肾动脉支架血栓形成作为经皮肾动脉血运重建和支架置入的并发症。
Renal artery stent thrombosis as a complication of percutaneous renal artery revascularization and stent placement.
作者信息
Passey Siddhant, Pandey Shubhi, Mehta Aryan, Meng Joyce, Azrin Michael
机构信息
Department of Internal Medicine, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Department of Cardiology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
出版信息
Proc (Bayl Univ Med Cent). 2025 Jun 5;38(5):747-750. doi: 10.1080/08998280.2025.2510058. eCollection 2025.
We present the case of a 46-year-old man with bilateral renal artery stenosis and a previous stent placed on the left renal artery who presented with a hypertensive emergency with flash pulmonary edema and acute-on-chronic renal failure. A renal angiogram revealed extensive thrombosis and in-stent restenosis, which were treated with thrombectomy, angioplasty, and stenting. Our case highlights the importance of careful patient selection for renal artery stenting and close monitoring post-stenting due to the risk of serious complications.
我们报告了一例46岁男性患者，患有双侧肾动脉狭窄，此前左肾动脉已置入支架，此次因高血压急症伴急性肺水肿和慢性肾功能衰竭急性发作入院。肾血管造影显示广泛血栓形成和支架内再狭窄，遂行血栓切除术、血管成形术和支架置入术进行治疗。我们的病例强调了肾动脉支架置入术患者谨慎选择的重要性，以及由于存在严重并发症风险，术后需密切监测。
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