Successful renal autotransplantation in a patient with bilateral renal artery thrombosis

Brunetti, David R.; Harviel, J. Duncan; Sasaki, Truman M.; Adams, Wayne D.; Friedlander, Gérard; Ghaseiman, Reza; Edson, Mitchell; Cabellon, Silverio

doi:10.1016/0090-4295(94)90052-3

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…Brunetti et al reported the avoidance of permanent hemodialysis in six of 12 patients whom he had revascularized. 2 In the present case, the angiography was performed 7 h after the injury; therefore, the kidney might have been repaired if rapid revascularization, such as stenting, had been performed. Hirota reported the success of stenting in bilateral renal artery thrombosis, thus avoiding permanent hemodialysis (unpublished data, 2001).…”

Section: Figmentioning

confidence: 86%

Traumatic renal artery thrombosis with renovascular hypertension

Negoro¹,

Iwamura²,

Oka³

et al. 2004

Int J of Urology

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A 15-year-old boy, who tumbled from a fourth-floor window, was transported to our hospital. Enhanced computed tomography (CT) 1.5 h after the injury showed a non-contrasted right kidney, and a repeat CT 6 h after the injury showed a growing retroperitoneal hematoma. The angiography showed complete obstruction of the right renal artery and bleeding from the subcapsular artery, which was successfully embolized. Renovascular hypertension developed on the second day after the injury; therefore, simple nephrectomy was performed.

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Section: Figmentioning

confidence: 86%

Traumatic renal artery thrombosis with renovascular hypertension

Negoro¹,

Iwamura²,

Oka³

et al. 2004

Int J of Urology

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“…The optimal period for revascularization of thrombosed renal arteries is yet unclear; however, revascularization data from other arterial territories would suggest earlier revascularization for optimal results. Revascularization therapy can be performed endovascularly or surgically based on the timing of diagnosis and patient comorbidities [ 6 , 13 ]. Endovascular revascularization can be performed using intra-arterial streptokinase/urokinase infusion, t-PA power-pulse spray rheolytic thrombectomy and transluminal balloon angioplasty with or without stenting [ 6 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral renal artery thrombosis secondary to acute necrotizing pancreatitis

Thajudeen

Budhiraja

Bracamonte

2013

Clinical Kidney Journal

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Renal artery thrombosis is a rare, but serious and often under-diagnosed condition. We report a case of bilateral renal artery thrombosis secondary to acute necrotizing pancreatitis. A 66-year-old female presented with abdominal pain and acute kidney injury (AKI). A renal biopsy showed organized intraluminal thrombi and a computer tomography scan of the abdomen showed bilateral renal artery thrombosis. Emergent laprotomy showed necrosed pancreas. Doppler studies showed deep vein thrombosis of the lower extremities and internal jugular vein thrombosis. Workup for hypercoagulability was unremarkable. The final diagnosis was AKI secondary to bilateral renal artery thrombosis probably due to hypercoagulability of acute necrotizing pancreatitis.

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“…Novick [ 16] reported successful outcomes in patients with renovascular hypertension who underwent extracorporeal vascular reconstruction and autotransplantation. Brunetti et al [17] also mentioned that renal autotransplantation was the treatment of choice for stable, not critically ill patients.…”

Section: Discussionmentioning

confidence: 99%

Successful Renal Autotrans-plantation with Y-Prosthetic Aortic Replacement in a Patient with Complete Occlusion of Abdominal Aorta and Renal Artery

Yamada¹,

Yaguchi²,

Iijima³

et al. 1995

Urol Int

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Occlusion of the abdominal aorta represents the end stage of an atherosclerotic process and often is associated with stenosis of renal artery inducing renal failure and hypertension. Surgical and medical treatments are indicated to preserve and restore renal function in patients with these conditions. We report herein the first successful renal autotransplantation combined with aortic replacement by Y prosthesis in a patient with complete occlusion of abdominal aorta and bilateral renal arteries, resulting in limb-threatening ischemia and progressive renal failure.

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Successful renal autotransplantation in a patient with bilateral renal artery thrombosis

Cited by 19 publications

References 6 publications

Traumatic renal artery thrombosis with renovascular hypertension

Traumatic renal artery thrombosis with renovascular hypertension

Bilateral renal artery thrombosis secondary to acute necrotizing pancreatitis

Successful Renal Autotrans-plantation with Y-Prosthetic Aortic Replacement in a Patient with Complete Occlusion of Abdominal Aorta and Renal Artery

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