Acute renal infarction in Turkey: a review of 121 cases

Autor: Mehmet Tanrisev, Necmi Eren, Mehmet Nuri Turan, Meltem Gursu, Ekrem Kara, Sena Ulu, Ertugrul Erken, Ali Riza Ucar, Ayca Inci, Bülent Kaya, Can Huzmeli, Kenan Turgutalp, Ilhan Kurultak, Mümtaz Yilmaz, Şafak Şahin, Erhan Tatar, Bilen Onan, Aydin Turkmen, Orcun Altunoren, Abdullah Ozkok, Ercan Turkmen, Saime Paydas, Ozkan Gungor, Ismail Kocyigit, Eray Eroglu, Hakan Akdam, Bülent Huddam, Abdulmecit Yildiz, Ayhan Dogukan, Fatma Betul Guzel, Hikmet Tekce, Egemen Şenel, Zelal Adibelli, Zeki Soypacaci
Přispěvatelé: Tıp Fakültesi, GÜRSU, Meltem, Çukurova Üniversitesi, Uşak Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
Rok vydání: 2018
Předmět:
Adult
Male
Nephrology
medicine.medical_specialty
Etiology
Turkey
Urology
030232 urology & nephrology
Renal function
Infarction
030204 cardiovascular system & hematology
Renal Artery Obstruction
Young Adult
Renal Infarction
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Risk Factors
Internal medicine
medicine
Humans
Case Series
Aged
Retrospective Studies
Aged
80 and over
Creatinine
business.industry
a review of 121 cases-
INTERNATIONAL UROLOGY AND NEPHROLOGY
cilt.50
ss.2067-2072
2018 [EREN N.
Gungor O.
KOÇYİĞİT I.
Guzel F. B.
Erken E.
Altunoren O.
TATAR E.
EROĞLU E.
Senel E.
KAYA B.
et al.
-Acute renal infarction in Turkey]
Acute kidney injury
Retrospective cohort study
Atrial fibrillation
Middle Aged
Acute Kidney Injury
medicine.disease
Thrombosis
Renal infarction
Treatment Outcome
chemistry
Female
business
Glomerular Filtration Rate
Zdroj: International Urology and Nephrology. 50:2067-2072
ISSN: 1573-2584
0301-1623
Popis: PubMed ID: 30251011 Purpose: Renal infarction is a clinical condition which is caused by renal artery occlusion and leads to permanent renal parenchymal damage. In the literature, there are generally case reports on this subject, and few studies that include a large group of patients. Therefore, we aimed to present the data of a large group of patients who were diagnosed with acute renal infarction in our country in this retrospective study. Methods: The data of patients who were diagnosed with acute renal infarction according to clinical and radiological findings in Turkey in the last 3 years were examined. For this purpose, we contacted with more than 40 centers in 7 regions and obtained support from clinically responsible persons. Demographic data of patients, laboratory data at the time of diagnosis, tests performed for etiologic evaluation, given medications, and patients’ clinical status during follow-up were obtained from databases and statistical analysis was performed. Results: One-hundred and twenty-one patients were included in the study. The mean age was 53 ± 1.4 (19–91) years. Seventy-one (58.7%) patients were male, 18 (14.9%) had diabetes, 53 (43.8%) had hypertension, 36 (30%) had atrial fibrillation (AF), and 6 had a history of lupus + antiphospholipid syndrome (APS). Forty-five patients had right renal infarction, 50 patients had left renal infarction, and 26 (21.5%) patients had bilateral renal infarction. The examinations for the ethiologies revealed that, 36 patients had thromboemboli due to atrial fibrillation, 10 patients had genetic anomalies leading to thrombosis, 9 patients had trauma, 6 patients had lupus + APS, 2 patients had hematologic diseases, and 1 patient had a substance abuse problem. Fifty-seven (57%) patients had unknown. The mean follow-up period was 14 ± 2 months. The mean creatinine and glomerular filtration rate (GFR) values at 3 months were found to be 1.65 ± 0.16 mg/dl and 62 ± 3 ml/min, respectively. The final mean creatinine and GFR values were found to be 1.69 ± 0.16 mg/dl and 62 ± 3 ml/min, respectively. Conclusions: Our study is the second largest series published on renal infarction in the literature. More detailed studies are needed to determine the etiological causes of acute renal infarction occurring in patients. © 2018, Springer Nature B.V.
Databáze: OpenAIRE
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