Jeon Yong Sun, Cho Soon Gu, Hong Ki Cheon
Department of Radiology, Inha University College of Medicine, Choong-Gu, Inchon, South Korea.
Cardiovasc Intervent Radiol. 2009 Mar;32(2):333-6. doi: 10.1007/s00270-008-9465-7. Epub 2008 Nov 13.
Spontaneous renal artery dissection (SRAD) is rare and presents a diagnostic and therapeutic challenge. We report a case of a 36-year-old man who had an SRAD-complicated renal infarction. The patient experienced severe unilateral flank pain. Enhanced abdominal computed axial tomography scan showed renal infarction, and urinalysis showed no hematuria. Selective renal angiography was essential to evaluate the extent of dissection and suitability for repair. The patient was treated with catheter-directed thrombolysis and frenal artery stenting.
自发性肾动脉夹层（SRAD）较为罕见，在诊断和治疗方面都具有挑战性。我们报告一例36岁男性患者，其患有并发肾梗死的SRAD。该患者经历了严重的单侧腰痛。腹部增强计算机断层扫描显示肾梗死，而尿液分析未显示血尿。选择性肾血管造影对于评估夹层范围和修复的适用性至关重要。该患者接受了导管定向溶栓和肾动脉支架置入治疗。
