Pennisi I, Meo D, Giordano G, Piana S, Lentini V, Urso S, Lio VMS. Rescue of renal function after endovascular revascularization of acute aorto-renal bypass occlusion in a patient with solitary kidney: a case report.
Radiol Case Rep 2022;
17:2698-2701. [PMID:
35669223 PMCID:
PMC9163584 DOI:
10.1016/j.radcr.2022.04.023]
[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: 02/23/2022] [Revised: 03/30/2022] [Accepted: 04/09/2022] [Indexed: 11/17/2022] Open
Abstract
Renal artery occlusion represents an early diagnostic urgency to prevent kidney injury or, even more grave, kidney failure. However, diagnosis is often a challenge due to nonspecific and sporadic symptoms and signs, resulting in misdiagnosis, missed, or delayed diagnosis. The patient ought to be evaluated by a multidisciplinary team to select the best treatment.
We describe a 62-year-old man's case study. The patient had a left solitary kidney with an aortorenal artery bypass thrombosis. The renal function resumes 24 hours after the interventional radiology procedure. Based on our experience, revascularization of aortorenal artery bypass thrombosis may save renal function even after long ischemia times of over 24 hours.
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