Chen Y, Dong H, Jiang X, Che W. Rare complication of subacute renal artery intramural haematoma after renal artery stenting: a case report.
Eur Heart J Case Rep 2019;
3:5430880. [PMID:
31449593 PMCID:
PMC6601150 DOI:
10.1093/ehjcr/ytz014]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Accepted: 03/26/2019] [Indexed: 11/14/2022]
Abstract
Background
Renal artery intramural haematoma (IMH) is a rare cause of renal artery obstruction after stenting. Diagnosis and treatment are difficult as there are only a few cases reported.
Case summary
We present the case of sudden-onset abdominal pain and non-functional kidney 3 days after renal artery stent implantation. Subacute luminal narrowing of the renal artery was initially diagnosed using computed tomography angiography and renal artery angiography, and a final diagnosis of subacute renal artery IMH was made using intravascular ultrasound (IVUS). Subsequently, the patient was treated with percutaneous transluminal angioplasty from far to near and another stent implantation. At the third month follow-up, blood pressure and renal function were normal.
Discussion
This case suggests that IVUS could be useful for qualifying and treating the subacute renal artery IMH.
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