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.
Department of Renal Medicine, Withington Hospital, Manchester, UK.
R M
RM
Higgins
D J
DJ
Goldsmith
D
D
Charlesworth
M C
MC
Venning
P
P
Ackrill
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