Yan ağrısı olan bir hastada renal embolinin perkütan tedavisi

Abstract

Renal arterial embolism is caused by distal embolization from a cardiac source in the settings of apical aneurism or atrial fibrillation. The clinical presentation of renal arterial embolism can change. Diagnosis is generally delayed due to non-specific symptoms and can be made using duplex ultrasound, contrast enhanced computed tomography, gadolinium enhanced magnetic resonance imaging or renal artery angiogram. The traditional treatment for renal arterial embolism has been anticoagulation and open surgery. In parallel with advances in endovascular technology, percutaneous intra-arterial thrombolysis and mechanical thrombectomy have been used to treat renal arterial embolism. The decision to perform thrombolysis in renal arterial embolism should be individualized to different patients and all the contraindications, both absolute and relatives, should be taken into account. Complications of endovascular treatment of renal arterial embolism include distal embolization, arterial rupture, cardiac events and death. In this paper we present a case about renal embolism treated by endovascular treatment.Keywords: Renal embolism, percutaneous treatment, thrombolytic treatment, atrial fibrillation, cardiac thrombus, computed tomography. Öz Renal arteriyel emboli apikal anevrizma veya atriyal fibrilasyon

Our anesthesia experience in reolytic pharmaco-mechanical thrombectomy performed by AngioJet in pulmonary embolism cases

“…Akut PE tedavisinde, medikal tedavi yanında cerrahi ve perkütan kateter aracılığı ile tedavi seçenekleri de mevcuttur. Bu amaçla özel kateterler ile trombotik tedavi veya ultrasonik endovasküler sistem ile trombolitik ajanlar kullanılabilir (4,5). Perkütan kateter temelli girişimlerin amacı, hızlı bir şekilde pulmoner arter basıncı, sağ ventrikül yüklenmesi ve pulmoner vasküler direnci azaltmak ve perfüzyonu arttırmaktır.…”