Successful delayed bilateral renal revascularization during active phase of Takayasu's arteritis.
Successful bilateral renal revascularization was performed 24 days after the development of angiotensin converting enzyme-inhibitor-induced bilateral renal artery thrombosis and anuric acute renal failure in a patient with Takayasu's arteritis. Excellent results were obtained after an unusually long ischemic time for a patient with active-phase disease. The outcome suggests that aggressive surgical revascularization can benefit patients with renal failure caused by renal arterial occlusion during the active phase of Takayasu's arteritis.
Dardik
A
A
Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21287-8611, USA.
Ballermann
B J
BJ
Williams
G M
GM
D058186:Acute Kidney Injury / Q000139:chemically induced*; D000328:Adult; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D001002:Anuria / Q000139:chemically induced*; D003097:Collateral Circulation; D004656:Enalapril / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011859:Radiography; D012078:Renal Artery Obstruction / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000601:surgery*; D013625:Takayasu Arteritis / Q000188:drug therapy*; D013927:Thrombosis / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000601:surgery*
D000806:Angiotensin-Converting Enzyme Inhibitors; D004656:Enalapril