Local thrombolytic treatment for renal arterial embolism.

Abstract:

OBJECTIVE:To determine the utility of local thrombolysis in the treatment of acute renal arterial occlusion. METHODS:We used local thrombolytic treatment in a female patient, aged 76, with 72 h of anuria, right lumbar and flank pain. She had a 3-year history of ischemic heart disease and atrial fibrillation controlled with digital treatment. Also, she was nephrectomized on the left side 33 years ago for lithiasic pyonephrosis. A normal right urinary tract was demonstrated with ultrasound examination, KUB radiography and retrograde pyelography. The next step was diagnostic abdominal angiography and local thrombolytic treatment with streptokinase. RESULT:Thrombolysis with streptokinase was successful following 72 h of renal artery occlusion. After 24 months the patient is doing well. CONCLUSION:Local intra-arterial thrombolysis is the treatment of choice in renal artery occlusion.

journal_name

Eur Urol

journal_title

European urology

authors

Glück G,Croitoru M,Deleanu D,Platon P

doi

10.1159/000020303

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

339-43

issue

3

eissn

0302-2838

issn

1873-7560

pii

20303

journal_volume

38

pub_type

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