Elective rather than emergency intervention for acute renal artery occlusion with anuria.
We describe a case in which surgical revascularisation was electively delayed until 27 days after acute renal artery occlusion, allowing surgery to be performed after a period of haemodialysis and pre-operative cardiac assessment. Owing to the collateral blood supply to the kidney, emergency surgery in cases of acute renal artery occlusion may not be necessary, and may be hazardous.
Higgins
R M
RM
Department of Renal Medicine, Withington Hospital, Manchester, UK.
Goldsmith
D J
DJ
Charlesworth
D
D
Venning
M C
MC
Ackrill
P
P
D000208:Acute Disease; D001002:Anuria / Q000209:etiology; D003097:Collateral Circulation; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery* / Q000628:therapy; D006435:Renal Dialysis