Pennisi Isabella, Meo Diego, Giordano Giuseppe, Piana Sebastiano, Lentini Viviana, Urso Salvatore, Lio Vincenzo Magnano San
Radiology Unit 1, Department of Medical-Surgical Sciences and Advanced Technologies, University Hospital "Policlinico-Vittorio Emanuele", University of Catania, CAP 95125, Catania, Italy.
Unit of Diagnostic and Interventional Radiology, ARNAS "Garibaldi-Nesima", Catania, Italy.
Radiol Case Rep. 2022 May 31;17(8):2698-2701. doi: 10.1016/j.radcr.2022.04.023. eCollection 2022 Aug.
Renal artery occlusion represents an early diagnostic urgency to prevent kidney injury or, even more grave, kidney failure. However, diagnosis is often a challenge due to nonspecific and sporadic symptoms and signs, resulting in misdiagnosis, missed, or delayed diagnosis. The patient ought to be evaluated by a multidisciplinary team to select the best treatment. We describe a 62-year-old man's case study. The patient had a left solitary kidney with an aortorenal artery bypass thrombosis. The renal function resumes 24 hours after the interventional radiology procedure. Based on our experience, revascularization of aortorenal artery bypass thrombosis may save renal function even after long ischemia times of over 24 hours.
肾动脉闭塞是预防肾损伤甚至更严重的肾衰竭的早期诊断紧急情况。然而，由于症状和体征不具特异性且偶发，诊断往往具有挑战性，导致误诊、漏诊或诊断延迟。患者应由多学科团队进行评估，以选择最佳治疗方案。我们描述了一名62岁男性的病例研究。该患者有一个左肾孤立肾，伴有主动脉肾动脉搭桥血栓形成。介入放射学手术后24小时肾功能恢复。根据我们的经验，即使在超过24小时的长时间缺血后，主动脉肾动脉搭桥血栓形成的血管重建仍可能挽救肾功能。
