Karakurt Ahmet
Department of Cardiology, Faculty of Medicine, Kafkas University, Kars, Turkey.
Case Rep Nephrol. 2018 May 2;2018:1609025. doi: 10.1155/2018/1609025. eCollection 2018.
Renal artery thromboembolism (RATE) is an uncommon complication of renal arteries from heart chamber. Although there is no treatment protocol prescribed with guidelines, thrombolytic agents such as rt-PA are frequently used. Unfortunately, current thrombolytic agent application protocol in treatment for the RATE is used in acute myocardial infarction or acute pulmonary embolism. In this protocol, 0.9-1.0% cerebral and 4-13% noncerebral hemorrhages are seen. In contrast to this protocol, we aimed to present a case of RATE, in which we applied low-dose, slow-infusion thrombolytic therapy, and we have not observed any complication such as cerebral and noncerebral hemorrhage.
肾动脉血栓栓塞(RATE)是源自心腔的肾动脉罕见并发症。尽管尚无指南规定的治疗方案,但诸如rt-PA等溶栓剂仍被频繁使用。不幸的是,目前用于RATE治疗的溶栓剂应用方案是用于急性心肌梗死或急性肺栓塞的。在此方案中,可见0.9 - 1.0%的脑出血和4 - 13%的非脑出血。与该方案不同的是,我们旨在呈现一例RATE病例,在该病例中我们应用了低剂量、缓慢输注的溶栓治疗,且未观察到任何诸如脑出血和非脑出血等并发症。