Percutaneous treatment of renal embolism in a patient with flank pain
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 4
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.
Authors and Affiliations
Emrah Acar, Mehmet Fatih Yılmaz, Süleyman Barutçu, Aykun Hakgör, Emine Demiryapan, Muzaffer Kahyaoğlu, Büşra Güvendi, Çetin Geçmen
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