Acta clinica Croatica, Vol. 53. No. 2., 2014.
Other
Successful Treatment of Renal Artery Embolism even Forty-Eight Hours after Event
Tina Tičinović Kurir
Joško Božić
Dragan Dragičević
Dragan Ljutić
Abstract
Renal artery embolism is a disease that is easily missed due to its infrequent and nonspecific presentations. Although early diagnosis and optimal thrombolytic treatment can sometimes restore renal function, therapeutic guidelines have not yet been established. However, early anticoagulant therapy is beneficial and selective infusion of lytic agents into renal artery has been reported with increasing frequency and efficacy if used in the early stage. We report that intra-arterial thrombolytic therapy with low dose of 35 mg recombinant tissue plasminogen activator (t-PA) may be an effective and safe strategy for the treatment of renal artery embolism, despite the period of ischemia being longer than 48 hours.
Keywords
Atrial fibrillation; Flank pain; Renal artery obstruction; Thrombolytic therapy; Thromboembolism – therapy; Case report
Hrčak ID:
127695
URI
Publication date:
1.7.2014.
Visits: 2.409 *