Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection

Spontaneous renal artery dissection (SRAD) is a rare entity and the management of this disease has not been established. A 54-year-old man presented with severe flank pain, and contrast-enhanced computed tomography images suggested SRAD in his left renal artery. After two weeks of conservative treat...

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Veröffentlicht in:Internal Medicine 2019/08/01, Vol.58(15), pp.2191-2194
Hauptverfasser: Aoki, Yasuhiro, Sakai, Yoshiaki, Kimura, Takashi, Yamaoka, Tomoki, Maekawa, Sachiko, Maekawa, Junpei, Sano, Masanori, Matsuno, Koki, Ishibashi, Iwao
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container_end_page 2194
container_issue 15
container_start_page 2191
container_title Internal Medicine
container_volume 58
creator Aoki, Yasuhiro
Sakai, Yoshiaki
Kimura, Takashi
Yamaoka, Tomoki
Maekawa, Sachiko
Maekawa, Junpei
Sano, Masanori
Matsuno, Koki
Ishibashi, Iwao
description Spontaneous renal artery dissection (SRAD) is a rare entity and the management of this disease has not been established. A 54-year-old man presented with severe flank pain, and contrast-enhanced computed tomography images suggested SRAD in his left renal artery. After two weeks of conservative treatment, stents were placed in the renal artery. The pre- and post-procedural renal function was independently assessed by renography. After stenting, his left renal function recovered from the renal failure pattern. Renal artery stenting in an acute phase of SRAD may salvage the renal function, even if it appears to be non-functioning.
doi_str_mv 10.2169/internalmedicine.2550-18
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A 54-year-old man presented with severe flank pain, and contrast-enhanced computed tomography images suggested SRAD in his left renal artery. After two weeks of conservative treatment, stents were placed in the renal artery. The pre- and post-procedural renal function was independently assessed by renography. After stenting, his left renal function recovered from the renal failure pattern. 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Med.</addtitle><description>Spontaneous renal artery dissection (SRAD) is a rare entity and the management of this disease has not been established. A 54-year-old man presented with severe flank pain, and contrast-enhanced computed tomography images suggested SRAD in his left renal artery. After two weeks of conservative treatment, stents were placed in the renal artery. The pre- and post-procedural renal function was independently assessed by renography. After stenting, his left renal function recovered from the renal failure pattern. Renal artery stenting in an acute phase of SRAD may salvage the renal function, even if it appears to be non-functioning.</description><subject>Aneurysm, Dissecting - surgery</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>Conservative Treatment</subject><subject>Dissection</subject><subject>Flank Pain - etiology</subject><subject>Humans</subject><subject>Image contrast</subject><subject>Implants</subject><subject>Internal medicine</subject><subject>Kidney - blood supply</subject><subject>Kidney Function Tests</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Renal artery</subject><subject>Renal Artery - surgery</subject><subject>Renal failure</subject><subject>Renal function</subject><subject>renogram</subject><subject>spontaneous renal artery dissection</subject><subject>stent</subject><subject>Stents</subject><subject>Tomography, X-Ray Computed</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkcFu1DAQhi0EosvCK6BIXLikjO04ti9IVaG0UqVKLUjcLMeZbL3KOoudVOrb45BlRctlfJjPn2f8E1JQOGW01p98GDEG2--w9c4HPGVCQEnVC7KivNKlZFy8JCvQVJUslxPyJqUtAFdSs9fkhIPWNVV8RX7eYvYUZzELH4u7EcPow6a4RTc8YMS2WPoXU3CjH0JhuwwWd_shjDbgMKXiieCLTwn_kG_Jq872Cd8dzjX5cfH1-_lleX3z7er87Lp0dS3H0jLUFchWgnC84k3XQqXrjqqqbkEKAKV0zYSFtukYaxvdQAeSu8ZSjkIBX5PPi3c_Nfk7XF4g2t7so9_Z-GgG683TTvD3ZjM8mFqC5lxmwceDIA6_Jkyj2fnksO-X_QxjlHImuagz-uEZuh2mOYeZ0qCkBJgptVAuDilF7I7DUDBzfOZ5fGaOz-Q81uT9v8scL_7NKwM3C7BNo93gEbBx9K7H_81CGSrmenjiSLp7Gw0G_htQo7nW</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Aoki, Yasuhiro</creator><creator>Sakai, Yoshiaki</creator><creator>Kimura, Takashi</creator><creator>Yamaoka, Tomoki</creator><creator>Maekawa, Sachiko</creator><creator>Maekawa, Junpei</creator><creator>Sano, Masanori</creator><creator>Matsuno, Koki</creator><creator>Ishibashi, Iwao</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection</title><author>Aoki, Yasuhiro ; 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subjects Aneurysm, Dissecting - surgery
Case Report
Computed tomography
Conservative Treatment
Dissection
Flank Pain - etiology
Humans
Image contrast
Implants
Internal medicine
Kidney - blood supply
Kidney Function Tests
Male
Middle Aged
Pain
Renal artery
Renal Artery - surgery
Renal failure
Renal function
renogram
spontaneous renal artery dissection
stent
Stents
Tomography, X-Ray Computed
title Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection
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