Lacombe M, Couffinhal J C
Nouv Presse Med. 1978 Oct 28;7(37):3333-6.
Three cases of acute thrombosis of the renal artery following an abdominal angiography were operated on. In each case a tight stenosis of the renal artery was present. Two different clinical features were observed: when the thrombosis occurs in a solitary kidney, anuria follows immediately the angiography and this is highly suggestive of the diagnosis; when the contralateral kidney functions well, the thrombosis, probably, will not be recognized. Treatment should always be surgical. In two cases emergency surgery resulted in kidney salvage, whereas in the last the diagnosis was overlooked and delayed surgery could not avoid nephrectomy. Viability of the kidney may be ensured by the collateral circulation and this fact justifies surgery in all cases.
对3例腹部血管造影术后发生肾动脉急性血栓形成的患者进行了手术治疗。每例患者均存在肾动脉严重狭窄。观察到两种不同的临床特征：当血栓形成于孤立肾时，血管造影术后立即出现无尿，这强烈提示诊断；当对侧肾功能良好时，可能无法识别血栓形成。治疗应始终采用手术方法。2例患者进行急诊手术后肾脏得以挽救，而最后1例患者诊断被忽视，延迟手术未能避免肾切除术。侧支循环可确保肾脏的存活，这一事实证明在所有病例中进行手术都是合理的。
