Successful treatment by recombinant tissue plasminogen activator of a renal infarction complicating percutaneous transluminal renal angioplasty

Brümmer, Uwe; Bonomini, Mario

doi:10.1093/ndt/16.2.427

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Endovascular procedures should be reserved for patients who do not have prolonged ischemia time with no cortical atrophy and no contraindication to fibrinolytics [ 18 ]. CDT is an established alternative to surgery in acute limb ischemia [ 19 ], and successful cases have been described in ARAT [ 20 , 21 , 22 , 23 , 24 ]. Bleeding complications must be anticipated and weighed against benefits.…”

Section: Discussionmentioning

confidence: 99%

Recovering from a renal vascular catastrophe: Case report

Francisco¹,

Pimenta²,

Martins³

et al. 2023

CNCS

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Renal artery thrombosis is a rare vascular event that precipitates renal infarction. Although in up to one third of cases the etiology is not identified, renal artery lesions, cardioembolism and acquired thrombophilias are the main causes. A bilateral simultaneous idiopathic renal artery thrombosis is an unlikely coincidence. We present two cases of patients with acute bilateral renal artery thrombosis of unknown etiology. Cardiac embolism, acquired thrombophilia and occult neoplasm workups were negative. Both cases were temporarily hemodialysis-dependent and partially recovered renal function under conservative approach with systemic anticoagulation. Recommendations on optimal treatment for renal artery thrombosis are still lacking. We discuss the available options.

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Section: Discussionmentioning

confidence: 99%

Recovering from a renal vascular catastrophe: Case report

Francisco¹,

Pimenta²,

Martins³

et al. 2023

CNCS

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Anuria and cold left leg

Brümmer¹,

Stanziale²,

Toppetti³

et al. 2002

Nephrology Dialysis Transplantation

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Renal arteriography with endovascular ultrasound for the management of renal infarction patients

et al. 2020

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Background Renal infarction (RI) is a rare disease with poor prognosis. Appropriate secondary prevention treatment is essential and requires an exhaustive etiological assessment. We aimed to determine whether invasive endovascular explorations may improve the diagnostic process and change the secondary prevention treatment strategy in RI patients. Methods We report a retrospective observational study of 25 RI patients referred to Tours University Hospital between 2011 and 2018 for etiological investigation including renal arteriography and intravascular ultrasonography (IVUS). We sought for antithrombotic treatment regimen, vital status, bleeding and ischemic outcomes during the median follow-up of 59 months. Results Invasive explorations showed local arterial disease in 14 patients (56%). This led to a diagnosis or change in diagnosis in 9 patients (36%) and to a change in antithrombotic strategy in 56% of cases, with an increased prescription of antiplatelet therapy. No patient died, only two patients (8%) had persistent mild renal insufficiency. One IVUS complication was reported and treated without any significant long-term consequences. Conclusion Invasive endovascular investigations of RI may modify the secondary prevention treatment through a better assessment of the aetiology of RI. Multicentric randomized studies are necessary to advocate the hypothesis that invasive exploration of renal artery can improve long-term prognosis.

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Successful treatment by recombinant tissue plasminogen activator of a renal infarction complicating percutaneous transluminal renal angioplasty

Cited by 3 publications

References 3 publications

Recovering from a renal vascular catastrophe: Case report

Recovering from a renal vascular catastrophe: Case report

Anuria and cold left leg

Renal arteriography with endovascular ultrasound for the management of renal infarction patients

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