کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2886717 | 1574211 | 2014 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Isolated Spontaneous Renal Artery Dissection: Endovascular Management
ترجمه فارسی عنوان
انسداد شریان انسانی خودبخودی: مدیریت انس ویادی
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
We report a rare case of isolated spontaneous renal artery dissection treated by stent placement. A 59-year-old man presented with a sudden onset of left flank pain and severe hypertension together with elevated creatinine levels. A computed tomography scan revealed a focal dissection at the left renal artery (LRA) with an infarcted left kidney. Despite medical treatment with 4 drugs, the patient's blood pressure remained uncontrolled. Angiography confirmed the diagnosis. A 6- Ã 60-mm Xpert stent (Abbott Vascular, Temecula, CA) was deployed at the LRA, achieving an enlarged true lumen with a patent stent. After the procedure, acute renal impairment was observed but pain subsided and blood pressure normalized under the treatment prescribed. At 12 months of follow-up, the patient was normotensive and asymptomatic with mild chronic renal failure and a patent LRA stent on doppler ultrasonography. The endovascular treatment of isolated spontaneous renal artery dissection appears to be feasible and effective and could be the first-line treatment when revascularization is needed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 28, Issue 4, May 2014, Pages 1034.e5-1034.e8
Journal: Annals of Vascular Surgery - Volume 28, Issue 4, May 2014, Pages 1034.e5-1034.e8
نویسندگان
Ainhoa GarcÃa-Familiar, Francisco Ortiz-Gutiérrez, Mariano De Blas-Bravo, Javier Sánchez-AbuÃn, VÃctor RodrÃguez Sáenz de Buruaga, Jose MarÃa Egaña-Barrenechea,