Local thrombolytic treatment for renal arterial embolism.
OBJECTIVE
To determine the utility of local thrombolysis in the treatment of acute renal arterial occlusion.


METHODS
We used local thrombolytic treatment in a female patient, aged 76, with 72 h of anuria, right lumbar and flank pain. She had a 3-year history of ischemic heart disease and atrial fibrillation controlled with digital treatment. Also, she was nephrectomized on the left side 33 years ago for lithiasic pyonephrosis. A normal right urinary tract was demonstrated with ultrasound examination, KUB radiography and retrograde pyelography. The next step was diagnostic abdominal angiography and local thrombolytic treatment with streptokinase.


RESULTS
Thrombolysis with streptokinase was successful following 72 h of renal artery occlusion. After 24 months the patient is doing well.


CONCLUSIONS
Local intra-arterial thrombolysis is the treatment of choice in renal artery occlusion.
Department of Urology, Fundeni Hospital, Bucharest, Romania. gluckg@iname.com
G
G
Glück
M
M
Croitoru
D
D
Deleanu
P
P
Platon
D000208:Acute Disease; D000368:Aged; D004617:Embolism / Q000188:drug therapy*; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D012077:Renal Artery; D013300:Streptokinase / Q000627:therapeutic use*; D015912:Thrombolytic Therapy
D005343:Fibrinolytic Agents; D013300:Streptokinase