Locoregional fibrinolytic treatment in renal artery embolism: Case report and literature review

Gregorio Cina; Sergio Lacquaniti; Antonio Raffaele Cotroneo; Massimo Salvatori

doi:10.1007/BF01616232

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Int J Angiol 1997; 6(1): 56-59
DOI: 10.1007/BF01616232

Original Articles

Locoregional fibrinolytic treatment in renal artery embolism: Case report and literature review

Gregorio Cina¹ , Sergio Lacquaniti¹ , Antonio Raffaele Cotroneo² , Massimo Salvatori³

¹Department of General Surgery, Catholic University of S. Heart, Rome, Italy
²Department of Radiology, Catholic University of S. Heart, Rome, Italy
³Department of Nuclear Medicine, Catholic University of S. Heart, Rome, Italy

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Publication History

Publication Date:
23 April 2011 (online)

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Abstract

The authors report a case of renal artery embolism (RAE) treated after 42 hours from onset of symptoms with locoregional rt-PA fibrinolysis followed by a 30% recovery of function of the involved kidney. The literature on the surgical and fibrinolytic treatment of the RAE has been reviewed. The experience suggests that rt-PA fibrinolysis is effective for treating the renal artery embolism with good results regarding the patency of the vessel and the functional recovery, and with low risk of mortality and major complications compared with surgical embolectomy.