Treatment of acute renal artery occlusion after percutaneous transluminal angioplasty

Kazmers, Andris; Moneta, Gregory L.; Harley, J. D.; Goldman, Martin L.; Clowes, Alexander W.

doi:10.1016/s0741-5214(89)70014-8

Cited by 5 publications

(2 citation statements)

References 31 publications

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“…In the last two decades, an increasing number of reports have appeared on the use of selective lytic therapy in the management of these cases. [2][3][4][5][6]8,[10][11][12] In the study of Salam et al, 8 70% of the patients had their renal perfusion restored by lytic therapy, but only 30% recovered normal function of the affected kidney, a result still comparable to surgical revascularization for acute RA occlusion. In fact, in the study published by Ouriel et al 2 of the 13 patients treated surgically, successful restoration of renal function was obtained in only 38%.…”

Section: Discussionmentioning

confidence: 99%

Catheter-Directed Thrombolysis for Acute Renal Artery Thrombosis: Report of 4 Cases

Piffaretti

Riva

Tozzi

et al. 2008

Vasc Endovascular Surg

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Acute renal artery occlusion is a rare but threatening problem; optimal therapeutic treatment remains a challenge, and ultimate outcomes are still to be defined. In the last decades, several reports or short-case experiences have been reported describing the use of selective infusion of lytic agents into renal artery to treat acute occlusion. We report 4 cases of acute renal artery occlusion treated by catheter-directed intraarterial thrombolysis.

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Section: Discussionmentioning

confidence: 99%

Catheter-Directed Thrombolysis for Acute Renal Artery Thrombosis: Report of 4 Cases

Piffaretti

Riva

Tozzi

et al. 2008

Vasc Endovascular Surg

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“…In these cases emergency reconstruction has proved to be an effective and reliable mode of therapy. 22,23 The exact place of extracorporeal reconstruction remains an important issue. It has well been demonstrated that complex renovascular lesions can be successfully treated by in situ techniques including operative dilation.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal renal artery reconstruction for renovascular hypertension

Bockel

Akker

Chang

et al. 1991

Journal of Vascular Surgery

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Extracorporeal reconstruction can be applied to the successful repair of stenoses in the distal renal artery and its hilar branches. This study evaluates the short-and long-term results of extracorporeal renal artery reconstruction in 65 patients, including 5 children, with renovasoxlar hypertension who were treated from 1974 through I989. The mean age of the patients was 37 years (range, 7 to 67 years). The cause of the stenoses was arteriosclerosis in 8 patients, fibrodysplasia in 54 patients, and miscellaneous in 3. Hypertension was severe before treatment with a mean blood pressure of 187/147 mm Hg that was reduced to a mean of 159/102 mm Hg after medical therapy. Ten patients had renal dysfunction. Results were evaluated both at short-term intervals (mean, 7.9 months; 64 patients) and long-term intervals (mean, 5.9 years; 60 patients), after surgery. Blood pressure responses were classified as beneficial (cured/improved) or failures. Anatomic results were evaluated by angiography in 98% of the patients at the short-term interval and in 77% of the patients at the long-term interval. Extracorporeal renal artery surgery was performed on 78 kidneys among 65 patients (unilateral, 45 patients; bilateral, 13 patients; unilateral extracorporeal and contralateral in situ, 7 patients). In most of the cases autologous arterial graft was used for reconstruction. Early in the series one patient died as a result of the operative procedure (1/65, 1.5%). A beneficial blood pressure response occurred in 53 patients (53/65; 82%) at the short-term interval and in 49 patients (49/61; 80%) at the long-term interval, with the average blood pressure at the short-term interval being 138/85 mm Hg and at the long-term interval being 139/85 mm Hg. Renal function improved in all patients with preoperative renal dysfunction. Graft stenosis or occlusion of the main renal artery was neither observed at the shortterm interval nor at the long-term interval. However, residual stenoses were observed in 9 of the 163 reconstructed distal branches (5.5%). Extracorporeal renal artery reconstruction with autologous arterial grafts can be effectively applied to lesions of the distal main renal artery and its hilar branches with durable functional results. (J VAse SURG 1991;13:101-11.) Renal artery reconstruction is widely recognized as the preferred treatment for many forms of renovascular hypertension. Most stenotic lesions can be adequately treated by conventional reconstructive procedures in situ. Occasionally stenoses or aneurysms are present in the distal renal artery and its

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Retrograde Aortic Dissection After Bilateral Iliac Artery Stenting: A Case Report and Review of the Literature

Cisek

McKittrick

1995

Annals of Vascular Surgery

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Treatment of acute renal artery occlusion after percutaneous transluminal angioplasty

Cited by 5 publications

References 31 publications

Catheter-Directed Thrombolysis for Acute Renal Artery Thrombosis: Report of 4 Cases

Catheter-Directed Thrombolysis for Acute Renal Artery Thrombosis: Report of 4 Cases

Extracorporeal renal artery reconstruction for renovascular hypertension

Retrograde Aortic Dissection After Bilateral Iliac Artery Stenting: A Case Report and Review of the Literature

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