Endovascular Treatment of Spontaneous Renal Artery Dissection After Failure of Medical Management
| Autor: | Sheila N Blumberg, Mikel Sadek, Gerardo A. Vitiello |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Computed Tomography Angiography Acute failure medicine.medical_treatment 030232 urology & nephrology Dissection (medical) 030204 cardiovascular system & hematology 03 medical and health sciences Renal Artery 0302 clinical medicine Humans Medicine Treatment Failure Ultrasonography Doppler Color Endovascular treatment Anatomic Location business.industry Endovascular Procedures Anticoagulants Stent General Medicine medicine.disease Surgery Aortic Dissection Infarction Disease Progression Radiology Cardiology and Cardiovascular Medicine business Tomography Spiral Computed Renal Infarct Renal artery dissection Rare disease |
| Zdroj: | Vascular and Endovascular Surgery. 51:509-512 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574417723155 |
| Popis: | Spontaneous renal artery dissection (SRAD) is a rare disease with approximately 200 cases reported in the literature. The severity of renal compromise, the anatomic location of the dissection, and the presence of uncontrollable hypertension are used to guide the initial management of SRAD. However, there are no reported guidelines for managing the progression of SRAD after acute failure of medical management. In this case, a 40-year-old man with a recently diagnosed SRAD was managed appropriately with therapeutic anticoagulation, yet presented with progression of his dissection and a new acute renal infarct. A covered endovascular stent was used to successfully control dissection progression and prevent further renal compromise. |
| Databáze: | OpenAIRE |
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