A case of bilateral renal infarction

A 67-year-old woman was admitted with aching pain in her left flank and nausea. Bilateral renal infarctions were noticed by CT scan and arteriography. Selective intra-arterial thrombolytic therapy was performed. Urokinase (UK) was administered through a balloon catheter embedded into the occlusive s...

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Veröffentlicht in:	Hinyokika kiyo. Acta urologica Japonica 1997-11, Vol.43 (11), p.781-784
Hauptverfasser:	Fukatsu, T, Kurimoto, K, Kanai, M, Shibahara, T, Fumino, M, Yoshimura, N, Hayashi, N, Arima, K, Yanagawa, M, Kawamura, J, Kinoshita, N, Kato, H
Format:	Artikel
Sprache:	jpn
Schlagworte:	Aged Female Humans Infarction - diagnosis Infarction - drug therapy Infusions, Intra-Arterial Kidney - blood supply Renal Artery - diagnostic imaging Thrombolytic Therapy Tomography, X-Ray Computed Urokinase-Type Plasminogen Activator - administration & dosage
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Zusammenfassung:	A 67-year-old woman was admitted with aching pain in her left flank and nausea. Bilateral renal infarctions were noticed by CT scan and arteriography. Selective intra-arterial thrombolytic therapy was performed. Urokinase (UK) was administered through a balloon catheter embedded into the occlusive segment of the left renal artery selectively. UK (20,000 units/hour) was continuously infused after short-term high dose UK (360,000) infusion. In spite of recanalization of the occluded artery, CT scan and renoscintigraphy image did not suggest recovery of renal function. Conservative intra-arterial thrombolytic therapy is considered to be the most effective treatment for renal infarction.
ISSN:	0018-1994