Restoration of Renal Function After Bilateral Renal Artery Occlusion

Autor: Wasser, Walter G., Krakoff, Lawrence R., Haimov, Moshe, Glabman, Sheldon, Mitty, Harold A.
Zdroj: Archives of Internal Medicine; November 1981, Vol. 141 Issue: 12 p1647-1651, 5p
Abstrakt: • Five patients had anuric renal failure caused by occlusion of the main renal arteries. All had a background of controlled hypertension, but in three patients, hypertension accelerated in the months before anuria. Extensive atherosclerotic disease was clinically evident in the peripheral (3/5), coronary (4/5), and cerebral (1/5) vessels. Identifiable precipitating events preceded the development of anuria in four patients. Although the use of renal ultrasonogram and scintiscan was suggestive, angiography was essential to establish the diagnosis after a brief period of maintenance hemodialysis. Renal artery revascularization performed as long as 38 days after the onset of anuria resulted in restoration of kidney function.(Arch Intern Med 1981;141:1647-1651)
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