[Acute renal failure caused by renal artery occlusion. A surgical disease picture].
Out of 66 reconstructive operations of the renal arteries from 1980 to July 1984, 5 operations have been performed after a total occlusion of the renal artery. 3 patients were admitted with acute renal failure, all of them had a solitary kidney. The diagnosis could only be established by renographic examination, therefore a renal arteriography should be one of the first diagnostic procedures. Preexisting collateral vessels maintained a minimal blood flow of the kidney, the interval between the onset of the first symptoms and the operative revascularisation was between 24 hours and 5 days. Even if the ischemic tolerance time of the kidney exceeds 30-60 minutes, it does not necessarily lead to total organ damage because of those preexisting collateral vessels. On all 3 patients the renovasculary reconstruction was successful.
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000601:surgery*; D000784:Aortic Dissection / Q000601:surgery; D001027:Aortography; D001161:Arteriosclerosis / Q000601:surgery; D004617:Embolism / Q000601:surgery; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D008875:Middle Aged; D011379:Prognosis; D012077:Renal Artery / Q000601:surgery; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D012079:Renal Circulation; D013927:Thrombosis / Q000601:surgery
Akutes Nierenversagen durch Nierenarterienverschluss. Ein chirurgisches Krankheitsbild.