical entities that are normally associated with the umbrella definition of renal artery stenosis. Indeed a causal link between the stenosis and its clinical consequences (i.e. hypertension, renal failure) can often demonstrated in some entities, such as fibromuscular dysplasia, truncal stenosis or arterial stenosis in the transplanted kidney, which can be defined as pure renal artery stenosis. On the contrary, the entity generally called ostial stenosis is a disease of the abdominal aorta where it encroaches the ostium of the renal artery at the end of a long process involving the entire vascular tree. Patients affected by ostial stenosis also suffer from generalized atherosclerosis, and kidney damage is often caused by the atherosclerotic environment with the stenosis acting as an innocent bystander. This may account for the low rate of renal function recovery in subjects with ostial stenosis. In our view, keeping the different entities separate along with a careful understanding of the mechanisms underpinning renal damage, particularly the intrarenal activation of the renin angiotensin system which in turn induces renal inflammation and oxidative stress, may enable clinicians to make the right decisions in regard to revascularization.

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Reversal of acute renal failure by kidney revascularisation

Abstract: Patients with acute renal function deterioration due to ischemia of a single or both kidneys can benefit from prompt revascularisation, with significant recovery of renal function in most of them.

Cited by 14 publications

References 26 publications

Anuric acute renal failure and pulmonary oedema: A case for urgent action

Anuric acute renal failure and pulmonary oedema: A case for urgent action

Hepatorenal bypass resulting in dialysis independence in case of acute renal failure

When stenting in renal artery stenosis? Update on pathophysiology of ischemic nephropathy and management strategies

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