[A case of bilateral renal infarction].
A 67-year-old woman was admitted with aching pain in her left flank and nausea. Bilateral renal infarctions were noticed by CT scan and arteriography. Selective intra-arterial thrombolytic therapy was performed. Urokinase (UK) was administered through a balloon catheter embedded into the occlusive segment of the left renal artery selectively. UK (20,000 units/hour) was continuously infused after short-term high dose UK (360,000) infusion. In spite of recanalization of the occluded artery, CT scan and renoscintigraphy image did not suggest recovery of renal function. Conservative intra-arterial thrombolytic therapy is considered to be the most effective treatment for renal infarction.
Fukatsu
T
T
Department of Urology, Mie University School of Medicine.
Kurimoto
K
K
Kanai
M
M
Shibahara
T
T
Fumino
M
M
Yoshimura
N
N
Hayashi
N
N
Arima
K
K
Yanagawa
M
M
Kawamura
J
J
Kinoshita
N
N
Kato
H
H
D000368:Aged; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000188:drug therapy*; D007261:Infusions, Intra-Arterial; D007668:Kidney / Q000098:blood supply*; D012077:Renal Artery / Q000000981:diagnostic imaging; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D014568:Urokinase-Type Plasminogen Activator