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 |
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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. |
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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. Renal artery stenting in an acute phase of SRAD may salvage the renal function, even if it appears to be non-functioning.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.2550-18</identifier><identifier>PMID: 30996183</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2019/08/01, Vol.58(15), pp.2191-2194</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c667t-a2e9407d705c343bfd0496f1846d07500889625a0dbf22db9b0f073cba13e5803</citedby><cites>FETCH-LOGICAL-c667t-a2e9407d705c343bfd0496f1846d07500889625a0dbf22db9b0f073cba13e5803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709337/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709337/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30996183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aoki, Yasuhiro</creatorcontrib><creatorcontrib>Sakai, Yoshiaki</creatorcontrib><creatorcontrib>Kimura, Takashi</creatorcontrib><creatorcontrib>Yamaoka, Tomoki</creatorcontrib><creatorcontrib>Maekawa, Sachiko</creatorcontrib><creatorcontrib>Maekawa, Junpei</creatorcontrib><creatorcontrib>Sano, Masanori</creatorcontrib><creatorcontrib>Matsuno, Koki</creatorcontrib><creatorcontrib>Ishibashi, Iwao</creatorcontrib><title>Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection</title><title>Internal Medicine</title><addtitle>Intern. 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 ; Sakai, Yoshiaki ; Kimura, Takashi ; Yamaoka, Tomoki ; Maekawa, Sachiko ; Maekawa, Junpei ; Sano, Masanori ; Matsuno, Koki ; Ishibashi, Iwao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-a2e9407d705c343bfd0496f1846d07500889625a0dbf22db9b0f073cba13e5803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aneurysm, Dissecting - surgery</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>Conservative Treatment</topic><topic>Dissection</topic><topic>Flank Pain - etiology</topic><topic>Humans</topic><topic>Image contrast</topic><topic>Implants</topic><topic>Internal medicine</topic><topic>Kidney - blood supply</topic><topic>Kidney Function Tests</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Renal artery</topic><topic>Renal Artery - surgery</topic><topic>Renal failure</topic><topic>Renal function</topic><topic>renogram</topic><topic>spontaneous renal artery dissection</topic><topic>stent</topic><topic>Stents</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aoki, Yasuhiro</creatorcontrib><creatorcontrib>Sakai, Yoshiaki</creatorcontrib><creatorcontrib>Kimura, Takashi</creatorcontrib><creatorcontrib>Yamaoka, Tomoki</creatorcontrib><creatorcontrib>Maekawa, Sachiko</creatorcontrib><creatorcontrib>Maekawa, Junpei</creatorcontrib><creatorcontrib>Sano, Masanori</creatorcontrib><creatorcontrib>Matsuno, Koki</creatorcontrib><creatorcontrib>Ishibashi, Iwao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aoki, Yasuhiro</au><au>Sakai, Yoshiaki</au><au>Kimura, Takashi</au><au>Yamaoka, Tomoki</au><au>Maekawa, Sachiko</au><au>Maekawa, Junpei</au><au>Sano, Masanori</au><au>Matsuno, Koki</au><au>Ishibashi, Iwao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>58</volume><issue>15</issue><spage>2191</spage><epage>2194</epage><pages>2191-2194</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>30996183</pmid><doi>10.2169/internalmedicine.2550-18</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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