title: [Embolism in renal artery].
abstract: OBJECTIVE
  To describe a useful algorithm when acute non-traumatic renal artery occlusion is suspected.
  
  
  METHODS
  The diagnostic and therapeutic aspects of this uncommon disease are analyzed through two cases that had been managed differently.
  
  
  RESULTS
  Early clinical suspicion is based upon a non-colic sudden flank pain in patients with a history of cardiac embolic events, increased serum LDH, ALAT and ASAT, proteinuria, non-lithiasic, non-functioning kidney on IVP and a normal sized non-dilated kidney on ultrasound. The next step is diagnostic angiography and fibrinolysis when indicated.
  
  
  CONCLUSIONS
  Intra-arterial fibrinolysis is the treatment of choice in renal artery embolism when functional recovery by angiographic and clinical criteria is present, and will be further enhanced the earlier the diagnosis is made.
authors.affiliation: Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: J C
authors.initials: JC
authors.lastname: Martín Martínez
authors.forename: J M
authors.initials: JM
authors.lastname: Díez Cordero
authors.forename: A
authors.initials: A
authors.lastname: Echenagusia Belda
authors.forename: I
authors.initials: I
authors.lastname: Moncada Iribarren
authors.forename: R
authors.initials: R
authors.lastname: Durán Merino
authors.forename: F
authors.initials: F
authors.lastname: Sánchez-Carreras Aladren
authors.forename: G
authors.initials: G
authors.lastname: Bueno Chomon
authors.forename: C
authors.initials: C
authors.lastname: Hernández Fernández
mesh_terms: D000368:Aged; D000465:Algorithms; D004617:Embolism / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012077:Renal Artery
vernacular_title: Embolia sobre la arteria renal.