Wang Jun, Zhang Yan, Sun Yu-min, Zhou Yun
Department of cardiology, Jing-an District Central Hospital, Shanghai 200040, China.
Cardiovasc Revasc Med. 2013 Sep-Oct;14(5):302-4. doi: 10.1016/j.carrev.2013.03.002. Epub 2013 Apr 24.
Acute renal artery embolism (RAE) is a clinical rare condition and diagnosis of it is often delayed or missed due to both the rarity of the disease and its non-specific clinical presentation. The exact role and optimal timing of endovascular revascularization remain controversial and uncertain. This article discusses a case of acute renal artery embolism caused by atrial fibrillation. Endovascular renal thrombus aspiration combined with local low-dose thrombolysis reversed the renal ischemia with restoration of renal function despite prolonged ischemia.
急性肾动脉栓塞（RAE）是一种临床罕见病症，由于该疾病的罕见性及其非特异性临床表现，其诊断常常延迟或漏诊。血管内血运重建的确切作用和最佳时机仍存在争议且不明确。本文讨论了一例由心房颤动引起的急性肾动脉栓塞病例。尽管存在长时间缺血，但血管内肾血栓抽吸联合局部低剂量溶栓治疗逆转了肾缺血并恢复了肾功能。
