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一例肾动脉闭塞6天后成功实现血管再通及肾功能恢复的病例。

A case of successful revascularization and renal recovery after 6 days of renal artery occlusion.

作者信息

Mohamed Muner M B, Mohammed Khalid M G, Kadoura MoetazBellah S A, Sternbergh W Charles, Velez Juan Carlos Q

机构信息

Department of Nephrology, Ochsner Health System, New Orleans, LA.

Ochsner Clinical School, The University of Queensland, Brisbane, QLD, Australia.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Feb 12;10(3):101453. doi: 10.1016/j.jvscit.2024.101453. eCollection 2024 Jun.

DOI:10.1016/j.jvscit.2024.101453
PMID:38510096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10950809/
Abstract

A 72-year-old man with peripheral arterial disease, an atrophic left kidney, and prior right renal chimney stent as part of a complex endovascular abdominal aortic aneurysm repair presented to our emergency department with right flank pain and anuria resulting from right artery occlusion. His serum creatinine on admission was 7.5 mg/dL. Computed tomography angiography 6 days after the onset of his symptoms revealed complete occlusion of the right renal artery stent. Percutaneous thrombectomy was performed restored renal blood flow. The urine flow started the following day, and his serum creatinine decreased to 3.5 mg/dL 7 days after discharge.

摘要

一名72岁男性,患有外周动脉疾病、左肾萎缩,此前因复杂的血管内腹主动脉瘤修复术植入了右肾烟囱支架,现因右动脉闭塞导致右侧胁腹疼痛和无尿而就诊于我院急诊科。他入院时的血清肌酐为7.5mg/dL。症状出现6天后的计算机断层扫描血管造影显示右肾动脉支架完全闭塞。进行了经皮血栓切除术,恢复了肾血流。第二天开始出现尿流,出院7天后他的血清肌酐降至3.5mg/dL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc64/10950809/115aaad7fd1b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc64/10950809/a13b4e6c5d57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc64/10950809/115aaad7fd1b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc64/10950809/a13b4e6c5d57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc64/10950809/115aaad7fd1b/gr2.jpg

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本文引用的文献

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Acute renal artery occlusion: Presentation, treatment, and outcome.急性肾动脉闭塞:临床表现、治疗及预后
J Vasc Surg. 2016 Oct;64(4):1026-32. doi: 10.1016/j.jvs.2016.04.043. Epub 2016 Jun 23.
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Percutaneous revascularization for ischemic nephropathy: the past, present, and future.经皮血运重建治疗缺血性肾病:过去、现在与未来。
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