Treatment of renal artery embolism.
Publication/Presentation Date
3-1-1984
Abstract
Renal artery embolectomy was performed on four patients. There was no operative mortality. Four of the five affected kidneys were salvaged. The most common initial symptom was flank pain. The literature from 1970 to 1982 was reviewed to determine the current operative mortality (11%) and frequency of kidney salvage (67% to 90%) with surgery or anticoagulation. Newer treatment modalities, including intraarterially injected low-dose streptokinase and percutaneous transluminal angioplasty, have also proved useful. The addition of these newer methods, combined with the fact that kidneys can frequently be salvaged after prolonged periods of acute renal artery occlusion, led to the development of a clinical algorithm for treatment. With this algorithm, surgical embolectomy was reserved for patients with total renal parenchymal compromise caused by emboli, whose conditions failed to respond to less invasive treatment modes.
Volume
119
Issue
3
First Page
278
Last Page
281
ISSN
0004-0010
Published In/Presented At
Nicholas, G. G., & DeMuth, W. E., Jr (1984). Treatment of renal artery embolism. Archives of surgery (Chicago, Ill. : 1960), 119(3), 278–281. https://doi.org/10.1001/archsurg.1984.01390150020005
Disciplines
Medicine and Health Sciences
PubMedID
6230069
Department(s)
Department of Surgery
Document Type
Article